Rome – Give the GP a critical role in managing infectious diseases, from Covid-19 to HIV and hepatitis.. This is one of the needs that emerged with the epidemic: its effects, in fact, were not only on chronic diseases, but were certainly punishing for limiting examinations and diagnoses. Even some infectious diseases, now chronic or treatable, have been neglected, while specifically family doctor Who can play a decisive role. From here begins a new training and information project.
So we read on a note. He asserts, “We have begun to design a path for the new generations of doctors Claudio Criselli, President of Simg– This process mainly concerns the so-called acute diseases, which are sometimes underestimated by general medicine. As it turned out with Covid, these cases today represent emergencies, they are part of everyday life and patients come to the specialist when the chances of a solution have already been missed. So we must draw a A new training model, based on increased awareness, tangible tools, and intervention skills for early diagnosis and immediate application of treatment the case”.
The project We Stand With Public Health: A Call to Action for Infectious Diseases. Public health: present and futureOrganized by Regia Congressi under the auspices of the Italian Society of General Medicine and Primary Care – simg The Italian Society of Infectious and Tropical Diseases – namedwith a non-adaptive contribution Gilead Sciences, In the press room of the House of Representatives on the initiative of Mr. Mara Labia, 12th member of the Social Affairs Committee, House of Representatives. Submitted by Claudio CriselliAnd Chief Simg and Massimo AndreoniScientific Director Simitt.
Alessandro Rossi, Project Coordinator and Simg Infectious Diseases Area Manager, presented the project. Ignazio Gratagliano, COVID-19 Simg Activity Coordinator intervenes with “new organizational models for managing Covid-19 patients”; Barbara Soligoy, Head of the Center for AIDS Operations at the Graduate Institute of Sanita, with “HIV as a Chronic Disease: Long-Term Integrated Health Management”; Loretta Condelli, National Center for Global Health Istituto Superiore di Sanità Hcv, with “Expansion of Screening Programs”; Marco Bordere, Medical Director of the Infectious Diseases Unit at Saint Ursula Malpighi Hospital, Bologna, with “Integration of Services for Effective Management of HDV”. Science journalist Daniel Della Sita Cedre.
SIMG project for new virus management
The Simg project will be expressed during the upcoming winter 2022-2023 through a course of four webinars focusing on several infectious diseases: COVID-19, HIV, hepatitis C, hepatitis C. The choice dictates the job the family physician can perform.
As for Covidin addition to maintaining an important role in vaccines, MMG will have to work to intercept any complications, suggesting and prescribing treatments with direct antivirals or monoclonal antibodies for the most vulnerable patients, solutions that have maintained their viability despite the evolution of variants.
for HIV It is possible to make the virus chronic, a concept summarized in the scientific evidence U = U, undetectable = not transmissible, undetectable = not transmissible: HIV is not transmitted with the correct administration of effective antiretroviral therapy, making the virus Not detectable in the blood.
Hepatitis C virusOn the other hand, thanks to new treatments, it can be eradicated permanently, in a few weeks and without side effects.
for delta hepatitisThe new molecule polyvirtide, the most severe form of hepatitis, represents a revolutionary advance because it allows treatment of patients who were previously unable to receive any treatment. The problem of HIV, Hcv, HDV is attributed to late diagnosis, which often occurs when the patient already has AIDS (in the case of HIV) or is on the way to serious cirrhosis or hepatocellular carcinoma in hepatitis. So what has not been announced is significant and screening is currently insufficient.
The role of the general practitioner
“Mmg’s role in these four infectious diseases must become proactive– Alessandro Rossi emphasizes – He must be a careful observer of the risk profiles of his patients whom he knows well and establish interventions for screening and, when necessary, suggest vaccinations in fragile subjects. Of course, regional care must be revolutionized with new information, information technology, people, and network tools to reduce hospital burden and allow MMG to better manage at-risk patients.
The four webinars will feature an extension several contribution actors: On the one hand, there will be the scientific world, represented by Simg and Simit, as well as the health authorities; On the other hand, there will be a strong interaction with Institutionsin particular the regional, whose commitment is essential to the implementation of effective programs for detect Based on Link to care. In the wake of these initiatives, Simg will provide clinicians with some tools that will be incorporated into the Mmg file, which will be able to refer to recent guidelines, updated laws, scientific analyzes, and the Health Search Scientific Observatory. For general medicine, it will be a training and integration process“.
“The epidemic has shocked the whole world and made it difficult for public health not only in hospitals, but above all in helping with chronic diseases – continues Professor Massimo Andreoni – among the chronic diseases, there are also infectious diseases that carry this meaning. We have had great difficulty in Help and detection of this type of disease.This refers to a Transition from a hospital-centric public health to a network between the hospital and the district, in such a way that the latter can take over some activities and focus the hospital on the acutely ill. This different organization may favor therapeutic continuity and the diagnosis of any new diseases.”
“It is necessary to increase interaction between general practitioners and infectious disease specialists– Hon highlights. Mara Labia- The health of the future lies in rooted local medicinewith in-depth training and the ability to quickly intervene in screening and diagnosis, which, if arrived in time, could be crucial for some diseases not only for survival, but also for ensuring Good quality of life. Therapies, treatments, follow-up, and controls can become solutions especially in fragile patients such as cancer patients, for whom the link to care for an infectious disease could be more relevant.”
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