Managing cancer patients during COVID-19 pandemic: a North African oncological center experience

Pan Afr Med J. 2020 Aug 13;35(Suppl 2):144. doi: 10.11604/pamj.supp.2020.35.144.24582. eCollection 2020.

Abstract

Introduction: since the first spread of the novel coronavirus (COVID-19) in Morocco in March 2020, the Moroccan Health System underwent an important pressure and remarkable efforts were spent to provide efficient reactions to this emergency. Public hospitals have set adapted strategies dedicated to overcoming the overload of COVID-19 patients, and our Oncology and Hematology Center (OHC) has implemented a flexible adapted strategy aiming to reduce the burden of COVID-19. We report our single-center experience on the detailed infection control measures undertaken to minimize virus transmission.

Methods: we reviewed all patients treated at the OHC from March 2nd to April 20th, 2020 as measures were taken since the detection of the first COVID-19 case to ensure the protection of patients and healthcare providers, especially a screening zone for any patient entering the center. The patient's data were retrospectively collected and anonymized.

Results: we notified a significant decrease in patients' admissions during the lockdown period at the different units of our center. The screening area received a total of 5267 patients during our study period, with an average of 105 patients per day. Interestingly, no healthcare professional was infected and only 8 patients showed symptoms of fever and cough, and all of them had a negative test for COVID-19 (RT-PCR). Thus, the OHC is considered as a COVID-19 free center with zero cases among patients and healthcare providers.

Conclusion: by having a 0% rate of infection, the efficiency of our measures is proven, but efforts are still needed as we have to measure the impact of this pandemic in our cancer management.

Keywords: COVID-19; cancer; prevention.

MeSH terms

  • Betacoronavirus*
  • COVID-19
  • COVID-19 Testing
  • Cancer Care Facilities / organization & administration*
  • Clinical Laboratory Techniques
  • Continuity of Patient Care
  • Coronavirus Infections / diagnosis
  • Coronavirus Infections / epidemiology*
  • Coronavirus Infections / prevention & control
  • Disease Management
  • Female
  • Health Services Accessibility
  • Hospital Departments / statistics & numerical data
  • Hospital Units / statistics & numerical data
  • Humans
  • Infection Control / organization & administration
  • Infectious Disease Transmission, Patient-to-Professional / prevention & control
  • Infectious Disease Transmission, Professional-to-Patient / prevention & control
  • Male
  • Mass Screening / organization & administration
  • Middle Aged
  • Morocco
  • Neoplasms / therapy*
  • Pandemics* / prevention & control
  • Pneumonia, Viral / diagnosis
  • Pneumonia, Viral / epidemiology*
  • Pneumonia, Viral / prevention & control
  • Retrospective Studies
  • SARS-CoV-2