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Tar boccia Aifa: the doctors of home therapy win

3 years ago babelfish

Tar boccia Aifa: the doctors of home therapy win

What the TAR decided by accepting the appeal, presented by some doctors, against Aifa's anti Covid home care protocols . All the details

The TAR accepted the appeal, presented by some doctors, against AIFA's anti-Covid home care protocols based on watchful waiting and the use of paracetamol and NSAIDs (non-steroidal anti-inflammatory drugs) in the early stages of the disease.

The order of the Lazio Regional Administrative Court

The order of the Lazio TAR of 2 March establishes that doctors are not required to observe the guidelines issued by the AIFA on 9 December last . "Considering that, on a summary assessment of the precautionary phase, the appeal appears to be well founded – reads the sentence of the TAR -, in relation to the circumstance that the applicants assert their right / duty , having legal relevance both in civil and criminal matters , to prescribe the drugs that they deem most appropriate according to science and conscience, and which cannot be compressed in view of a wait, potentially prejudicial both for the patient and, albeit under different profiles, for the doctors themselves ". The Tar puts the choice of the most appropriate therapy in the hands of the professionalism of individual doctors. The public hearing for the discussion of the merits of the appeal is scheduled for  July 20 next.

What the AIFA guidelines say

According to the guidelines issued by AIFA in the first days of Sars-covid illness, it only provides for "watchful waiting", " symptomatic treatments " through paracetamol or NSAIDs "and" appropriate hydration and nutrition ". The AIFA also suggested not to resort to taking vitamin complexes or food supplements. 

Who filed an appeal 

The appeal to the TAR was presented by a group of doctors: Fabrizio Salvucc i, Giuseppe Giorgio Stramezzi , Riccardo Szumsky and Luca Poretti, represented and defended by the lawyers Erich Grimaldi and Valentina Piraino . 

Dr. Riccardo Szums ky in the past had jumped to the headlines for a very controversial claim that questioned the safety of the vaccine. "Hospital doctors employed by a health company who get vaccinated under the eyes of their political 'master' and surrounded by photographers, they seem to me the extras of a play – said the doctor and mayor of Santa Lucia di Piave (Treviso) to the the day after the start of the vaccination campaign -. If the vaccine is so safe why isn't the politician setting a good example? I wouldn't inject it on myself right now ”.

Victory for the association "Covid-19 home therapy"

The doctors Giuseppe Giorgio Stramezzi , Riccardo Szumsky with prof. Luigi Cavanna , Luigi Garavelli , Claudio Puoti and Andrea Mangiagalli, together with the lawyers Erich Grimaldi and Valentina Piraino, founded the “ Covid-19 home therapy ” association. The doctors promoting the initiative, born from the practice in the field, believe that Covid-19 is "a disease that must be faced at the first symptoms in one's home, thus avoiding in many cases a worsening towards a more serious form that forces hospitalization in hospital ”, as stated on the association's website.  "We ask that a national protocol of home care be established and that territorial medicine be strengthened – the doctors write again -, also through the creation in each Region of public medical units for diagnosis and home care of covid-19 (USCA) provided for by national law but established only in some Regions. The epidemic is tackled at home rather than in the hospital ”. 

Timeliness of treatment is the key to defeating Covid

In an interview released by prof. Stramezzi a few days before the sentence of the Tar had reiterated the importance not only of the timeliness of treatment but also of the use of simple anti-inflammatories. “Early therapies work. Timing is of the essence. You must intervene immediately with the anti-inflammatory. To avoid the tachipirina which is not an anti-inflammatory and lowers the levels of glutathione, essential to protect yourself from Covid – said the prof. Stramezzi – Any anti-inflammatory. Aspirin is fine as it is also an antiplatelet agent. The Ibuprofen is only given to you with the prescription. Aspirin even without prescription. It should be taken immediately, at the first symptom. As soon as you have a fever of 38, for example, a strange sore throat, a hint of cough, any sign ".

The summit with Undersecretary Pierpaolo Sileri

The day after the publication of the Tar sentence, prof. Stramezzi, together with prof. Cavanna and the lawyer Grimaldi met the undersecretary of the Ministry of Health Pierpaolo Sileri .

Giorgio Palù: focus on home care 

Giorgio Palù , president of Aifa and microbiologist of the University of Padua, a few days ago, during the program "Half an hour more" by Lucia Annunziata, had stated that the key to avoiding the overcrowding of hospitals was precisely the treatment domiciliary. “Carrying out those few tests to use cortisone and low molecular weight heparin, this would help us avoid hospital saturation – said prof. Palù -. We must focus on home care also with the use of monoclonal antibodies in the first 72 hours from the onset of symptoms, but we still do not have them available ". 

The doubts of the FIMMG

The doctors of the FIMMG (Italian Federation of Family Doctors) had criticized the guidelines from the very first anticipations. “We were not involved and those indications leave the time they find – said the secretary of Fimmg, Silvestro Scotti -. The document does not say anything new, on the contrary it leaves doubts and uncertainties. We are sick of being treated like medical students. General medicine needs more respect. These are acts of people working behind desks ”. 

This is a machine translation from Italian language of a post published on Start Magazine at the URL https://www.startmag.it/sanita/tar-boccia-aifa-vincono-i-medici-della-terapia-domiciliare/ on Sat, 20 Mar 2021 07:32:24 +0000.