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- Francis is staying in a 'secure' apartment on the tenth floor of the Gemelli Clinic and is isolated, surrounded only by Vatican doctors and security, nurses and their secretaries, and he is not receiving any guests; any leaks must be avoided.
- Because of inadequate treatment, Francis has also developed a certain resistance to some medicines.
- Massimo Andreoni, professor emeritus of infectious diseases at the University of Tor Vergata in Rome, said:
The persistence of the clinical picture and the probable use of therapies with cortisone, which has the effect of partially reducing the immune defences because it is an immunosuppressant, have probably facilitated the appearance of bacterial and/or fungal superinfections, which now require an adjustment of the therapy directed against the newly identified germs.
Superinfections represent a "complication of an initial lower respiratory tract infection: as is often the case, if such an infection persists over time, it may in fact be complicated by the appearance of superinfections".
In the polymicrobial infection that affected Francis, "the initial lower respiratory tract infection was joined by the action of other germs - bacteria and/or fungi - which actually led to further infections relative to the initial condition. This is compounded by the fact that Francis' compromised clinical condition was prolonged for several days and did not resolve quickly'.
The appearance of these additional germs 'necessitated a change in therapy, with medication directed at the newly isolated germs'.
Another factor is the "probable use of cortisone, which is generally used in similar cases to treat asthma and respiratory distress: as it is also an immunosuppressant, it may in turn have facilitated the appearance of superinfections".
Therefore, "the combined action of these two elements, i.e. the persistence of the clinical picture and the probable use of cortisone, very probably facilitated the appearance of these superinfections, which require an adjustment of the therapy".
In cases of complications of the lower respiratory tract in which polymicrobial infections are detected, antibiotic drugs capable of blocking the growth of the various isolated germs are generally used". The effects of these therapies, he concludes, "should not be seen before 1 or 2 days of treatment".
- If Francis survives, he is expected to remain in the Gemelli hospital for at least twenty to thirty days.
- The administration of the Vatican is in the hands of Irish Cardinal Kevin Joseph Farrell, who was appointed chamberlain by Pope Francis in 2019.
- Cardinal Parolin is the only one allowed to visit Francis in his room in Gemelli.
Source: Gloria.tv