- Tytuł:
- It is time to define an organizational model for the prevention and management of infections along the surgical pathway : a worldwide cross-sectional survey
- Autorzy:
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Pararas, Nikolaos
Das, Koray
Dimitrov, Evgeni N.
Martines, Gennaro
Chiarugi, Massimo
Di Bella, Stefano
Chandy, Sujith J.
Rocha-Pereira, Nuno
Baiocchi, Gian Luca
Pata, Francesco
Di Carlo, Isidoro
Shelat, Vishal G.
Kim, Jae Il
Mazuski, John E.
Memish, Ziad Ahmed
Porcu, Alberto
Dhingra, Sameer
Veroux, Massimiliano
Kovacevic, Bojan M.
Alberio, Maria Grazia
Awad, Selmy Sabry
Papadopoulos, Aristeidis
Detanac, Dzemail S.
Mora-Guzman, Ismael
Rossi, Stefano
Vasilescu, Alin
Claridge, Jefrey A.
Kok, Kenneth Yuh Yen
Elmangory, Mutasim M.
Seni, Jeremiah
Cavazzuti, Laura
Pagani, Leonardo
Mohamedahmed, Ali Yasen Y.
Fantoni, Massimo
Bala, Miklosh
Slavchev, Mihail
Kiguba, Ronald
Sartelli, Massimo
Mishra, Shyam Kumar
Ghannam, Wagih M.
Yahya, Aliibrahim
Zakaria, Andee Dzulkarnaen
Barie, Philip S.
Ordonez, Carlos Alberto
Delibegovic, Samir
Ansari, Shamshul
Sall, Ibrahima
Machain Vega, Gustavo Miguel
Martinez-Perez, Aleix
Luppi, Davide
Rasa, Huseyin Kemal
Chiarello, Maria Michela
Ismail, Azzain
Reichert, Martin
O'Connor, Donal B.
Sawyer, Robert G.
Siribumrungwong, Boonying
Ansaloni, Luca
Patel, Tapan
Pesce, Antonio
Hardcastle, Timothy Craig
Kapoor, Garima
Cui, Yunfeng
Fry, Donald E.
Perra, Teresa
Weckmann, Sergio Alberto
Kavalakat, Alfe J.
Mohamed, Mohaned Ibrahim Hussein
Cocuz, Maria-Elena
Ceresoli, Marco
Arauz, Ana Belen
Kobe, Yoshiro
Leppaniemi, Ari K.
Pantalone, Desire
Gachabayov, Mahir
Gattuso, Gianni
Akin, Emrah
Serradilla-Martin, Mario
Landaluce-Olavarria, Aitor
Aboubreeg, Wedad Faraj
Khamis, Faryal
Pintar, Tadeja
Massalou, Damien
Guirao, Xavier
Rahman Mitul, Ashrarur
Lostoridis, Eftychios
Negoi, Ionut
Abu-Zidan, Fikri M.
Ghisetti, Valeria
Roncancio Villamil, Gustavo Eduardo
Pellino, Gianluca
Hamad, Yousif Tag Elsir Y.
Samadi Kafl, Hossein
de Simone, Belinda
Kenig, Jakub
Fleres, Francesco
Brisinda, Giuseppe
D'Acapito, Fabrizio
Enciu, Octavian
Popivanov, Georgi Ivanov
Cicuttin, Enrico
Vereczkei, Andras
Gonullu, Emre
Jain, Sumita Agarwal
Labricciosa, Francesco M.
Miranda-Novales, Maria Guadalupe
Toma, Elena Adelina
Mulita, Francesk
Zubareva, Nadezhda
Catena, Fausto
Coccolini, Federico
Kirkpatrick, Andrew W.
Litvin, Andrey
Akhmeteli, Lali
Bordoni, Pierpaolo
Demetrashvili, Zaza
Hecker, Matthias
Panyko, Arpad
Argenio, Giulio
Cainzos, Miguel Angel
Musina, Ana-Maria
Tan, Boun Kim
Lohsiriwat, Varut
Widmer, Lukas Werner
Atici, Semra Demirli
Rahim, Razrim
Marwah, Sanjay
Cillara, Nicola
Filipescu, Daniela
Gonfa, Kebebe Bekele
Rodrigues, Gabriel
Marinis, Athanasios
Solaini, Leonardo
Navsaria, Pradeep H.
Lasithiotakis, Konstantinos
Podda, Mauro
Quiodettis, Martha Alexa
Tarasconi, Antonio
Metan, Gokhan
Kryvoruchko, Igor Andreevich
Ismail, Nizar
Magagi, Ibrahim Amadou
Ben-Ishay, Offir
Alconchel, Felipe
Galeiras, Rita
Tovani-Palone, Marcos Roberto
Coimbra, Raul
Kanj, Souha S.
Benboubker, Moussa
Dellinger, Evan Patchen
Boumediene, Abdalia
Conti, Luigi
Mesina, Cristian
D'Oria, Mario
Cocuz, Iuliu Gabriel
Nita, Gabriela Elisa
Reynolds Campbell, Glendee Yolande
Kuriyama, Akira
Baili, Efstratia
Belskii, Vladislav A.
Czepiel, Jacek
Cortese, Francesco
Adamou, Harissou
Dogjani, Agron
Xiao, Yonghong
Zuidema, Wietse P.
Perrone, Gennaro
Atanasov, Boyko C.
Toro, Adriana
Tartaglia, Dario
Maier, Ronald V.
Dumitru, Irina Magdalena
Rems, Miran
Giraudo, Giorgio
Tumietto, Fabio
Foghetti, Domitilla
Hecker, Andreas
Karaiskos, Ilias
Bains, Lovenish
Tomadze, Gia
Isik, Arda
Al-Hasan, Majdi N.
Khokha, Vladimir
Coppola, Rafaella
Maegele, Marc
Sakakushev, Boris E.
Zachariah, Sanoop K.
Clarizia, Guglielmo
Sasia, Diego
Seretis, Charalampos
van Goor, Harry
Baral, Suman
Damaskos, Dimitrios
Maseda, Emilio
Fransvea, Pietro
Baraket, Oussama - Opis:
- Background: The objectives of the study were to investigate the organizational characteristics of acute care facilities worldwide in preventing and managing infections in surgery; assess participants’ perception regarding infection prevention and control (IPC) measures, antibiotic prescribing practices, and source control; describe awareness about the global burden of antimicrobial resistance (AMR) and IPC measures; and determine the role of the Coronavirus Disease 2019 pandemic on said awareness. Methods: A cross-sectional web-based survey was conducted contacting 1432 health care workers (HCWs) belonging to a mailing list provided by the Global Alliance for Infections in Surgery. The self-administered questionnaire was developed by a multidisciplinary team. The survey was open from May 22, 2021, and June 22, 2021. Three reminders were sent, after 7, 14, and 21 days. Results: Three hundred four respondents from 72 countries returned a questionnaire, with an overall response rate of 21.2%. Respectively, 90.4% and 68.8% of participants stated their hospital had a multidisciplinary IPC team or a multidisciplinary antimicrobial stewardship team. Local protocols for antimicrobial therapy of surgical infections and protocols for surgical antibiotic prophylaxis were present in 76.6% and 90.8% of hospitals, respectively. In 23.4% and 24.0% of hospitals no surveillance systems for surgical site infections and no monitoring systems of used antimicrobials were implemented. Patient and family involvement in IPC management was considered to be slightly or not important in their hospital by the majority of respondents (65.1%). Awareness of the global burden of AMR among HCWs was considered very important or important by 54.6% of participants. The COVID-19 pandemic was considered by 80.3% of respondents as a very important or important factor in raising HCWs awareness of the IPC programs in their hospital. Based on the survey results, the authors developed 15 statements for several questions regarding the prevention and management of infections in surgery. The statements may be the starting point for designing future evidence-based recommendations. Conclusion: Adequacy of prevention and management of infections in acute care facilities depends on HCWs behaviours and on the organizational characteristics of acute health care facilities to support best practices and promote behavioural change. Patient involvement in the implementation of IPC is still little considered. A debate on how operationalising a fundamental change to IPC, from being solely the HCWs responsibility to one that involves a collaborative relationship between HCWs and patients, should be opened.
- Dostawca treści:
- Repozytorium Uniwersytetu Jagiellońskiego
Artykuł