It is time to define an organizational model for the prevention and management of infections along the surgical pathway: a worldwide cross-sectional survey

Massimo Sartelli; Francesco M Labricciosa; Federico Coccolini; Raul Coimbra; Fikri M Abu-Zidan; Luca Ansaloni; Majdi N Al-Hasan; Shamshul Ansari; Philip S Barie; Miguel Angel Caínzos; Marco Ceresoli; Massimo Chiarugi; Jeffrey A Claridge; Enrico Cicuttin; Evan Patchen Dellinger; Donald E Fry; Xavier Guirao; Timothy Craig Hardcastle; Andreas Hecker; Ari K Leppäniemi; Andrey Litvin; Sanjay Marwah; Emilio Maseda; John E Mazuski; Ziad Ahmed Memish; Andrew W Kirkpatrick; Leonardo Pagani; Mauro Podda; Huseyin Kemal Rasa; Boris E Sakakushev; Robert G Sawyer; Fabio Tumietto; Yonghong Xiao; Wedad Faraj Aboubreeg; Harissou Adamou; Lali Akhmeteli; Emrah Akin; Maria Grazia Alberio; Felipe Alconchel; Ibrahim Amadou Magagi; Ana Belén Araúz; Giulio Argenio; Boyko C Atanasov; Semra Demirli Atici; Selmy Sabry Awad; Efstratia Baili; Lovenish Bains; Miklosh Bala; Oussama Baraket; Suman Baral; Vladislav A Belskii; Moussa Benboubker; Offir Ben-Ishay; Pierpaolo Bordoni; Abdalia Boumédiène; Giuseppe Brisinda; Laura Cavazzuti; Sujith J Chandy; Maria Michela Chiarello; Nicola Cillara; Guglielmo Clarizia; Maria-Elena Cocuz; Iuliu Gabriel Cocuz; Luigi Conti; Raffaella Coppola; Yunfeng Cui; Jacek Czepiel; Fabrizio D'Acapito; Dimitrios Damaskos; Koray Das; Belinda De Simone; Samir Delibegovic; Zaza Demetrashvili; Dzemail S Detanac; Sameer Dhingra; Stefano Di Bella; Evgeni N Dimitrov; Agron Dogjani; Mario D'Oria; Irina Magdalena Dumitru; Mutasim M Elmangory; Octavian Enciu; Massimo Fantoni; Daniela Filipescu; Francesco Fleres; Domitilla Foghetti; Pietro Fransvea; Mahir Gachabayov; Rita Galeiras; Gianni Gattuso; Wagih M Ghannam; Valeria Ghisetti; Giorgio Giraudo; Kebebe Bekele Gonfa; Emre Gonullu; Yousif Tag Elsir Y Hamad; Matthias Hecker; Arda Isik; Nizar Ismail; Azzain Ismail; Sumita Agarwal Jain; Souha S Kanj; Garima Kapoor; Ilias Karaiskos; Alfie J Kavalakat; Jakub Kenig; Faryal Khamis; Vladimir Khokha; Ronald Kiguba; Jae Il Kim; Yoshiro Kobe; Kenneth Yuh Yen Kok; Bojan M Kovacevic; Igor Andreevich Kryvoruchko; Akira Kuriyama; Aitor Landaluce-Olavarria; Konstantinos Lasithiotakis; Varut Lohsiriwat; Eftychios Lostoridis; Davide Luppi; Gustavo Miguel Machain Vega; Marc Maegele; Athanasios Marinis; Gennaro Martines; Aleix Martínez-Pérez; Damien Massalou; Cristian Mesina; Gökhan Metan; María Guadalupe Miranda-Novales; Shyam Kumar Mishra; Mohaned Ibrahim Hussein Mohamed; Ali Yasen Y Mohamedahmed; Ismael Mora-Guzmán; Francesk Mulita; Ana-Maria Musina; Pradeep H Navsaria; Ionut Negoi; Gabriela Elisa Nita; Donal B O'Connor; Carlos Alberto Ordoñez; Desiré Pantalone; Arpád Panyko; Aristeidis Papadopoulos; Nikolaos Pararas; Francesco Pata; Tapan Patel; Gianluca Pellino; Teresa Perra; Gennaro Perrone; Antonio Pesce; Tadeja Pintar; Georgi Ivanov Popivanov; Alberto Porcu; Martha Alexa Quiodettis; Razrim Rahim; Ashrarur Rahman Mitul; Martin Reichert; Miran Rems; Glendee Yolande Reynolds Campbell; Nuno Rocha-Pereira; Gabriel Rodrigues; Gustavo Eduardo Roncancio Villamil; Stefano Rossi; Ibrahima Sall; Hossein Samadi Kafil; Diego Sasia; Jeremiah Seni; Charalampos Seretis; Mario Serradilla-Martín; Vishal G Shelat; Boonying Siribumrungwong; Mihail Slavchev; Leonardo Solaini; Boun Kim Tan; Antonio Tarasconi; Dario Tartaglia; Elena Adelina Toma; Gia Tomadze; Adriana Toro; Marcos Roberto Tovani-Palone; Harry van Goor; Alin Vasilescu; Andras Vereczkei; Massimiliano Veroux; Sergio Alberto Weckmann; Lukas Werner Widmer; AliIbrahim Yahya; Sanoop K Zachariah; Andee Dzulkarnaen Zakaria; Nadezhda Zubareva; Wietse P Zuidema; Isidoro Di Carlo; Francesco Cortese; Gian Luca Baiocchi; Ronald V Maier; Fausto Catena

doi:10.1186/s13017-022-00420-4

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It is time to define an organizational model for the prevention and management of infections along the surgical pathway: a worldwide cross-sectional survey

Journal article

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Peer reviewed

It is time to define an organizational model for the prevention and management of infections along the surgical pathway: a worldwide cross-sectional survey

Massimo Sartelli, Francesco M Labricciosa, Federico Coccolini, Raul Coimbra, Fikri M Abu-Zidan, Luca Ansaloni, Majdi N Al-Hasan, Shamshul Ansari, Philip S Barie, Miguel Angel Caínzos, …

World journal of emergency surgery, Vol.17(1), pp.17-17

17/03/2022

DOI: https://doi.org/10.1186/s13017-022-00420-4

PMID: 35300731

Abstract

Anti-Bacterial Agents - therapeutic use

Anti-Infective Agents

COVID-19

Cross-Sectional Studies

Humans

Models, Organizational

Pandemics - prevention & control

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. 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. 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. 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.

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Title: It is time to define an organizational model for the prevention and management of infections along the surgical pathway: a worldwide cross-sectional survey
Creators - without role: Massimo Sartelli - University of Macerata
Francesco M Labricciosa - Global Alliance for Infections in Surgery, Macerata, Italy
Federico Coccolini - Azienda Ospedaliera Universitaria Pisana
Raul Coimbra - Riverside University Health System - Medical Center
Fikri M Abu-Zidan - United Arab Emirates University
Luca Ansaloni - Policlinico San Matteo Fondazione
Majdi N Al-Hasan - University of South Carolina
Shamshul Ansari - Chitwan Medical College
Philip S Barie - Cornell College
Miguel Angel Caínzos - Universidade de Santiago de Compostela
Marco Ceresoli - University of Milano-Bicocca
Massimo Chiarugi - Azienda Ospedaliera Universitaria Pisana
Jeffrey A Claridge - MetroHealth Medical Center
Enrico Cicuttin - Azienda Ospedaliera Universitaria Pisana
Evan Patchen Dellinger - University of Washington
Donald E Fry - Northwestern University
Xavier Guirao - Corporació Sanitària Parc Taulí
Timothy Craig Hardcastle - University of KwaZulu-Natal
Andreas Hecker - Universitätsklinikum Gießen und Marburg
Ari K Leppäniemi - University of Helsinki
Andrey Litvin - Immanuel Kant Baltic Federal University
Sanjay Marwah - Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences
Emilio Maseda - Marqués de Valdecilla University Hospital
John E Mazuski - Washington University in St. Louis
Ziad Ahmed Memish - Alfaisal University
Andrew W Kirkpatrick - Foothills Medical Centre
Leonardo Pagani - Ospedale di Bolzano
Mauro Podda - University of Cagliari
Huseyin Kemal Rasa - Anadolu University
Boris E Sakakushev - Medical University Plovdiv
Robert G Sawyer - Western Michigan University
Fabio Tumietto - Azienda USL di Bologna
Yonghong Xiao - Zhejiang University
Wedad Faraj Aboubreeg - Department of Surgery, Zliten Medical Center, Zliten, Libya
Harissou Adamou - Université de Zinder
Lali Akhmeteli - Tbilisi State Medical University
Emrah Akin - Sakarya University
Maria Grazia Alberio - Ospedale di Circolo e Fondazione Macchi
Felipe Alconchel - Hospital Universitario Virgen de la Arrixaca
Ibrahim Amadou Magagi - Université de Zinder
Ana Belén Araúz - Saint Thomas Hospital
Giulio Argenio - Ospedali Riuniti San Giovanni di Dio e Ruggi d'Aragona
Boyko C Atanasov - Medical University Plovdiv
Semra Demirli Atici - Izmir University
Selmy Sabry Awad - Mansoura University Hospital
Efstratia Baili - IASO General Hospital
Lovenish Bains - Maulana Azad Medical College
Miklosh Bala - Hadassah Medical Center
Oussama Baraket - Tunis El Manar University
Suman Baral - Pokhara University
Vladislav A Belskii - Privolzhsky Research Medical University
Moussa Benboubker - Centre Hospitalier Universitaire Hassan II
Offir Ben-Ishay - Rambam Health Care Campus
Pierpaolo Bordoni - Azienda Socio Sanitaria Territoriale della Valtellina e Alto Lario
Abdalia Boumédiène - Clinique Mutualiste de l'Estuaire
Giuseppe Brisinda - Agostino Gemelli University Polyclinic
Laura Cavazzuti - Santa Maria Nuova Hospital
Sujith J Chandy - Christian Medical College & Hospital
Maria Michela Chiarello - Nuovo Ospedale San Giovanni di Dio
Nicola Cillara - Santissima Trinità
Guglielmo Clarizia - Azienda Socio Sanitaria Territoriale della Valtellina e Alto Lario
Maria-Elena Cocuz - Transylvania University of Brașov
Iuliu Gabriel Cocuz - Universitatea de Medicină, Farmacie, Științe și Tehnologie „George Emil Palade” din Târgu Mureș
Luigi Conti - Guglielmo da Saliceto Hospital
Raffaella Coppola - Unit of Microbiology, Betania Hospital, Naples, Italy
Yunfeng Cui - Tianjin Nankai Hospital
Jacek Czepiel - Jagiellonian University
Fabrizio D'Acapito - Ospedale G.B. Morgagni - L.Pierantoni
Dimitrios Damaskos - Edinburgh Royal Infirmary
Koray Das - Adana Hospital
Belinda De Simone - Centre Hospitalier Intercommunal de Poissy
Samir Delibegovic - University Clinical Center Tuzla
Zaza Demetrashvili - Department of Surgery, Kipshidze Central University Hospital, Tbilisi, Georgia
Dzemail S Detanac - Univerzitet u Novom Pazaru
Sameer Dhingra - National Institute of Pharmaceutical Education and Research
Stefano Di Bella - University of Trieste
Evgeni N Dimitrov - Trakia University
Agron Dogjani - University of Medicine Tirana
Mario D'Oria - University of Trieste
Irina Magdalena Dumitru - Ovidius University
Mutasim M Elmangory - Epidemiology Unit, National Public Health Laboratory, Khartoum, Sudan
Octavian Enciu - Carol Davila University of Medicine and Pharmacy
Massimo Fantoni - Agostino Gemelli University Polyclinic
Daniela Filipescu - Carol Davila University of Medicine and Pharmacy
Francesco Fleres - Azienda Socio Sanitaria Territoriale della Valtellina e Alto Lario
Domitilla Foghetti - Ospedali Riuniti Marche Nord
Pietro Fransvea - Agostino Gemelli University Polyclinic
Mahir Gachabayov - City Clinical Hospital
Rita Galeiras - Complexo Hospitalario Universitario A Coruña
Gianni Gattuso - Azienda Ospedaliera Carlo Poma
Wagih M Ghannam - Mansoura University
Valeria Ghisetti - Ospedale Amedeo di Savoia
Giorgio Giraudo - Azienda Sanitaria Ospedaliera S.Croce e Carle Cuneo
Kebebe Bekele Gonfa - Madda Walabu University
Emre Gonullu - Sakarya University
Yousif Tag Elsir Y Hamad - East Surrey Hospital
Matthias Hecker - Universitätsklinikum Gießen und Marburg
Arda Isik - Istanbul Medeniyet University
Nizar Ismail - Stoke Mandeville Hospital
Azzain Ismail - Woodend Hospital
Sumita Agarwal Jain - Sawai ManSingh Medical College and Hospital
Souha S Kanj - American University of Beirut Medical Center
Garima Kapoor - Gandhi Medical College
Ilias Karaiskos - Hygeia Hospital
Alfie J Kavalakat - Nashotah House Theological Seminary
Jakub Kenig - Jagiellonian University
Faryal Khamis - Infectious Diseases and Internal Medicine Department, Royal Hospital, Muscat, Oman
Vladimir Khokha - EMERGENCY
Ronald Kiguba - Makerere University
Jae Il Kim - Inje University Ilsan Paik Hospital
Yoshiro Kobe - EMERGENCY
Kenneth Yuh Yen Kok - Discipline of Medicine, Pengiran Anak Puteri Rashidah Sa'adatul Bolkiah Institute of Health Sciences, Brunei Darussalam University, Darussalam, Brunei
Bojan M Kovacevic - Department of Surgery, UMC Zvezdara, Belgrade, Serbia
Igor Andreevich Kryvoruchko - Kharkiv National Medical University
Akira Kuriyama - Kurashiki Central Hospital
Aitor Landaluce-Olavarria - Department of Surgery, Urduliz-Alfredo Espinosa Hospital, Urduliz, Spain
Konstantinos Lasithiotakis - University Hospital of Heraklion
Varut Lohsiriwat - Mahidol University
Eftychios Lostoridis - 1St Department of Surgery, Kavala General Hospital, Kavala, Greece
Davide Luppi - Department of Surgery, ASMN IRCCS, Reggio Emilia, Italy
Gustavo Miguel Machain Vega - Universidad Nacional de Asunción
Marc Maegele - Department of Trauma and Orthopedic Surgery, Cologne-Merheim Medical Center (CMMC), University Witten/Herdecke, Cologne, Germany
Athanasios Marinis - Third Department of Surgery, Tzaneio General Hospital, Piraeus, Greece
Gennaro Martines - Department of Surgery, Azienda Ospedaliero Universitaria Policlinico, Bari, Italy
Aleix Martínez-Pérez - Hospital Universitario Doctor Peset
Damien Massalou - Acute Care Surgery, Centre Hospitalier Universitaire de Nice, Nice University Hospital, Nice, France
Cristian Mesina - EMERGENCY
Gökhan Metan - Hacettepe University
María Guadalupe Miranda-Novales - Infectious Diseases Department, Paediatric Hospital, Analysis and Synthesis Research Unit, Social Security Mexican Institute, Mexico City, Mexico
Shyam Kumar Mishra - Tribhuvan University Teaching Hospital
Mohaned Ibrahim Hussein Mohamed - Leeds General Infirmary
Ali Yasen Y Mohamedahmed - Department of Surgery, Sandwell and West, Birmingham Hospitals NHS Trust, Lyndon, UK
Ismael Mora-Guzmán - Department of Surgery, Hospital General La Mancha Centro, Alcazar de San Juan, Spain
Francesk Mulita - General University Hospital of Patras
Ana-Maria Musina - Department of Surgery, University of Medicine and Pharmacy Grigore T Popa, Iasi, Romania
Pradeep H Navsaria - University of Cape Town
Ionut Negoi - Carol Davila University of Medicine and Pharmacy
Gabriela Elisa Nita - Department of Surgery, ASMN IRCCS, Reggio Emilia, Italy
Donal B O'Connor - Trinity College Dublin
Carlos Alberto Ordoñez - Fundación Valle del Lili
Desiré Pantalone - Florence
Arpád Panyko - Comenius University Bratislava
Aristeidis Papadopoulos - Surgical Department, General Hospital of Nikaia, Nikaia, Greece
Nikolaos Pararas - Alfaisal University
Francesco Pata - Department of Surgery, Nicola Giannettasio Hospital, Corigliano-Rossano, Italy
Tapan Patel - Sir Sayajirao General Hospital Medical College
Gianluca Pellino - Studi
Teresa Perra - University of Sassari
Gennaro Perrone - Department of Emergency Surgery, Parma University Hospital, Parma, Italy
Antonio Pesce - University of Ferrara
Tadeja Pintar - Abdominal Surgery Department, UMC Ljubljana, Ljubljana, Slovenia
Georgi Ivanov Popivanov - Department of Surgery, Military Medical Academy, Sofia, Bulgaria
Alberto Porcu - University of Sassari
Martha Alexa Quiodettis - Saint Thomas Hospital
Razrim Rahim - Universiti Sains Islam Malaysia
Ashrarur Rahman Mitul - Unit of Pediatric Surgery, Bangladesh Shishu Hospital and Institute, Dhaka, Bangladesh
Martin Reichert - Department of Surgery, University Hospital of Giessen, Giessen, Germany
Miran Rems - Department for General and Abdominal Surgery, General Hospital Jesenice, Jesenice, Slovenia
Glendee Yolande Reynolds Campbell - University Hospital of the West Indies
Nuno Rocha-Pereira - Centro Hospitalar E Universitário São João, Porto, Portugal
Gabriel Rodrigues - Kasturba Medical College, Manipal
Gustavo Eduardo Roncancio Villamil - Research Group on Cardiovascular and Pulmonary Diseases, Clínica Cardio VID, Medellín, Colombia
Stefano Rossi - EMERGENCY
Ibrahima Sall - Hôpital Principal de Dakar
Hossein Samadi Kafil - Tabriz University of Medical Sciences
Diego Sasia - Department of Surgery, Aso Santa Croce e Carle, Cuneo, Italy
Jeremiah Seni - Catholic University of Health and Allied Sciences
Charalampos Seretis - George Eliot Hospital NHS Trust
Mario Serradilla-Martín - Department of Surgery, Instituto de Investigación Sanitaria Aragón, Miguel Servet University Hospital, Zaragoza, Spain
Vishal G Shelat - Tan Tock Seng Hospital
Boonying Siribumrungwong - Thammasat University Hospital
Mihail Slavchev - Department of Surgery, University Hospital Eurohospital, Plovdiv, Bulgaria
Leonardo Solaini - University of Bologna
Boun Kim Tan - Infection Prevention and Control Unit, Centre des Massues, French Red Cross, Lyon, France
Antonio Tarasconi - Department of Emergency Surgery, Parma University Hospital, Parma, Italy
Dario Tartaglia - General, Emergency and Trauma Surgery Department, Pisa University Hospital, Pisa, Italy
Elena Adelina Toma - Carol Davila University of Medicine and Pharmacy
Gia Tomadze - Tbilisi State Medical University
Adriana Toro - Department of General Surgery, E. Muscatello Augusta Hospital, Augusta, Italy
Marcos Roberto Tovani-Palone - Department of Pathology and Legal Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil
Harry van Goor - Department of Surgery, Radboud University Medical Center, Nijmegen, The Netherlands
Alin Vasilescu - Grigore T. Popa University of Medicine and Pharmacy
Andras Vereczkei - University of Pecs
Massimiliano Veroux - University of Catania
Sergio Alberto Weckmann - Coordinación de Cirugía, Instituto Mexicano del Seguro Social, Mexico City, Mexico
Lukas Werner Widmer - University Hospital of Bern
AliIbrahim Yahya - Department of Surgery, Zliten Medical Center, Zilten, Libya
Sanoop K Zachariah - Kerala Institute of Medical Sciences
Andee Dzulkarnaen Zakaria - Department of Surgery, School of Medical Sciences and University Hospital Sains Malaysia, Sains Malaysia University, Penang, Malaysia
Nadezhda Zubareva - Department of General Surgery, Perm State Medical University N.a. Academician E.A. Wagner, Perm, Russia
Wietse P Zuidema - Department of Surgery, Amsterdam University Medical Center, Amsterdam, The Netherlands
Isidoro Di Carlo - University of Catania
Francesco Cortese - ASL Roma
Gian Luca Baiocchi - University of Brescia
Ronald V Maier - University of Washington
Fausto Catena - Department of Surgery, Bufalini" Hospital, Cesena, Italy
Publication Details: World journal of emergency surgery, Vol.17(1), pp.17-17
Identifiers: 9913387208331
Academic Unit: Alfaisal University
Language: English
Resource Type: Journal article