Publication

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

Abstract
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. ethods: 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.
Author
Sartelli, Massimo
Labricciosa, Francesco M
Coccolini, Federico
Coimbra, Raul
Abu-Zidan, Fikri M
Ansaloni, Luca
Al-Hasan, Majdi N
Ansari, Shamshul
Barie, Philip S
Caínzos, Miguel Angel
Ceresoli, Marco
Chiarugi, Massimo
Claridge, Jeffrey A
Cicuttin, Enrico
Dellinger, Evan Patchen
Fry, Donald E
Guirao, Xavier
Hardcastle, Timothy Craig
Hecker, Andreas
Leppäniemi, Ari K
Litvin, Andrey
Marwah, Sanjay
Maseda, Emilio
Mazuski, John E
Memish, Ziad Ahmed
Kirkpatrick, Andrew W
Pagani, Leonardo
Podda, Mauro
Rasa, Huseyin Kemal
Sakakushev, Boris E
Sawyer, Robert G
Tumietto, Fabio
Xiao, Yonghong
Aboubreeg, Wedad Faraj
Adamou, Harissou
Akhmeteli, Lali
Akin, Emrah
Alberio, Maria Grazia
Alconchel, Felipe
Magagi, Ibrahim Amadou
Araúz, Ana Belén
Argenio, Giulio
Atanasov, Boyko C
Atici, Semra Demirli
Awad, Selmy Sabry
Baili, Efstratia
Bains, Lovenish
Bala, Miklosh
Baraket, Oussama
Baral, Suman
Belskii, Vladislav A
Benboubker, Moussa
Ben-Ishay, Offir
Bordoni, Pierpaolo
Boumédiène, Abdalia
Brisinda, Giuseppe
Cavazzuti, Laura
Chandy, Sujith J
Chiarello, Maria Michela
Cillara, Nicola
Clarizia, Guglielmo
Cocuz, Maria-Elena
Cocuz, Iuliu Gabriel
Conti, Luigi
Coppola, Raffaella
Cui, Yunfeng
Czepiel, Jacek
D'Acapito, Fabrizio
Damaskos, Dimitrios
Das, Koray
De Simone, Belinda
Delibegovic, Samir
Demetrashvili, Zaza
Detanac, Dzemail S
Dhingra, Sameer
Di Bella, Stefano
Dimitrov, Evgeni N
Dogjani, Agron
D'Oria, Mario
Dumitru, Irina Magdalena
Elmangory, Mutasim M
Enciu, Octavian
Fantoni, Massimo
Filipescu, Daniela
Fleres, Francesco
Foghetti, Domitilla
Fransvea, Pietro
Gachabayov, Mahir
Galeiras, Rita
Gattuso, Gianni
Ghannam, Wagih M
Ghisetti, Valeria
Giraudo, Giorgio
Gonfa, Kebebe Bekele
Gonullu, Emre
Hamad, Yousif Tag Elsir Y
Hecker, Matthias
Isik, Arda
Ismail, Nizar
Ismail, Azzain
Jain, Sumita Agarwal
Kanj, Souha S
Kapoor, Garima
Karaiskos, Ilias
Kavalakat, Alfie J
Kenig, Jakub
Khamis, Faryal
Khokha, Vladimir
Kiguba, Ronald
Kim, Jae Il
Kobe, Yoshiro
Kok, Kenneth Yuh Yen
Kovacevic, Bojan M
Kryvoruchko, Igor Andreevich
Kuriyama, Akira
Landaluce-Olavarria, Aitor
Lasithiotakis, Konstantinos
Lohsiriwat, Varut
Lostoridis, Eftychios
Luppi, Davide
Vega, Gustavo Miguel Machain
Maegele, Marc
Marinis, Athanasios
Martines, Gennaro
Martínez-Pérez, Aleix
Massalou, Damien
Mesina, Cristian
Metan, Gökhan
Miranda-Novales, María Guadalupe
Mishra, Shyam Kumar
Mohamed, Mohaned Ibrahim Hussein
Mohamedahmed, Ali Yasen Y
Mora-Guzmán, Ismael
Mulita, Francesk
Musina, Ana-Maria
Navsaria, Pradeep H
Negoi, Ionut
Nita, Gabriela Elisa
O'Connor, Donal B
Ordoñez, Carlos Alberto
Pantalone, Desiré
Panyko, Arpád
Papadopoulos, Aristeidis
Pararas, Nikolaos
Pata, Francesco
Patel, Tapan
Pellino, Gianluca
Perra, Teresa
Perrone, Gennaro
Pesce, Antonio
Pintar, Tadeja
Popivanov, Georgi Ivanov
Porcu, Alberto
Quiodettis, Martha Alexa
Rahim, Razrim
Mitul, Ashrarur Rahman
Reichert, Martin
Rems, Miran
Campbell, Glendee Yolande Reynolds
Rocha-Pereira, Nuno
Rodrigues, Gabriel
Villamil, Gustavo Eduardo Roncancio
Rossi, Stefano
Sall, Ibrahima
Kafil, Hossein Samadi
Sasia, Diego
Seni, Jeremiah
Seretis, Charalampos
Serradilla-Martín, Mario
Shelat, Vishal G
Siribumrungwong, Boonying
Slavchev, Mihail
Solaini, Leonardo
Tan, Boun Kim
Tarasconi, Antonio
Tartaglia, Dario
Toma, Elena Adelina
Tomadze, Gia
Toro, Adriana
Tovani-Palone, Marcos Roberto
van Goor, Harry
Vasilescu, Alin
Vereczkei, Andras
Veroux, Massimiliano
Weckmann, Sergio Alberto
Widmer, Lukas Werner
Yahya, AliIbrahim
Zachariah, Sanoop K
Zakaria, Andee Dzulkarnaen
Zubareva, Nadezhda
Zuidema, Wietse P
Di Carlo, Isidoro
Cortese, Francesco
Baiocchi, Gian Luca
Maier, Ronald V
Catena, Fausto
Citations
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Date
2022-03-17
Type
Article
Subject
Surgery
Collections
Research (Articles)
GEH Acute Medical Unit
GEH General Surgery
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Citation
Sartelli M, Labricciosa FM, Coccolini F, Coimbra R, Abu-Zidan FM, Ansaloni L, Al-Hasan MN, Ansari S, Barie PS, Caínzos MA, Ceresoli M, Chiarugi M, Claridge JA, Cicuttin E, Dellinger EP, Fry DE, Guirao X, Hardcastle TC, Hecker A, Leppäniemi AK, Litvin A, Marwah S, Maseda E, Mazuski JE, Memish ZA, Kirkpatrick AW, Pagani L, Podda M, Rasa HK, Sakakushev BE, Sawyer RG, Tumietto F, Xiao Y, Aboubreeg WF, Adamou H, Akhmeteli L, Akin E, Alberio MG, Alconchel F, Magagi IA, Araúz AB, Argenio G, Atanasov BC, Atici SD, Awad SS, Baili E, Bains L, Bala M, Baraket O, Baral S, Belskii VA, Benboubker M, Ben-Ishay O, Bordoni P, Boumédiène A, Brisinda G, Cavazzuti L, Chandy SJ, Chiarello MM, Cillara N, Clarizia G, Cocuz ME, Cocuz IG, Conti L, Coppola R, Cui Y, Czepiel J, D'Acapito F, Damaskos D, Das K, De Simone B, Delibegovic S, Demetrashvili Z, Detanac DS, Dhingra S, Di Bella S, Dimitrov EN, Dogjani A, D'Oria M, Dumitru IM, Elmangory MM, Enciu O, Fantoni M, Filipescu D, Fleres F, Foghetti D, Fransvea P, Gachabayov M, Galeiras R, Gattuso G, Ghannam WM, Ghisetti V, Giraudo G, Gonfa KB, Gonullu E, Hamad YTEY, Hecker M, Isik A, Ismail N, Ismail A, Jain SA, Kanj SS, Kapoor G, Karaiskos I, Kavalakat AJ, Kenig J, Khamis F, Khokha V, Kiguba R, Kim JI, Kobe Y, Kok KYY, Kovacevic BM, Kryvoruchko IA, Kuriyama A, Landaluce-Olavarria A, Lasithiotakis K, Lohsiriwat V, Lostoridis E, Luppi D, Vega GMM, Maegele M, Marinis A, Martines G, Martínez-Pérez A, Massalou D, Mesina C, Metan G, Miranda-Novales MG, Mishra SK, Mohamed MIH, Mohamedahmed AYY, Mora-Guzmán I, Mulita F, Musina AM, Navsaria PH, Negoi I, Nita GE, O'Connor DB, Ordoñez CA, Pantalone D, Panyko A, Papadopoulos A, Pararas N, Pata F, Patel T, Pellino G, Perra T, Perrone G, Pesce A, Pintar T, Popivanov GI, Porcu A, Quiodettis MA, Rahim R, Mitul AR, Reichert M, Rems M, Campbell GYR, Rocha-Pereira N, Rodrigues G, Villamil GER, Rossi S, Sall I, Kafil HS, Sasia D, Seni J, Seretis C, Serradilla-Martín M, Shelat VG, Siribumrungwong B, Slavchev M, Solaini L, Tan BK, Tarasconi A, Tartaglia D, Toma EA, Tomadze G, Toro A, Tovani-Palone MR, van Goor H, Vasilescu A, Vereczkei A, Veroux M, Weckmann SA, Widmer LW, Yahya A, Zachariah SK, Zakaria AD, Zubareva N, Zuidema WP, Di Carlo I, Cortese F, Baiocchi GL, Maier RV, Catena F. It is time to define an organizational model for the prevention and management of infections along the surgical pathway: a worldwide cross-sectional survey. World J Emerg Surg. 2022 Mar 17;17(1):17. doi: 10.1186/s13017-022-00420-4
Journal / Source Title
World Journal of Emergency Surgery
DOI
10.1186/s13017-022-00420-4
URI
http://hdl.handle.net/20.500.14200/904
PMID
35300731
Publisher
BMC
Publisher’s URL
Publisher’s statement
Note / Copyright