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; G. khan 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:https://doi.org/10.1186/s13017-022-00420-4

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. LeppäniemiAndrey 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, G. khan 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

Research output: Contribution to journal › Article › Academic › peer-review

12 Citations (Scopus)

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. 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.

Original language	English
Article number	17
Journal	World journal of emergency surgery
Volume	17
Issue number	1
DOIs	https://doi.org/10.1186/s13017-022-00420-4
Publication status	Published - 1 Dec 2022

Keywords

Antibiotic prescribing
Antibiotic resistance
Antimicrobial stewardship
Cross-sectional survey
Infection prevention and control

Access to Document

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

Cite this

Sartelli, M., Labricciosa, F. M., Coccolini, F., Coimbra, R., Abu-Zidan, F. M., Ansaloni, L., Al-Hasan, M. N., Ansari, S., Barie, P. S., Caínzos, M. A., Ceresoli, M., Chiarugi, M., Claridge, J. A., Cicuttin, E., Dellinger, E. P., Fry, D. E., Guirao, X., Hardcastle, T. C., Hecker, A., ... Catena, F. (2022). 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 journal of emergency surgery, 17(1), Article 17. https://doi.org/10.1186/s13017-022-00420-4

@article{9e2a90e5134b4b98ae9a5fd64f07a9bd,

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",

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{\textquoteright} 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.",

keywords = "Antibiotic prescribing, Antibiotic resistance, Antimicrobial stewardship, Cross-sectional survey, Infection prevention and control",

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

note = "Publisher Copyright: {\textcopyright} 2022, The Author(s).",

year = "2022",

month = dec,

day = "1",

doi = "https://doi.org/10.1186/s13017-022-00420-4",

language = "English",

volume = "17",

journal = "World journal of emergency surgery",

issn = "1749-7922",

publisher = "BioMed Central",

number = "1",

}

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, M-E, 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, GK, Miranda-Novales, MG, Mishra, SK, Mohamed, MIH, Mohamedahmed, AYY, Mora-Guzmán, I, Mulita, F, Musina, A-M, 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 2022, '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 journal of emergency surgery, vol. 17, no. 1, 17. https://doi.org/10.1186/s13017-022-00420-4

It is time to define an organizational model for the prevention and management of infections along the surgical pathway: a worldwide cross-sectional survey. / Sartelli, Massimo; Labricciosa, Francesco M.; Coccolini, Federico et al.
In: World journal of emergency surgery, Vol. 17, No. 1, 17, 01.12.2022.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - It is time to define an organizational model for the prevention and management of infections along the surgical pathway

T2 - a worldwide cross-sectional survey

AU - Sartelli, Massimo

AU - Labricciosa, Francesco M.

AU - Coccolini, Federico

AU - Coimbra, Raul

AU - Abu-Zidan, Fikri M.

AU - Ansaloni, Luca

AU - Al-Hasan, Majdi N.

AU - Ansari, Shamshul

AU - Barie, Philip S.

AU - Caínzos, Miguel Angel

AU - Ceresoli, Marco

AU - Chiarugi, Massimo

AU - Claridge, Jeffrey A.

AU - Cicuttin, Enrico

AU - Dellinger, Evan Patchen

AU - Fry, Donald E.

AU - Guirao, Xavier

AU - Hardcastle, Timothy Craig

AU - Hecker, Andreas

AU - Leppäniemi, Ari K.

AU - Litvin, Andrey

AU - Marwah, Sanjay

AU - Maseda, Emilio

AU - Mazuski, John E.

AU - Memish, Ziad Ahmed

AU - Kirkpatrick, Andrew W.

AU - Pagani, Leonardo

AU - Podda, Mauro

AU - Rasa, Huseyin Kemal

AU - Sakakushev, Boris E.

AU - Sawyer, Robert G.

AU - Tumietto, Fabio

AU - Xiao, Yonghong

AU - Aboubreeg, Wedad Faraj

AU - Adamou, Harissou

AU - Akhmeteli, Lali

AU - Akin, Emrah

AU - Alberio, Maria Grazia

AU - Alconchel, Felipe

AU - Magagi, Ibrahim Amadou

AU - Araúz, Ana Belén

AU - Argenio, Giulio

AU - Atanasov, Boyko C.

AU - Atici, Semra Demirli

AU - Awad, Selmy Sabry

AU - Baili, Efstratia

AU - Bains, Lovenish

AU - Bala, Miklosh

AU - Baraket, Oussama

AU - Baral, Suman

AU - Belskii, Vladislav A.

AU - Benboubker, Moussa

AU - Ben-Ishay, Offir

AU - Bordoni, Pierpaolo

AU - Boumédiène, Abdalia

AU - Brisinda, Giuseppe

AU - Cavazzuti, Laura

AU - Chandy, Sujith J.

AU - Chiarello, Maria Michela

AU - Cillara, Nicola

AU - Clarizia, Guglielmo

AU - Cocuz, Maria-Elena

AU - Cocuz, Iuliu Gabriel

AU - Conti, Luigi

AU - Coppola, Raffaella

AU - Cui, Yunfeng

AU - Czepiel, Jacek

AU - D’Acapito, Fabrizio

AU - Damaskos, Dimitrios

AU - Das, Koray

AU - de Simone, Belinda

AU - Delibegovic, Samir

AU - Demetrashvili, Zaza

AU - Detanac, Dzemail S.

AU - Dhingra, Sameer

AU - di Bella, Stefano

AU - Dimitrov, Evgeni N.

AU - Dogjani, Agron

AU - D’Oria, Mario

AU - Dumitru, Irina Magdalena

AU - Elmangory, Mutasim M.

AU - Enciu, Octavian

AU - Fantoni, Massimo

AU - Filipescu, Daniela

AU - Fleres, Francesco

AU - Foghetti, Domitilla

AU - Fransvea, Pietro

AU - Gachabayov, Mahir

AU - Galeiras, Rita

AU - Gattuso, Gianni

AU - Ghannam, Wagih M.

AU - Ghisetti, Valeria

AU - Giraudo, Giorgio

AU - Gonfa, Kebebe Bekele

AU - Gonullu, Emre

AU - Hamad, Yousif Tag Elsir Y.

AU - Hecker, Matthias

AU - Isik, Arda

AU - Ismail, Nizar

AU - Ismail, Azzain

AU - Jain, Sumita Agarwal

AU - Kanj, Souha S.

AU - Kapoor, Garima

AU - Karaiskos, Ilias

AU - Kavalakat, Alfie J.

AU - Kenig, Jakub

AU - Khamis, Faryal

AU - Khokha, Vladimir

AU - Kiguba, Ronald

AU - Kim, Jae Il

AU - Kobe, Yoshiro

AU - Kok, Kenneth Yuh Yen

AU - Kovacevic, Bojan M.

AU - Kryvoruchko, Igor Andreevich

AU - Kuriyama, Akira

AU - Landaluce-Olavarria, Aitor

AU - Lasithiotakis, Konstantinos

AU - Lohsiriwat, Varut

AU - Lostoridis, Eftychios

AU - Luppi, Davide

AU - Vega, Gustavo Miguel Machain

AU - Maegele, Marc

AU - Marinis, Athanasios

AU - Martines, Gennaro

AU - Martínez-Pérez, Aleix

AU - Massalou, Damien

AU - Mesina, Cristian

AU - Metan, G. khan

AU - Miranda-Novales, María Guadalupe

AU - Mishra, Shyam Kumar

AU - Mohamed, Mohaned Ibrahim Hussein

AU - Mohamedahmed, Ali Yasen Y.

AU - Mora-Guzmán, Ismael

AU - Mulita, Francesk

AU - Musina, Ana-Maria

AU - Navsaria, Pradeep H.

AU - Negoi, Ionut

AU - Nita, Gabriela Elisa

AU - O’Connor, Donal B.

AU - Ordoñez, Carlos Alberto

AU - Pantalone, Desiré

AU - Panyko, Arpád

AU - Papadopoulos, Aristeidis

AU - Pararas, Nikolaos

AU - Pata, Francesco

AU - Patel, Tapan

AU - Pellino, Gianluca

AU - Perra, Teresa

AU - Perrone, Gennaro

AU - Pesce, Antonio

AU - Pintar, Tadeja

AU - Popivanov, Georgi Ivanov

AU - Porcu, Alberto

AU - Quiodettis, Martha Alexa

AU - Rahim, Razrim

AU - Mitul, Ashrarur Rahman

AU - Reichert, Martin

AU - Rems, Miran

AU - Campbell, Glendee Yolande Reynolds

AU - Rocha-Pereira, Nuno

AU - Rodrigues, Gabriel

AU - Villamil, Gustavo Eduardo Roncancio

AU - Rossi, Stefano

AU - Sall, Ibrahima

AU - Kafil, Hossein Samadi

AU - Sasia, Diego

AU - Seni, Jeremiah

AU - Seretis, Charalampos

AU - Serradilla-Martín, Mario

AU - Shelat, Vishal G.

AU - Siribumrungwong, Boonying

AU - Slavchev, Mihail

AU - Solaini, Leonardo

AU - Tan, Boun Kim

AU - Tarasconi, Antonio

AU - Tartaglia, Dario

AU - Toma, Elena Adelina

AU - Tomadze, Gia

AU - Toro, Adriana

AU - Tovani-Palone, Marcos Roberto

AU - van Goor, Harry

AU - Vasilescu, Alin

AU - Vereczkei, Andras

AU - Veroux, Massimiliano

AU - Weckmann, Sergio Alberto

AU - Widmer, Lukas Werner

AU - Yahya, AliIbrahim

AU - Zachariah, Sanoop K.

AU - Zakaria, Andee Dzulkarnaen

AU - Zubareva, Nadezhda

AU - Zuidema, Wietse P.

AU - di Carlo, Isidoro

AU - Cortese, Francesco

AU - Baiocchi, Gian Luca

AU - Maier, Ronald V.

AU - Catena, Fausto

PY - 2022/12/1

Y1 - 2022/12/1

N2 - 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.

AB - 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.

KW - Antibiotic prescribing

KW - Antibiotic resistance

KW - Antimicrobial stewardship

KW - Cross-sectional survey

KW - Infection prevention and control

UR - http://www.scopus.com/inward/record.url?scp=85126546440&partnerID=8YFLogxK

U2 - https://doi.org/10.1186/s13017-022-00420-4

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

M3 - Article

C2 - 35300731

SN - 1749-7922

VL - 17

JO - World journal of emergency surgery

JF - World journal of emergency surgery

IS - 1

M1 - 17

ER -

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

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