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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dc.contributor.authorSartelli, Massimo
dc.contributor.authorLabricciosa, Francesco M
dc.contributor.authorCoccolini, Federico
dc.contributor.authorCoimbra, Raul
dc.contributor.authorAbu-Zidan, Fikri M
dc.contributor.authorAnsaloni, Luca
dc.contributor.authorAl-Hasan, Majdi N
dc.contributor.authorAnsari, Shamshul
dc.contributor.authorBarie, Philip S
dc.contributor.authorCaínzos, Miguel A
dc.contributor.authorCeresoli, Marco
dc.contributor.authorChiarugi, Massimo
dc.contributor.authorClaridge, Jeffrey A
dc.contributor.authorCicuttin, Enrico
dc.contributor.authorDellinger, Evan P
dc.contributor.authorFry, Donald E
dc.contributor.authorGuirao, Xavier
dc.contributor.authorHardcastle, Timothy C
dc.contributor.authorHecker, Andreas
dc.contributor.authorLeppäniemi, Ari K
dc.contributor.authorLitvin, Andrey
dc.contributor.authorMarwah, Sanjay
dc.contributor.authorMaseda, Emilio
dc.contributor.authorMazuski, John E
dc.contributor.authorMemish, Ziad A
dc.contributor.authorKirkpatrick, Andrew W
dc.contributor.authorPagani, Leonardo
dc.contributor.authorPodda, Mauro
dc.contributor.authorRasa, Huseyin K
dc.contributor.authorSakakushev, Boris E
dc.contributor.authorSawyer, Robert G
dc.contributor.authorTumietto, Fabio
dc.contributor.authorXiao, Yonghong
dc.contributor.authorAboubreeg, Wedad F
dc.contributor.authorAdamou, Harissou
dc.contributor.authorAkhmeteli, Lali
dc.contributor.authorAkin, Emrah
dc.contributor.authorAlberio, Maria G
dc.contributor.authorAlconchel, Felipe
dc.contributor.authorMagagi, Ibrahim A
dc.contributor.authorAraúz, Ana B
dc.contributor.authorArgenio, Giulio
dc.contributor.authorAtanasov, Boyko C
dc.contributor.authorAtici, Semra D
dc.contributor.authorAwad, Selmy S
dc.contributor.authorBaili, Efstratia
dc.contributor.authorBains, Lovenish
dc.contributor.authorBala, Miklosh
dc.contributor.authorBaraket, Oussama
dc.contributor.authorBaral, Suman
dc.contributor.authorBelskii, Vladislav A
dc.contributor.authorBenboubker, Moussa
dc.contributor.authorBen-Ishay, Offir
dc.contributor.authorBordoni, Pierpaolo
dc.contributor.authorBoumédiène, Abdalia
dc.contributor.authorBrisinda, Giuseppe
dc.contributor.authorCavazzuti, Laura
dc.contributor.authorChandy, Sujith J
dc.contributor.authorChiarello, Maria M
dc.contributor.authorCillara, Nicola
dc.contributor.authorClarizia, Guglielmo
dc.contributor.authorCocuz, Maria-Elena
dc.contributor.authorCocuz, Iuliu G
dc.contributor.authorConti, Luigi
dc.contributor.authorCoppola, Raffaella
dc.contributor.authorCui, Yunfeng
dc.contributor.authorCzepiel, Jacek
dc.contributor.authorD’Acapito, Fabrizio
dc.contributor.authorDamaskos, Dimitrios
dc.contributor.authorDas, Koray
dc.contributor.authorDe Simone, Belinda
dc.contributor.authorDelibegovic, Samir
dc.contributor.authorDemetrashvili, Zaza
dc.contributor.authorDetanac, Dzemail S
dc.contributor.authorDhingra, Sameer
dc.contributor.authorDi Bella, Stefano
dc.contributor.authorDimitrov, Evgeni N
dc.contributor.authorDogjani, Agron
dc.contributor.authorD’Oria, Mario
dc.contributor.authorDumitru, Irina M
dc.contributor.authorElmangory, Mutasim M
dc.contributor.authorEnciu, Octavian
dc.contributor.authorFantoni, Massimo
dc.contributor.authorFilipescu, Daniela
dc.contributor.authorFleres, Francesco
dc.contributor.authorFoghetti, Domitilla
dc.contributor.authorFransvea, Pietro
dc.contributor.authorGachabayov, Mahir
dc.contributor.authorGaleiras, Rita
dc.contributor.authorGattuso, Gianni
dc.contributor.authorGhannam, Wagih M
dc.contributor.authorGhisetti, Valeria
dc.contributor.authorGiraudo, Giorgio
dc.contributor.authorGonfa, Kebebe B
dc.contributor.authorGonullu, Emre
dc.contributor.authorHamad, Yousif T E Y
dc.contributor.authorHecker, Matthias
dc.contributor.authorIsik, Arda
dc.contributor.authorIsmail, Nizar
dc.contributor.authorIsmail, Azzain
dc.contributor.authorJain, Sumita A
dc.contributor.authorKanj, Souha S
dc.contributor.authorKapoor, Garima
dc.contributor.authorKaraiskos, Ilias
dc.contributor.authorKavalakat, Alfie J
dc.contributor.authorKenig, Jakub
dc.contributor.authorKhamis, Faryal
dc.contributor.authorKhokha, Vladimir
dc.contributor.authorKiguba, Ronald
dc.contributor.authorKim, Jae I
dc.contributor.authorKobe, Yoshiro
dc.contributor.authorKok, Kenneth Y Y
dc.contributor.authorKovacevic, Bojan M
dc.contributor.authorKryvoruchko, Igor A
dc.contributor.authorKuriyama, Akira
dc.contributor.authorLandaluce-Olavarria, Aitor
dc.contributor.authorLasithiotakis, Konstantinos
dc.contributor.authorLohsiriwat, Varut
dc.contributor.authorLostoridis, Eftychios
dc.contributor.authorLuppi, Davide
dc.contributor.authorVega, Gustavo M M
dc.contributor.authorMaegele, Marc
dc.contributor.authorMarinis, Athanasios
dc.contributor.authorMartines, Gennaro
dc.contributor.authorMartínez-Pérez, Aleix
dc.contributor.authorMassalou, Damien
dc.contributor.authorMesina, Cristian
dc.contributor.authorMetan, Gökhan
dc.contributor.authorMiranda-Novales, María G
dc.contributor.authorMishra, Shyam K
dc.contributor.authorMohamed, Mohaned I H
dc.contributor.authorMohamedahmed, Ali Y Y
dc.contributor.authorMora-Guzmán, Ismael
dc.contributor.authorMulita, Francesk
dc.contributor.authorMusina, Ana-Maria
dc.contributor.authorNavsaria, Pradeep H
dc.contributor.authorNegoi, Ionut
dc.contributor.authorNita, Gabriela E
dc.contributor.authorO’Connor, Donal B
dc.contributor.authorOrdoñez, Carlos A
dc.contributor.authorPantalone, Desiré
dc.contributor.authorPanyko, Arpád
dc.contributor.authorPapadopoulos, Aristeidis
dc.contributor.authorPararas, Nikolaos
dc.contributor.authorPata, Francesco
dc.contributor.authorPatel, Tapan
dc.contributor.authorPellino, Gianluca
dc.contributor.authorPerra, Teresa
dc.contributor.authorPerrone, Gennaro
dc.contributor.authorPesce, Antonio
dc.contributor.authorPintar, Tadeja
dc.contributor.authorPopivanov, Georgi I
dc.contributor.authorPorcu, Alberto
dc.contributor.authorQuiodettis, Martha A
dc.contributor.authorRahim, Razrim
dc.contributor.authorMitul, Ashrarur R
dc.contributor.authorReichert, Martin
dc.contributor.authorRems, Miran
dc.contributor.authorCampbell, Glendee Y R
dc.contributor.authorRocha-Pereira, Nuno
dc.contributor.authorRodrigues, Gabriel
dc.contributor.authorVillamil, Gustavo E R
dc.contributor.authorRossi, Stefano
dc.contributor.authorSall, Ibrahima
dc.contributor.authorKafil, Hossein S
dc.contributor.authorSasia, Diego
dc.contributor.authorSeni, Jeremiah
dc.contributor.authorSeretis, Charalampos
dc.contributor.authorSerradilla-Martín, Mario
dc.contributor.authorShelat, Vishal G
dc.contributor.authorSiribumrungwong, Boonying
dc.contributor.authorSlavchev, Mihail
dc.contributor.authorSolaini, Leonardo
dc.contributor.authorTan, Boun K
dc.contributor.authorTarasconi, Antonio
dc.contributor.authorTartaglia, Dario
dc.contributor.authorToma, Elena A
dc.contributor.authorTomadze, Gia
dc.contributor.authorToro, Adriana
dc.contributor.authorTovani-Palone, Marcos R
dc.contributor.authorvan Goor, Harry
dc.contributor.authorVasilescu, Alin
dc.contributor.authorVereczkei, Andras
dc.contributor.authorVeroux, Massimiliano
dc.contributor.authorWeckmann, Sergio A
dc.contributor.authorWidmer, Lukas W
dc.contributor.authorYahya, AliIbrahim
dc.contributor.authorZachariah, Sanoop K
dc.contributor.authorZakaria, Andee D
dc.contributor.authorZubareva, Nadezhda
dc.contributor.authorZuidema, Wietse P
dc.contributor.authorDi Carlo, Isidoro
dc.contributor.authorCortese, Francesco
dc.contributor.authorBaiocchi, Gian L
dc.contributor.authorMaier, Ronald V
dc.contributor.authorCatena, Fausto
dc.date.accessioned2022-04-12T17:53:41Z
dc.date.available2022-04-12T17:53:41Z
dc.date.issued2022-03-17
dc.date.updated2022-03-20T04:14:10Z
dc.description.abstractBackground 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.en_US
dc.identifier.apacitationSartelli, M., Labricciosa, F. M., Coccolini, F., Coimbra, R., Abu-Zidan, F. M., Ansaloni, L., ... 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. <i>World Journal of Emergency Surgery</i>, 17(1), 17. http://hdl.handle.net/11427/36347en_ZA
dc.identifier.chicagocitationSartelli, Massimo, Francesco M Labricciosa, Federico Coccolini, Raul Coimbra, Fikri M Abu-Zidan, Luca Ansaloni, Majdi N Al-Hasan, et al "It is time to define an organizational model for the prevention and management of infections along the surgical pathway: a worldwide cross-sectional survey." <i>World Journal of Emergency Surgery</i> 17, 1. (2022): 17. http://hdl.handle.net/11427/36347en_ZA
dc.identifier.citationSartelli, M., Labricciosa, F.M., Coccolini, F., Coimbra, R., Abu-Zidan, F.M., Ansaloni, L., Al-Hasan, M.N. & Ansari, S. et al. 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. <i>World Journal of Emergency Surgery.</i> 17(1):17. http://hdl.handle.net/11427/36347en_ZA
dc.identifier.ris TY - Journal Article 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 A AU - Ceresoli, Marco AU - Chiarugi, Massimo AU - Claridge, Jeffrey A AU - Cicuttin, Enrico AU - Dellinger, Evan P AU - Fry, Donald E AU - Guirao, Xavier AU - Hardcastle, Timothy C AU - Hecker, Andreas AU - Leppäniemi, Ari K AU - Litvin, Andrey AU - Marwah, Sanjay AU - Maseda, Emilio AU - Mazuski, John E AU - Memish, Ziad A AU - Kirkpatrick, Andrew W AU - Pagani, Leonardo AU - Podda, Mauro AU - Rasa, Huseyin K AU - Sakakushev, Boris E AU - Sawyer, Robert G AU - Tumietto, Fabio AU - Xiao, Yonghong AU - Aboubreeg, Wedad F AU - Adamou, Harissou AU - Akhmeteli, Lali AU - Akin, Emrah AU - Alberio, Maria G AU - Alconchel, Felipe AU - Magagi, Ibrahim A AU - Araúz, Ana B AU - Argenio, Giulio AU - Atanasov, Boyko C AU - Atici, Semra D AU - Awad, Selmy S 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 M AU - Cillara, Nicola AU - Clarizia, Guglielmo AU - Cocuz, Maria-Elena AU - Cocuz, Iuliu G 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 M 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 B AU - Gonullu, Emre AU - Hamad, Yousif T E Y AU - Hecker, Matthias AU - Isik, Arda AU - Ismail, Nizar AU - Ismail, Azzain AU - Jain, Sumita A 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 I AU - Kobe, Yoshiro AU - Kok, Kenneth Y Y AU - Kovacevic, Bojan M AU - Kryvoruchko, Igor A AU - Kuriyama, Akira AU - Landaluce-Olavarria, Aitor AU - Lasithiotakis, Konstantinos AU - Lohsiriwat, Varut AU - Lostoridis, Eftychios AU - Luppi, Davide AU - Vega, Gustavo M M AU - Maegele, Marc AU - Marinis, Athanasios AU - Martines, Gennaro AU - Martínez-Pérez, Aleix AU - Massalou, Damien AU - Mesina, Cristian AU - Metan, Gökhan AU - Miranda-Novales, María G AU - Mishra, Shyam K AU - Mohamed, Mohaned I H AU - Mohamedahmed, Ali Y Y AU - Mora-Guzmán, Ismael AU - Mulita, Francesk AU - Musina, Ana-Maria AU - Navsaria, Pradeep H AU - Negoi, Ionut AU - Nita, Gabriela E AU - O’Connor, Donal B AU - Ordoñez, Carlos A 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 I AU - Porcu, Alberto AU - Quiodettis, Martha A AU - Rahim, Razrim AU - Mitul, Ashrarur R AU - Reichert, Martin AU - Rems, Miran AU - Campbell, Glendee Y R AU - Rocha-Pereira, Nuno AU - Rodrigues, Gabriel AU - Villamil, Gustavo E R AU - Rossi, Stefano AU - Sall, Ibrahima AU - Kafil, Hossein S 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 K AU - Tarasconi, Antonio AU - Tartaglia, Dario AU - Toma, Elena A AU - Tomadze, Gia AU - Toro, Adriana AU - Tovani-Palone, Marcos R AU - van Goor, Harry AU - Vasilescu, Alin AU - Vereczkei, Andras AU - Veroux, Massimiliano AU - Weckmann, Sergio A AU - Widmer, Lukas W AU - Yahya, AliIbrahim AU - Zachariah, Sanoop K AU - Zakaria, Andee D AU - Zubareva, Nadezhda AU - Zuidema, Wietse P AU - Di Carlo, Isidoro AU - Cortese, Francesco AU - Baiocchi, Gian L AU - Maier, Ronald V AU - Catena, Fausto 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. DA - 2022-03-17 DB - OpenUCT DP - University of Cape Town IS - 1 J1 - World Journal of Emergency Surgery KW - Cross-sectional survey KW - Antimicrobial stewardship KW - Antibiotic prescribing KW - Antibiotic resistance KW - Infection prevention and control LK - https://open.uct.ac.za PY - 2022 T1 - It is time to define an organizational model for the prevention and management of infections along the surgical pathway: a worldwide cross-sectional survey TI - It is time to define an organizational model for the prevention and management of infections along the surgical pathway: a worldwide cross-sectional survey UR - http://hdl.handle.net/11427/36347 ER - en_ZA
dc.identifier.urihttps://doi.org/10.1186/s13017-022-00420-4
dc.identifier.urihttp://hdl.handle.net/11427/36347
dc.identifier.vancouvercitationSartelli M, Labricciosa FM, Coccolini F, Coimbra R, Abu-Zidan FM, Ansaloni L, et al. 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. 2022;17(1):17. http://hdl.handle.net/11427/36347.en_ZA
dc.language.isoenen_US
dc.language.rfc3066en
dc.publisher.departmentDepartment of Medicineen_US
dc.publisher.facultyFaculty of Health Sciencesen_US
dc.rights.holderThe Author(s)
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_US
dc.sourceWorld Journal of Emergency Surgeryen_US
dc.source.journalissue1en_US
dc.source.journalvolume17en_US
dc.source.pagination17en_US
dc.source.urihttps://wjes.biomedcentral.com/
dc.subjectCross-sectional surveyen_US
dc.subjectAntimicrobial stewardshipen_US
dc.subjectAntibiotic prescribingen_US
dc.subjectAntibiotic resistanceen_US
dc.subjectInfection prevention and controlen_US
dc.titleIt is time to define an organizational model for the prevention and management of infections along the surgical pathway: a worldwide cross-sectional surveyen_US
dc.typeJournal Articleen_US
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