ArticleWorld journal of emergency surgery : WJES2022
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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12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Influences of Infection Prevention and Control Practices for Transmissible Infections Among Operating Room Team Members: A Systematic Review.Nursing open · 2026Pooled it
- From Evidence to Implementation: A SIMPIOS Multimodal, Continuous Improvement Approach to Prevent Surgical Site Infections.Infection and drug resistance · 2026Review
- VANCOMYCIN- AND CHLORHEXIDINE DIGLUCONATE-IMPREGNATED DRESSING FOR THE PREVENTION OF ORTHOPEDIC SURGICAL SITE INFECTIONS: A PILOT STUDY USING A LOW-COST PROCEDURE.Acta ortopedica brasileira · 2025Article
- Antibiotic Stewardship in Surgical Departments.Antibiotics (Basel, Switzerland) · 2024Review
- Prevalence and Antimicrobial Resistance Patterns of Hospital Acquired Infections through the COVID-19 Pandemic: Real-Word Data from a Tertiary Urological Centre.Journal of clinical medicine · 2023Article
- Antibiotic Prophylaxis in the Management of Distal Fingertip Amputation and Crush Injury.Journal of hand surgery global online · 2023Article
- Ten golden rules for optimal antibiotic use in hospital settings: the WARNING call to action.World journal of emergency surgery : WJES · 2023Review
- Predictors of Clostridium difficile infection after stoma reversal following TaTME surgery.Updates in surgery · 2023Article
- Implementation Strategies for Preventing Healthcare-Associated Infections across the Surgical Pathway: An Italian Multisociety Document.Antibiotics (Basel, Switzerland) · 2023Review
- Association Between the Lockdown for SARS-CoV-2 (COVID-19) and Reduced Surgical Site Infections after Vascular Exposure in the Groin at Two Italian Academic Hospitals.Annals of vascular surgery · 2023Article
- Characteristics and impact of postoperative surgical site infection on increased antibiotic duration among patients with laryngocarcinoma: a retrospective cohort study.Translational cancer research · 2022Article
- Antimicrobial Challenge in Acute Care Surgery.Antibiotics (Basel, Switzerland) · 2022Review
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Authors and funding
196 authors.
Massimo SartelliDepartment of Surgery, Macerata Hospital, Macerata, Italy. massimosartelli@gmail.com.
Francesco M LabricciosaGlobal Alliance for Infections in Surgery, Macerata, Italy.
Federico CoccoliniGeneral, Emergency and Trauma Surgery Department, Pisa University Hospital, Pisa, Italy.
Raul CoimbraComparative Effectiveness and Clinical Outcomes Research Center, Riverside University Health System Medical Center, Riverside, USA.
Fikri M Abu-ZidanDepartment of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates.
Luca AnsaloniDepartment of Surgery, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy.
Majdi N Al-HasanDepartment of Internal Medicine, University of South Carolina School of Medicine, Columbia, USA.
Shamshul AnsariDepartment of Microbiology, Chitwan Medical College and Teaching Hospital, Bharatpur, Chitwan, Nepal.
Philip S BarieDepartment of Surgery, Weill Cornell Medicine, New York, USA.
Miguel Angel CaínzosDepartment of Surgery, University Hospital, Santiago de Compostela, Spain.
Marco CeresoliDepartment of General and Emergency Surgery, Milano-Bicocca University, School of Medicine and Surgery, Milan, Italy.
Massimo ChiarugiGeneral, Emergency and Trauma Surgery Department, Pisa University Hospital, Pisa, Italy.
Jeffrey A ClaridgeMetroHealth Medical Center, Case Western Reserve University, Cleveland, OH, USA.
Enrico CicuttinGeneral, Emergency and Trauma Surgery Department, Pisa University Hospital, Pisa, Italy.
Evan Patchen DellingerDepartment of Surgery, University of Washington, Seattle, USA.
Donald E FryDepartment of Surgery, Northwestern University Feinberg School of Medicine, Chicago, USA.
Xavier GuiraoSurgical Endocrine Head and Neck Unit, Department of General Surgery, Parc Tauli, Hospital Universitari, Sabadell, Spain.
Timothy Craig HardcastleTrauma and Burn Service, Department of Surgery, University of KwaZulu-Natal, Durban, South Africa.
Andreas HeckerDepartment of Surgery, University Hospital of Giessen, Giessen, Germany.
Ari K LeppäniemiAbdominal Surgery, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Andrey LitvinDepartment of Surgical Disciplines, Immanuel Kant Baltic Federal University, Regional Clinic Hospital, Kaliningrad, Russia.
Sanjay MarwahDepartment of Surgery, BDS Post-Graduate Institute of Medical Sciences, Rohtak, India.
Emilio MasedaSurgical Critical Care, Department of Anesthesia, Hospital Valdecilla, Santander, Spain.
John E MazuskiDepartment of Surgery, Washington University in Saint Louis, Saint Louis, USA.
Ziad Ahmed MemishResearch and Innovation Center, King Saud Medical City, College of Medicine, Alfaisal University, Riyadh, Kingdom of Saudi Arabia.
Andrew W KirkpatrickGeneral, Acute Care, Abdominal Wall Reconstruction, and Trauma Surgery, Foothills Medical Centre, Calgary, Canada.
Leonardo PaganiAntimicrobial Stewardship Program, Bolzano Central Hospital, Bolzano, Italy.
Mauro PoddaDepartment of Emergency Surgery, Cagliari University Hospital "D. Casula", AOU Cagliari, Cagliari, Italy.
Huseyin Kemal RasaDepartment of Surgery, Anadolu Medical Center, Kocaeli, Turkey.
Boris E SakakushevGeneral Surgery, UMHAT St George Plovdiv, RIMU/Research Institute at Medical University of Plovdiv, Plovdiv, Bulgaria.
Robert G SawyerDepartment of Surgery, Homer Stryker, M.D., School of Medicine, Western Michigan University, Kalamazoo, USA.
Fabio TumiettoInfectious Diseases Unit, IRCCS Azienda Ospedaliero Universitaria di Bologna, Bologna, Italy.
Yonghong XiaoState Key Laboratory for Diagnosis and Treatment of Infectious Diseases, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Wedad Faraj AboubreegDepartment of Surgery, Zliten Medical Center, Zliten, Libya.
Harissou AdamouDepartment of Surgery, University of Zinder, Zinder, Niger.
Lali AkhmeteliDepartment of Surgery, TSMU First University Clinic, Tbilisi, Georgia.
Emrah AkinDepartment of Surgery, Sakarya University Educational and Research Hospital, Sakarya, Turkey.
Maria Grazia AlberioDepartment of Surgery, Circolo Hospital and Macchi Foundation, Varese, Italy.
Felipe AlconchelDepartment of Surgery and Transplantation, Virgen de La Arrixaca University Hospital, El Palmar, Spain.
Ibrahim Amadou MagagiDepartment of Surgery, University of Zinder, Zinder, Niger.
Ana Belén AraúzInfectious Diseases Unit, Hospital Santo Tomás, Panama City, Panama.
Giulio ArgenioEmergency Surgery Unit, AOU San Giovanni di Dio e Ruggi d'Aragona, University of Salerno, Salerno, Italy.
Boyko C AtanasovDepartment of Surgery, UMHAT Eurohospital Plovdiv, RIMU/Research Institute at Medical University of Plovdiv, Plovdiv, Bulgaria.
Semra Demirli AticiDepartment of Surgery, University of Health Sciences Tepecik Training and Research Hospital, Izmir, Turkey.
Selmy Sabry AwadDepartment of Trauma and Acute Care Surgery, Mansoura University Hospital, Mansoura University, Mansoura, Egypt.
Efstratia BailiSecond Department of Surgery, IASO General Hospital, Athens, Greece.
Lovenish BainsDepartment of Surgery, Maulana Azad Medical College, New Delhi, India.
Miklosh BalaDepartment of Surgery, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
Oussama BaraketDepartment of Surgery, Department of Surgery, Bizerte Hospital, Tunis El Manar University, Tunis, Tunisia.
Suman BaralDepartment of Surgery, Dirghayu Pokhara Hospital, Pokhara, Nepal.
Vladislav A BelskiiDepartment of Anesthesiology and Intensive Care, Privolzhskiy District Medical Center, Nizhny Novgorod, Russia.
Moussa BenboubkerHAIs Control Committee, HASSAN II University Hospital Fez, Fez, Morocco.
Offir Ben-IshayDepartment of Surgery, Rambam Health Care Campus, Haifa, Israel.
Pierpaolo BordoniDepartment of Surgery, ASST Valtellina e Alto Lario, Sondrio Hospital, Sondrio, Italy.
Abdalia BoumédièneClinique Mutualiste de La Porte de L'Orient, Lorient, France.
Giuseppe BrisindaMedical and Surgical Sciences Department, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Rome, Italy.
Laura CavazzutiMedical Directorate, Arcispedale Santa Maria Nuova Hospital, Local Health Authority-IRCSS of Reggio Emilia, Reggio Emilia, Italy.
Sujith J ChandyDepartment of Pharmacology and Clinical Pharmacology, Christian Medical College, Vellore, India.
Maria Michela ChiarelloDepartment of Surgery, Ospedale San Giovanni di Dio, Azienda Sanitaria Provinciale, Crotone, Italy.
Nicola CillaraDepartment of Surgery, PO Santissima Trinità ASSL Cagliari, Cagliari, Italy.
Guglielmo ClariziaDepartment of Surgery, ASST Valtellina e Alto Lario, Sondrio Hospital, Sondrio, Italy.
Maria-Elena CocuzFaculty of Medicine, University Transilvania of Brasov, Brasov, Romania.
Iuliu Gabriel CocuzPathophysiology Department, George Emil Palade University of Medicine, Pharmacy, Sciences and Technology, George Emil Palade of Targu Mures, Targu Mures, Romania.
Luigi ContiDepartment of Surgery, Ospedale G. Da Saliceto, AUSL Piacenza, Piacenza, Italy.
Raffaella CoppolaUnit of Microbiology, Betania Hospital, Naples, Italy.
Yunfeng CuiDepartment of Surgery, Tianjin Nankai Hospital, Nankai Clinical School of Medicine, Tianjin Medical University, Tianjin, China.
Jacek CzepielDepartment of Infectious and Tropical Diseases, Jagiellonian University Medical College, Krakaw, Poland.
Fabrizio D'AcapitoDepartment of Surgery, Forlì Morgagni-Pierantoni Hospital, AUSL Romagna, Forlì, Italy.
Dimitrios DamaskosDepartment of Surgery, Royal Infirmary of Edinburgh, Edinburgh, UK.
Koray DasDepartment of Surgery, University of Health Sciences, Adana City Training and Research Hospital, Adana, Turkey.
Belinda De SimoneEmergency and Metabolic Minimally Invasive Surgery, Poissy-Saint-Germain-en-Laye Hospital, Yvelines, France.
Samir DelibegovicDepartment of Surgery, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina.
Zaza DemetrashviliDepartment of Surgery, Kipshidze Central University Hospital, Tbilisi, Georgia.
Dzemail S DetanacDepartment of Surgery, General Hospital Novi Pazar, Novi Pazar, Serbia.
Sameer DhingraDepartment of Pharmacy Practice, National Institute of Pharmaceutical Education and Research (NIPER), Hajipur, Bihar, India.
Stefano Di BellaClinical Department of Medical, Surgical and Health Sciences, Trieste University, Trieste, Italy.
Evgeni N DimitrovDepartment of Surgical Diseases, University Hospital "Prof. Dr. Stoyan Kirkovich", Stara Zagora, Bulgaria.
Agron DogjaniDepartment of Surgery, University of Medicine of Tirana, Tirana, Albania.
Mario D'OriaDivision of Vascular and Endovascular Surgery, Cardiovascular Department, University Hospital of Trieste, Trieste, Italy.
Irina Magdalena DumitruClinical Infectious Diseases Hospital, Ovidius University, Constanta, Romania.
Mutasim M ElmangoryEpidemiology Unit, National Public Health Laboratory, Khartoum, Sudan.
Octavian EnciuDepartment of Surgery, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Massimo FantoniDipartimento Di Scienze Di Laboratorio E Infettivologiche, Fondazione Policlinico Gemelli IRCCS, Rome, Italy.
Daniela FilipescuCardiac Anaesthesia and Intensive Care 2, Emergency Institute of Cardiovascular Diseases, University of Medicine and Pharmacy Carol Davila, Bucharest, Romania.
Francesco FleresDepartment of Surgery, ASST Valtellina e Alto Lario, Sondrio Hospital, Sondrio, Italy.
Domitilla FoghettiDepartment of Surgery, Azienda Ospedaliera Marche Nord, Pesaro, Italy.
Pietro FransveaMedical and Surgical Sciences Department, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Rome, Italy.
Mahir GachabayovDepartment of Abdominal Surgery, Vladimir City Emergency Hospital, Vladimir, Russia.
Rita GaleirasCritical Care Unit, Complexo Hospitalario Universitario, La Coruna, Spain.
Gianni GattusoDepartment of Infectious Diseases, Carlo Poma" Hospital ASST, Mantova, Italy.
Wagih M GhannamDepartment of Surgery, Mansoura Faculty of Medicine, Mansoura, Egypt.
Valeria GhisettiLaboratory of Microbiology and Virology, Amedeo di Savoia Hospital and ASL Città di Torino, Turin, Italy.
Giorgio GiraudoDepartment of Surgery, Aso Santa Croce e Carle, Cuneo, Italy.
Kebebe Bekele GonfaDepartment of Surgery, Madda Walabu University Goba Referral Hospital, Bala-Robe, Ethiopia.
Emre GonulluDepartment of Surgery, Sakarya University, Adapazarı, Turkey.
Yousif Tag Elsir Y HamadDepartment of Surgery, East Surrey Hospital, Redhill, UK.
Matthias HeckerMedical Clinic II, University Hospital Giessen, Glessen, Germany.
Arda IsikDepartment of Surgery, Istanbul Medeniyet University, Istanbul, Turkey.
Nizar IsmailTrauma and Orthopaedics, Stoke Mandeville Hospital, Aylesbury, UK.
Azzain IsmailTrauma and Orthopaedics Woodend Hospital, Aberdeen, UK.
Sumita Agarwal JainDepartment of Surgery, SMS Medical College and Hospital, Adarsh, India.
Souha S KanjInfectious Diseases Division, American University of Beirut Medical Center, Beirut, Lebanon.
Garima KapoorDepartment of Microbiology, Gandhi Medical College, Bhopal, India.
Ilias Karaiskos1St Department of Internal Medicine-Infectious Diseases, Hygeia Hospital, Marousi, Greece.
Alfie J KavalakatDepartment of Surgery, Jubilee Mission Medical College and RI, Thrissur, India.
Jakub KenigDepartment of General Surgery, Jagiellonian University Medical College, Kraków, Poland.
Faryal KhamisInfectious Diseases and Internal Medicine Department, Royal Hospital, Muscat, Oman.
Vladimir KhokhaDepartment of Emergency Surgery, City Hospital, Mozyr, Belarus.
Ronald KigubaPharmacology and Therapeutics, College of Health Sciences, Makerere University, Kampala, Uganda.
Jae Il KimDepartment of Surgery, Inje University Ilsan Paik Hospital, Goyang, South Korea.
Yoshiro KobeDepartment of Surgery, Chiba Emergency Medical Center, Chiba, Japan.
Kenneth Yuh Yen KokDiscipline of Medicine, Pengiran Anak Puteri Rashidah Sa'adatul Bolkiah Institute of Health Sciences, Brunei Darussalam University, Darussalam, Brunei.
Bojan M KovacevicDepartment of Surgery, UMC Zvezdara, Belgrade, Serbia.
Igor Andreevich KryvoruchkoSurgery No. 2 Unit, Kharkiv National Medical University, Kharkiv, Ukraine.
Akira KuriyamaEmergency and Critical Care Center, Kurashiki Central Hospital, Kurashiki, Japan.
Aitor Landaluce-OlavarriaDepartment of Surgery, Urduliz-Alfredo Espinosa Hospital, Urduliz, Spain.
Konstantinos LasithiotakisDepartment of Surgery, University Hospital of Heraklion, Heraklion, Greece.
Varut LohsiriwatDepartment of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Eftychios Lostoridis1St Department of Surgery, Kavala General Hospital, Kavala, Greece.
Davide LuppiDepartment of Surgery, ASMN IRCCS, Reggio Emilia, Italy.
Gustavo Miguel Machain VegaGeneral Surgery, Universidad Nacional de Asunción-Facultad de Ciencias Medicas, Hospital de Clínicas, Asuncion, Paraguay.
Marc MaegeleDepartment of Trauma and Orthopedic Surgery, Cologne-Merheim Medical Center (CMMC), University Witten/Herdecke, Cologne, Germany.
Athanasios MarinisThird Department of Surgery, Tzaneio General Hospital, Piraeus, Greece.
Gennaro MartinesDepartment of Surgery, Azienda Ospedaliero Universitaria Policlinico, Bari, Italy.
Aleix Martínez-PérezDepartment of General and Digestive Surgery, Hospital Universitario Doctor Peset, Valencia, Spain.
Damien MassalouAcute Care Surgery, Centre Hospitalier Universitaire de Nice, Nice University Hospital, Nice, France.
Cristian MesinaDepartment of Surgery, Emergency County Hospital of Craiova, Craiova, Romania.
Gökhan MetanInfectious Diseases and Clinical Microbiology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
María Guadalupe Miranda-NovalesInfectious Diseases Department, Paediatric Hospital, Analysis and Synthesis Research Unit, Social Security Mexican Institute, Mexico City, Mexico.
Shyam Kumar MishraClinical Microbiology, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal.
Mohaned Ibrahim Hussein MohamedPlastic Surgery, Leeds General Infirmary, Leeds, UK.
Ali Yasen Y MohamedahmedDepartment of Surgery, Sandwell and West, Birmingham Hospitals NHS Trust, Lyndon, UK.
Ismael Mora-GuzmánDepartment of Surgery, Hospital General La Mancha Centro, Alcazar de San Juan, Spain.
Francesk MulitaDepartment of Surgery, General University Hospital of Patras, Rio, Greece.
Ana-Maria MusinaDepartment of Surgery, University of Medicine and Pharmacy Grigore T Popa, Iasi, Romania.
Pradeep H NavsariaTrauma Centre, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa.
Ionut NegoiDepartment of Surgery, Emergency Hospital of Bucharest, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Gabriela Elisa NitaDepartment of Surgery, ASMN IRCCS, Reggio Emilia, Italy.
Donal B O'ConnorDepartment of Surgery, Trinity College, Dublin, Ireland.
Carlos Alberto OrdoñezDivision of Trauma and Acute Care Surgery, Fundacion Valle del Lili, Cali, Colombia.
Desiré PantaloneEmergency Surgery Department, AOU Careggi-Università di Firenze, Florence, Italy.
Arpád PanykoIVth Department of Surgery, Faculty of Medicine, Comenius University, Bratislava, Slovakia.
Aristeidis PapadopoulosSurgical Department, General Hospital of Nikaia, Nikaia, Greece.
Nikolaos PararasSurgical Department, Dr. Sulaiman Al Habib Hospital, Alfaisal University, Riyadh, Saudi Arabia.
Francesco PataDepartment of Surgery, Nicola Giannettasio Hospital, Corigliano-Rossano, Italy.
Tapan PatelDepartment of Surgery, Baroda Medical College, Vadodara, India.
Gianluca PellinoDepartment of Advanced Medical and Surgical Sciences, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.
Teresa PerraDepartment of Medical, Surgical and Experimental Sciences, University of Sassari, Azienda Ospedaliero Universitaria di Sassari, Sassari, Italy.
Gennaro PerroneDepartment of Emergency Surgery, Parma University Hospital, Parma, Italy.
Antonio PesceDepartment of Surgery, Azienda USL of Ferrara-University of Ferrara, Ferrara, Italy.
Tadeja PintarAbdominal Surgery Department, UMC Ljubljana, Ljubljana, Slovenia.
Georgi Ivanov PopivanovDepartment of Surgery, Military Medical Academy, Sofia, Bulgaria.
Alberto PorcuDepartment of Medical, Surgical and Experimental Sciences, University of Sassari, Azienda Ospedaliero Universitaria di Sassari, Sassari, Italy.
Martha Alexa QuiodettisDepartment of Surgery, Hospital Santo Tomás, Panama City, Panama.
Razrim RahimDepartment of Surgery, Universiti Sains Islam Malaysia, Nilai, Malaysia.
Ashrarur Rahman MitulUnit of Pediatric Surgery, Bangladesh Shishu Hospital and Institute, Dhaka, Bangladesh.
Martin ReichertDepartment of Surgery, University Hospital of Giessen, Giessen, Germany.
Miran RemsDepartment for General and Abdominal Surgery, General Hospital Jesenice, Jesenice, Slovenia.
Glendee Yolande Reynolds CampbellDepartment of Microbiology, University Hospital of the West Indies, Kingston, Jamaica.
Nuno Rocha-PereiraCentro Hospitalar E Universitário São João, Porto, Portugal.
Gabriel RodriguesDepartment of Surgery, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India.
Gustavo Eduardo Roncancio VillamilDepartment of Medicine, Division of Infectious Diseases, Universidad Pontificia Bolivariana, Medellín, Colombia.
Stefano RossiEmergency Surgery Department, San Filippo Neri Hospital, Rome, Italy.
Ibrahima SallDepartment of Surgery, Military Teaching Hospital, Hôpital Principal de Dakar, Dakar, Senegal.
Hossein Samadi KafilDrug Applied Research Center, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Diego SasiaDepartment of Surgery, Aso Santa Croce e Carle, Cuneo, Italy.
Jeremiah SeniDepartment of Microbiology and Immunology, Weill Bugando School of Medicine, Catholic University of Health and Allied Sciences, Mwanza, Tanzania.
Charalampos SeretisDepartment of Surgery, George Eliot Hospital NHS Trust, Nuneaton, UK.
Mario Serradilla-MartínDepartment of Surgery, Instituto de Investigación Sanitaria Aragón, Miguel Servet University Hospital, Zaragoza, Spain.
Vishal G ShelatDepartment of Surgery, Tan Tock Seng Hospital, Novena, Singapore.
Boonying SiribumrungwongDepartment of Surgery, Thammasat University Hospital, Khlong Luang, Thailand.
Mihail SlavchevDepartment of Surgery, University Hospital Eurohospital, Plovdiv, Bulgaria.
Leonardo SolainiDepartment of Medical and Surgical Sciences, University of Bologna, Forlì, Italy.
Boun Kim TanInfection Prevention and Control Unit, Centre des Massues, French Red Cross, Lyon, France.
Antonio TarasconiDepartment of Emergency Surgery, Parma University Hospital, Parma, Italy.
Dario TartagliaGeneral, Emergency and Trauma Surgery Department, Pisa University Hospital, Pisa, Italy.
Elena Adelina TomaDepartment of Surgery, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Gia TomadzeDepartment of Surgery, Tbilisi State Medical University, Tbilisi, Georgia.
Adriana ToroDepartment of General Surgery, E. Muscatello Augusta Hospital, Augusta, Italy.
Marcos Roberto Tovani-PaloneDepartment of Pathology and Legal Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.
Harry van GoorDepartment of Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
Alin VasilescuDepartment of Surgery, St. Spiridon University Hospital "Grigore T Popa" University of Medicine and Pharmacy, Iasi, Romania.
Andras VereczkeiDepartment of Surgery, Medical Center University of Pécs, Pécs, Hungary.
Massimiliano VerouxDepartment of Medical and Surgical Sciences and Advanced Technologies, University of Catania, Catania, Italy.
Sergio Alberto WeckmannCoordinación de Cirugía, Instituto Mexicano del Seguro Social, Mexico City, Mexico.
Lukas Werner WidmerDepartment of Visceral Surgery and Medicine, Bern University Hospital, Bern, Switzerland.
AliIbrahim YahyaDepartment of Surgery, Zliten Medical Center, Zilten, Libya.
Sanoop K ZachariahDepartment of Surgery, Kerala Institute of Medical Sciences, Thiruvananthapuram, Kerala, India.
Andee Dzulkarnaen ZakariaDepartment of Surgery, School of Medical Sciences and University Hospital Sains Malaysia, Sains Malaysia University, Penang, Malaysia.
Nadezhda ZubarevaDepartment of General Surgery, Perm State Medical University N.a. Academician E.A. Wagner, Perm, Russia.
Wietse P ZuidemaDepartment of Surgery, Amsterdam University Medical Center, Amsterdam, The Netherlands.
Isidoro Di CarloDepartment of Medical and Surgical Sciences and Advanced Technologies, University of Catania, Catania, Italy.
Francesco CorteseEmergency Surgery Department, San Filippo Neri Hospital, ASL Roma 1, Rome, Italy.
Gian Luca BaiocchiDepartment of Surgery, AAST Cremona, Cremona, Italy.
Ronald V MaierHarborview Medical Center, Department of Surgery, University of Washington, Seattle, WA, USA.
Fausto CatenaDepartment of Surgery, Bufalini" Hospital, Cesena, Italy.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe 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.
methodsA 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.
resultsThree 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.
conclusionAdequacy 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.
Indexed as
Anti-Infective AgentsCOVID-19Anti-Bacterial AgentsCross-Sectional StudiesHumansModels, OrganizationalPandemicsAnti-Bacterial AgentsAnti-Infective AgentsAntibiotic prescribingAntibiotic resistanceAntimicrobial stewardshipCross-sectional surveyInfection prevention and control
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