Evidence map›Paper›PMID 41125745›Full record

Observational studyScientific reports2025

Implementation of infection prevention and control components in Italian hospitals based on a nationwide survey on behalf of INSIEME project.

Marianna Meschiari, Francesco Vladimiro Segala, Altea Gallerani, Francesco Di Gennaro, Nunzia Esposito, Paola Tanzilli, Alessandra Prozzo, Angelo Pan, Matteo Giovanni Lupi, Paola Brambilla and 47 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

57 authors.

Marianna MeschiariInfectious Diseases Unit, Azienda Ospedaliera-Universitaria of Modena, University of Modena and Reggio Emilia, Modena, Italy. mmeschiari@unimore.it.ORCID http://orcid.org/0000-0002-1254-9995
Francesco Vladimiro SegalaDepartment of Precision and Regenerative Medicine and Ionian Area, Clinic of Infectious Diseases, University of Bari "Aldo Moro", Policlinico of Bari, Bari, Italy.
Altea GalleraniInfectious Diseases Unit, Azienda Ospedaliera-Universitaria of Modena, University of Modena and Reggio Emilia, Modena, Italy.
Francesco Di GennaroDepartment of Precision and Regenerative Medicine and Ionian Area, Clinic of Infectious Diseases, University of Bari "Aldo Moro", Policlinico of Bari, Bari, Italy.
Nunzia EspositoInfectious Diseases Unit, Azienda Ospedaliera Di Rilievo Nazionale "San Pio", Benevento, Italy.
Paola TanzilliInfectious Diseases Unit, Ospedale A. Cardarelli, Campobasso, Italy.
Alessandra ProzzoInfectious Diseases Unit, Ospedale A. Cardarelli, Campobasso, Italy.
Angelo PanInfectious Diseases Unit, Azienda Socio-Sanitaria Territoriale Di Cremona, Cremona, Italy.
Matteo Giovanni LupiInfectious Diseases Unit, Azienda Socio-Sanitaria Territoriale Di Cremona, Cremona, Italy.
Paola BrambillaInfectious Diseases Unit, Azienda Socio-Sanitaria Territoriale Di Cremona, Cremona, Italy.
Donatella Concetta CibelliInfectious Diseases Unit, Azienda Ospedaliera Universitaria Policlinico Riuniti Di Foggia, Foggia, Italy.
Anna CarrettaInfectious Diseases Unit, Azienda Ospedaliera Universitaria Policlinico Riuniti Di Foggia, Foggia, Italy.
Silvia BoniInfectious Diseases Unit, Ospedali Galliera, Genova, Italy.
Emanuele PontaliInfectious Diseases Unit, Ospedali Galliera, Genova, Italy.
Cosmo Del BorgoInfectious Diseases Unit, Santa Maria (SM) Goretti Hospital, Sapienza University of Rome, 04100, Latina, Italy.
Alberico ParenteInfectious Diseases Unit, Santa Maria (SM) Goretti Hospital, Sapienza University of Rome, 04100, Latina, Italy.
Giulia Carla MarchettiDepartment of Health Sciences, Clinic of Infectious Diseases, ASST Santi Paolo E Carlo, University of Milan, Milan, Italy.
Lorenzo OnoratoDepartment of Mental Health and Public Medicine, Section of Infectious Diseases, University of Campania Luigi Vanvitelli, Naples, Italy.
Caterina MonariDepartment of Mental Health and Public Medicine, Section of Infectious Diseases, University of Campania Luigi Vanvitelli, Naples, Italy.
Nicola CoppolaDepartment of Mental Health and Public Medicine, Section of Infectious Diseases, University of Campania Luigi Vanvitelli, Naples, Italy.
Clarissa CamaioniDepartment of Infectious Disease and Infectious Emergencies, AORN Dei ColliCotugno Hospital, Naples, Italy.
Anna Maria RossomandoDepartment of Infectious Disease and Infectious Emergencies, AORN Dei ColliCotugno Hospital, Naples, Italy.
Roberto ParrellaDepartment of Infectious Disease and Infectious Emergencies, AORN Dei ColliCotugno Hospital, Naples, Italy.
Vincenzo ScaglioneClinic of Infectious Diseases, Department of Internal Medicine, University Hospital of Padua, Padua, Italy.
Annamaria CattelanClinic of Infectious Diseases, Department of Internal Medicine, University Hospital of Padua, Padua, Italy.
Michelle AbbottInfectious Diseases Unit, ARNAS Civico-Di Cristina-Benfratelli Hospital, 90127, Palermo, Italy.
Giuseppe PipitoneInfectious Diseases Unit, ARNAS Civico-Di Cristina-Benfratelli Hospital, 90127, Palermo, Italy.
Chiara IariaInfectious Diseases Unit, ARNAS Civico-Di Cristina-Benfratelli Hospital, 90127, Palermo, Italy.
Alessandra MularoniIRCCS-ISMETT, UPMC, Palermo, Italy.
Ornella CampanellaIRCCS-ISMETT, UPMC, Palermo, Italy.
Andrea TostiInstitute of Infectious Diseases Department of Medicine, Ospedale S.Misericordia, Perugia, Italy.
Daniela FrancisciInstitute of Infectious Diseases Department of Medicine, Ospedale S.Misericordia, Perugia, Italy.
Elena MazzottaInfectious Disease Unit, Presidio Ospedaliero Di Pescara, 65124, Pescara, Italy.
Simona ColadonatoInfectious Disease Unit, Presidio Ospedaliero Di Pescara, 65124, Pescara, Italy.
Manuela PogliaghiInfectious Disease Unit, Azienda Ospedaliera Universitaria Pisana, University of Pisa, Pisa, Italy.
Marco FalconeInfectious Disease Unit, Azienda Ospedaliera Universitaria Pisana, University of Pisa, Pisa, Italy.
Massimo AndreoniInfectious Disease Unit, Azienda-Ospedaliera Universitaria Di Tor Vergata, 00133, Rome, Italy.
Pietro VitaleInfectious Disease Unit, Azienda-Ospedaliera Universitaria Di Tor Vergata, 00133, Rome, Italy.
Ilaria SpallieraInfectious Disease Unit, Azienda-Ospedaliera Universitaria Di Tor Vergata, 00133, Rome, Italy.
Loredana SarmatiInfectious Disease Unit, Azienda-Ospedaliera Universitaria Di Tor Vergata, 00133, Rome, Italy.
Stefania CicaliniSystemic and Immune Depression-Associated Infections Unit, Clinical Department, National Institute for Infectious Diseases Lazzaro Spallanzani IRCCS, 00149, Roma, Italy.
Alessandra OlivaInfectious Disease Unit, Policlinico Umberto I, Sapienza University of Rome, 00185, Rome, Italy.
Claudio MastroianniInfectious Disease Unit, Policlinico Umberto I, Sapienza University of Rome, 00185, Rome, Italy.
Miriam LichtnerDepartment NESMOS, Sapienza University of Rome, Infectious Disease Unit, S.Andrea Hospital, Rome, Italy.
Silvia Di BariDepartment NESMOS, Sapienza University of Rome, Infectious Disease Unit, S.Andrea Hospital, Rome, Italy.
Andrea SodduInfectious Diseases Unit, ASL of Sassari, University of Sassari, Sassari, Italy.
Sabina BelluInfectious Diseases Unit, ASL of Sassari, University of Sassari, Sassari, Italy.
Chiara FanelliDepartment of Infectious Diseases, University of Sassari, Azienda Ospedaliera Universitaria Di Sassari, Sassari, Italy.
Rosa Fontana Del VecchioDepartment of Infectious Diseases, Umberto I Public Hospital, Siracusa, Italy.
Antonina FrancoDepartment of Infectious Diseases, Umberto I Public Hospital, Siracusa, Italy.
Chiara MontrucchioDepartment of Medical Sciences, Infectious Diseases Unit, Amedeo Di Savoia Hospital, University of Turin, Turin, Italy.
Sabrina AudagnottoDepartment of Medical Sciences, Infectious Diseases Unit, Amedeo Di Savoia Hospital, University of Turin, Turin, Italy.
Alessia Di VincenzoDepartment of Medical Sciences, Infectious Diseases Unit, Amedeo Di Savoia Hospital, University of Turin, Turin, Italy.
Rita MurriSection of Infectious Diseases, Department of Safety and Bioethics, Catholic University of the Sacred Heart, Rome, Italy.
Enrico RicchizziDirezione Generale Cura Della Persona, Salute E Welfare, Regione Emilia-Romagna, Bologna, Italy.
Cristina MussiniInfectious Diseases Unit, Azienda Ospedaliera-Universitaria of Modena, University of Modena and Reggio Emilia, Modena, Italy.
INSIEME Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We aim to assess the state-of-the-art of Infection Prevention and Control (IPC) practices and their results in Italian healthcare facilities 6 years after the kick-off of the new National Plan for the Control of Antibiotic Resistance (PNCAR). This was a multicenter, cross-sectional, observational study conducted between January 1st, and December 31st, 2023, among Italian hospitals. Survey questions were readapted from the WHO IPC assessment framework (IPCAF), PNCAR and INSIEME group proposals, resulting in 155 questions grouped into six sections: IPC program, surveillance, control activities for healthcare-associated infections, antimicrobial stewardship (AMS) strategies, IPC training and education, and monitoring indicators. Thirty-eight acute care Hospitals completed the survey (response rate: 30%): 26.3% of hospitals did not define an annual program and 34.2% an AMS task force. Periodic microbiology reports were available for 57.9%, hospital alcohol-based hand rubs consumption per 1000 bed-days in 42.1% and defined daily dose of antimicrobials per 100 bed-days in 55.3% hospitals with a significant difference between Northern and Southern regions (90.9% vs 22.2%; P = 0.006). Active monitoring of hand hygiene and contact isolation compliance was implemented in only half of the hospitals. Structured HAI surveillance systems were implemented in fewer than 20% of hospitals. Components on IPC implementation activity, such as no-touch sanitizing systems, checklist for environmental cleaning, informatic flags, bundles for pathogens revealed the lowest score. The appropriateness of antibiotic therapy prescribing was assessed in 73.7% of facilities. Only 42.1% of hospitals had budget goals. This survey provides a baseline assessment and identifies key barriers to the implementation of IPC programs across Italian acute care hospitals. The findings highlight priority areas for intervention and will inform the next phase of the INSIEME project, which aims to develop and implement tailored strategies that address the specific needs of healthcare workers and institutions nationwide.

Indexed as

Cross InfectionHospitalsInfection ControlAntimicrobial StewardshipCross-Sectional StudiesHumansItalySurveys and QuestionnairesAntimicrobial resistanceAntimicrobial stewardshipInfection prevention and control

Identifiers

PMID41125745
PMCPMC12546834

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.