It is time to define an organizational model for the prevention and management of infections along the surgical pathway: a worldwide cross-sectional survey
Issued Date
2022-12-01
Resource Type
eISSN
17497922
Scopus ID
2-s2.0-85126546440
Pubmed ID
35300731
Journal Title
World Journal of Emergency Surgery
Volume
17
Issue
1
Rights Holder(s)
SCOPUS
Bibliographic Citation
World Journal of Emergency Surgery Vol.17 No.1 (2022)
Suggested Citation
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., Leppäniemi A.K., Litvin A., Marwah S., Maseda E., Mazuski J.E., Memish Z.A., Kirkpatrick A.W., Pagani L., Podda M., Rasa H.K., Sakakushev B.E., Sawyer R.G., Tumietto F., Xiao Y., Aboubreeg W.F., Adamou H., Akhmeteli L., Akin E., Alberio M.G., Alconchel F., Magagi I.A., Araúz A.B., Argenio G., Atanasov B.C., Atici S.D., Awad S.S., Baili E., Bains L., Bala M., Baraket O., Baral S., Belskii V.A., Benboubker M., Ben-Ishay O., Bordoni P., Boumédiène A., Brisinda G., Cavazzuti L., Chandy S.J., Chiarello M.M., Cillara N., Clarizia G., Cocuz M.E., Cocuz I.G., Conti L., Coppola R., Cui Y., Czepiel J., D’Acapito F., Damaskos D., Das K., De Simone B., Delibegovic S., Demetrashvili Z., Detanac D.S., Dhingra S., Di Bella S., Dimitrov E.N., Dogjani A., D’Oria M., Dumitru I.M., Elmangory M.M., Enciu O., Fantoni M., Filipescu D., Fleres F., Foghetti D., Fransvea P., Gachabayov M., Galeiras R., Gattuso G., Ghannam W.M., Ghisetti V., Giraudo G., Gonfa K.B., Gonullu E., Hamad Y.T.E.Y., Hecker M., Isik A., Ismail N., Ismail A. 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 (2022). doi:10.1186/s13017-022-00420-4 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/85334
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
Author(s)
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.
Leppäniemi A.K.
Litvin A.
Marwah S.
Maseda E.
Mazuski J.E.
Memish Z.A.
Kirkpatrick A.W.
Pagani L.
Podda M.
Rasa H.K.
Sakakushev B.E.
Sawyer R.G.
Tumietto F.
Xiao Y.
Aboubreeg W.F.
Adamou H.
Akhmeteli L.
Akin E.
Alberio M.G.
Alconchel F.
Magagi I.A.
Araúz A.B.
Argenio G.
Atanasov B.C.
Atici S.D.
Awad S.S.
Baili E.
Bains L.
Bala M.
Baraket O.
Baral S.
Belskii V.A.
Benboubker M.
Ben-Ishay O.
Bordoni P.
Boumédiène A.
Brisinda G.
Cavazzuti L.
Chandy S.J.
Chiarello M.M.
Cillara N.
Clarizia G.
Cocuz M.E.
Cocuz I.G.
Conti L.
Coppola R.
Cui Y.
Czepiel J.
D’Acapito F.
Damaskos D.
Das K.
De Simone B.
Delibegovic S.
Demetrashvili Z.
Detanac D.S.
Dhingra S.
Di Bella S.
Dimitrov E.N.
Dogjani A.
D’Oria M.
Dumitru I.M.
Elmangory M.M.
Enciu O.
Fantoni M.
Filipescu D.
Fleres F.
Foghetti D.
Fransvea P.
Gachabayov M.
Galeiras R.
Gattuso G.
Ghannam W.M.
Ghisetti V.
Giraudo G.
Gonfa K.B.
Gonullu E.
Hamad Y.T.E.Y.
Hecker M.
Isik A.
Ismail N.
Ismail A.
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.
Leppäniemi A.K.
Litvin A.
Marwah S.
Maseda E.
Mazuski J.E.
Memish Z.A.
Kirkpatrick A.W.
Pagani L.
Podda M.
Rasa H.K.
Sakakushev B.E.
Sawyer R.G.
Tumietto F.
Xiao Y.
Aboubreeg W.F.
Adamou H.
Akhmeteli L.
Akin E.
Alberio M.G.
Alconchel F.
Magagi I.A.
Araúz A.B.
Argenio G.
Atanasov B.C.
Atici S.D.
Awad S.S.
Baili E.
Bains L.
Bala M.
Baraket O.
Baral S.
Belskii V.A.
Benboubker M.
Ben-Ishay O.
Bordoni P.
Boumédiène A.
Brisinda G.
Cavazzuti L.
Chandy S.J.
Chiarello M.M.
Cillara N.
Clarizia G.
Cocuz M.E.
Cocuz I.G.
Conti L.
Coppola R.
Cui Y.
Czepiel J.
D’Acapito F.
Damaskos D.
Das K.
De Simone B.
Delibegovic S.
Demetrashvili Z.
Detanac D.S.
Dhingra S.
Di Bella S.
Dimitrov E.N.
Dogjani A.
D’Oria M.
Dumitru I.M.
Elmangory M.M.
Enciu O.
Fantoni M.
Filipescu D.
Fleres F.
Foghetti D.
Fransvea P.
Gachabayov M.
Galeiras R.
Gattuso G.
Ghannam W.M.
Ghisetti V.
Giraudo G.
Gonfa K.B.
Gonullu E.
Hamad Y.T.E.Y.
Hecker M.
Isik A.
Ismail N.
Ismail A.
Author's Affiliation
Hospital Clínico Universitario de Santiago
College of Medicine Alfaisal University
Mansoura University Hospitals
Azienda Ospedaliera Universitaria San Giovanni di Dio e Ruggi d'Aragona - OO. RR. Scuola Medica Salernitana
Universiteti i Mjekësisë, Tiranë
University of Health Sciences
The First Affiliated Hospital, Zhejiang University School of Medicine
National Institute of Pharmaceutical Education and Research, Hajipur
Madda Walabu University
ASSL Cagliari
Istanbul Medeniyet University
Regional Hospital of Bolzano
Azienda Ospedaliero Universitaria Pisana
Ospedale Guglielmo da Saliceto
Azienda Ospedaliera Carlo Poma
Ospedale Amedeo di Savoia
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Azienda Ospedaliera S. Croce e Carle
National Public Health Laboratory Sudan
College of Medicine and Health Sciences United Arab Emirates University
Morgagni-Pierantoni Hospital
Athens General Hospital
Université de Tunis El Manar
Universitatea de Medicina si Farmacie Carol Davila din Bucuresti
Università degli Studi di Cagliari
Medical University of Plovdiv
Pt. B.D. Sharma PGIMS, Rohtak
Immanuel Kant Baltic Federal University
Hospital Clínico Universitario Virgen de la Arrixaca
MetroHealth Medical Center Cleveland
Azienda Ospedaliera Ospedale di Circolo e Fondazione Macchi di Varese
IRCCS Azienda Ospedaliero-Universitaria di Bologna
Universitatea Transilvania din Brasov
Ovidius University of Constanta
Rambam Health Care Campus Israel
Sakarya Üniversitesi
Jagiellonian University Medical College
Hospital Universitario Marqués de Valdecilla
Stoke Mandeville Hospital
Università degli Studi di Trieste
Helsinki University Hospital
Centre Hospitalier Universitaire Hassan II
University of Washington
Università degli Studi di Pavia
Northwestern University Feinberg School of Medicine
Università degli Studi di Milano-Bicocca
Tianjin Medical University
University of KwaZulu-Natal
Washington University in St. Louis
Maulana Azad Medical College
Foothills Medical Centre
Universitätsklinikum Gießen und Marburg, Standort Gießen
Weill Cornell Medicine
Azienda Ospedaliera Santa Maria Nuova di Reggio Emilia
Faculty of Medicine
East Surrey Hospital
University of South Carolina School of Medicine Columbia
George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures
Royal Infirmary of Edinburgh
Privolzhsky Research Medical University
Azienda Sanitaria Universitaria Giuliano Isontina
Western Michigan University
Christian Medical College, Vellore
Woodend Hospital
Hadassah University Medical Centre
University Hospital Giessen
Chitwan Medical College
Global Alliance for Infections in Surgery
Dirghayu Pokhara Hospital
Zliten Medical Center
University of Zinder
Betania Hospital
Azienda Ospedaliera Marche Nord
Vladimir City Clinical Hospital of Emergency Medicine
Hospital Universitari
Macerata Hospital
TSMU First University Clinic
Hospital Santo Tomás
University Hospital “Prof. Dr. Stoyan Kirkovich”
Riverside University Health System
University of Novi Pazar
University Clinical Center Tuzla
Sondrio Hospital
Ospedale San Giovanni di Dio
Clinique mutualiste de la porte de l'Orient
Poissy-Saint-Germain-en-Laye Hospital
Complexo Hospitalario Universitario de Santiago
Kipshidze Central University Hospital
Anadolu Medical Center
College of Medicine Alfaisal University
Mansoura University Hospitals
Azienda Ospedaliera Universitaria San Giovanni di Dio e Ruggi d'Aragona - OO. RR. Scuola Medica Salernitana
Universiteti i Mjekësisë, Tiranë
University of Health Sciences
The First Affiliated Hospital, Zhejiang University School of Medicine
National Institute of Pharmaceutical Education and Research, Hajipur
Madda Walabu University
ASSL Cagliari
Istanbul Medeniyet University
Regional Hospital of Bolzano
Azienda Ospedaliero Universitaria Pisana
Ospedale Guglielmo da Saliceto
Azienda Ospedaliera Carlo Poma
Ospedale Amedeo di Savoia
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Azienda Ospedaliera S. Croce e Carle
National Public Health Laboratory Sudan
College of Medicine and Health Sciences United Arab Emirates University
Morgagni-Pierantoni Hospital
Athens General Hospital
Université de Tunis El Manar
Universitatea de Medicina si Farmacie Carol Davila din Bucuresti
Università degli Studi di Cagliari
Medical University of Plovdiv
Pt. B.D. Sharma PGIMS, Rohtak
Immanuel Kant Baltic Federal University
Hospital Clínico Universitario Virgen de la Arrixaca
MetroHealth Medical Center Cleveland
Azienda Ospedaliera Ospedale di Circolo e Fondazione Macchi di Varese
IRCCS Azienda Ospedaliero-Universitaria di Bologna
Universitatea Transilvania din Brasov
Ovidius University of Constanta
Rambam Health Care Campus Israel
Sakarya Üniversitesi
Jagiellonian University Medical College
Hospital Universitario Marqués de Valdecilla
Stoke Mandeville Hospital
Università degli Studi di Trieste
Helsinki University Hospital
Centre Hospitalier Universitaire Hassan II
University of Washington
Università degli Studi di Pavia
Northwestern University Feinberg School of Medicine
Università degli Studi di Milano-Bicocca
Tianjin Medical University
University of KwaZulu-Natal
Washington University in St. Louis
Maulana Azad Medical College
Foothills Medical Centre
Universitätsklinikum Gießen und Marburg, Standort Gießen
Weill Cornell Medicine
Azienda Ospedaliera Santa Maria Nuova di Reggio Emilia
Faculty of Medicine
East Surrey Hospital
University of South Carolina School of Medicine Columbia
George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures
Royal Infirmary of Edinburgh
Privolzhsky Research Medical University
Azienda Sanitaria Universitaria Giuliano Isontina
Western Michigan University
Christian Medical College, Vellore
Woodend Hospital
Hadassah University Medical Centre
University Hospital Giessen
Chitwan Medical College
Global Alliance for Infections in Surgery
Dirghayu Pokhara Hospital
Zliten Medical Center
University of Zinder
Betania Hospital
Azienda Ospedaliera Marche Nord
Vladimir City Clinical Hospital of Emergency Medicine
Hospital Universitari
Macerata Hospital
TSMU First University Clinic
Hospital Santo Tomás
University Hospital “Prof. Dr. Stoyan Kirkovich”
Riverside University Health System
University of Novi Pazar
University Clinical Center Tuzla
Sondrio Hospital
Ospedale San Giovanni di Dio
Clinique mutualiste de la porte de l'Orient
Poissy-Saint-Germain-en-Laye Hospital
Complexo Hospitalario Universitario de Santiago
Kipshidze Central University Hospital
Anadolu Medical Center
Other Contributor(s)
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.