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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 ( IF 8 ) Pub Date : 2022-03-17 , DOI: 10.1186/s13017-022-00420-4 Massimo Sartelli 1 , Francesco M Labricciosa 2 , Federico Coccolini 3 , Raul Coimbra 4 , Fikri M Abu-Zidan 5 , Luca Ansaloni 6 , Majdi N Al-Hasan 7 , Shamshul Ansari 8 , Philip S Barie 9 , Miguel Angel Caínzos 10 , Marco Ceresoli 11 , Massimo Chiarugi 3 , Jeffrey A Claridge 12 , Enrico Cicuttin 3 , Evan Patchen Dellinger 13 , Donald E Fry 14 , Xavier Guirao 15 , Timothy Craig Hardcastle 16 , Andreas Hecker 17 , Ari K Leppäniemi 18 , Andrey Litvin 19 , Sanjay Marwah 20 , Emilio Maseda 21 , John E Mazuski 22 , Ziad Ahmed Memish 23 , Andrew W Kirkpatrick 24 , Leonardo Pagani 25 , Mauro Podda 26 , Huseyin Kemal Rasa 27 , Boris E Sakakushev 28 , Robert G Sawyer 29 , Fabio Tumietto 30 , Yonghong Xiao 31 , Wedad Faraj Aboubreeg 32 , Harissou Adamou 33 , Lali Akhmeteli 34 , Emrah Akin 35 , Maria Grazia Alberio 36 , Felipe Alconchel 37 , Ibrahim Amadou Magagi 33 , Ana Belén Araúz 38 , Giulio Argenio 39 , Boyko C Atanasov 40 , Semra Demirli Atici 41 , Selmy Sabry Awad 42 , Efstratia Baili 43 , Lovenish Bains 44 , Miklosh Bala 45 , Oussama Baraket 46 , Suman Baral 47 , Vladislav A Belskii 48 , Moussa Benboubker 49 , Offir Ben-Ishay 50 , Pierpaolo Bordoni 51 , Abdalia Boumédiène 52 , Giuseppe Brisinda 53 , Laura Cavazzuti 54 , Sujith J Chandy 55 , Maria Michela Chiarello 56 , Nicola Cillara 57 , Guglielmo Clarizia 51 , Maria-Elena Cocuz 58 , Iuliu Gabriel Cocuz 59 , Luigi Conti 60 , Raffaella Coppola 61 , Yunfeng Cui 62 , Jacek Czepiel 63 , Fabrizio D'Acapito 64 , Dimitrios Damaskos 65 , Koray Das 66 , Belinda De Simone 67 , Samir Delibegovic 68 , Zaza Demetrashvili 69 , Dzemail S Detanac 70 , Sameer Dhingra 71 , Stefano Di Bella 72 , Evgeni N Dimitrov 73 , Agron Dogjani 74 , Mario D'Oria 75 , Irina Magdalena Dumitru 76 , Mutasim M Elmangory 77 , Octavian Enciu 78 , Massimo Fantoni 79 , Daniela Filipescu 80 , Francesco Fleres 51 , Domitilla Foghetti 81 , Pietro Fransvea 53 , Mahir Gachabayov 82 , Rita Galeiras 83 , Gianni Gattuso 84 , Wagih M Ghannam 85 , Valeria Ghisetti 86 , Giorgio Giraudo 87 , Kebebe Bekele Gonfa 88 , Emre Gonullu 89 , Yousif Tag Elsir Y Hamad 90 , Matthias Hecker 91 , Arda Isik 92 , Nizar Ismail 93 , Azzain Ismail 94 , Sumita Agarwal Jain 95 , Souha S Kanj 96 , Garima Kapoor 97 , Ilias Karaiskos 98 , Alfie J Kavalakat 99 , Jakub Kenig 100 , Faryal Khamis 101 , Vladimir Khokha 102 , Ronald Kiguba 103 , Jae Il Kim 104 , Yoshiro Kobe 105 , Kenneth Yuh Yen Kok 106 , Bojan M Kovacevic 107 , Igor Andreevich Kryvoruchko 108 , Akira Kuriyama 109 , Aitor Landaluce-Olavarria 110 , Konstantinos Lasithiotakis 111 , Varut Lohsiriwat 112 , Eftychios Lostoridis 113 , Davide Luppi 114 , Gustavo Miguel Machain Vega 115 , Marc Maegele 116 , Athanasios Marinis 117 , Gennaro Martines 118 , Aleix Martínez-Pérez 119 , Damien Massalou 120 , Cristian Mesina 121 , Gökhan Metan 122 , María Guadalupe Miranda-Novales 123 , Shyam Kumar Mishra 124 , Mohaned Ibrahim Hussein Mohamed 125 , Ali Yasen Y Mohamedahmed 126 , Ismael Mora-Guzmán 127 , Francesk Mulita 128 , Ana-Maria Musina 129 , Pradeep H Navsaria 130 , Ionut Negoi 131 , Gabriela Elisa Nita 114 , Donal B O'Connor 132 , Carlos Alberto Ordoñez 133 , Desiré Pantalone 134 , Arpád Panyko 135 , Aristeidis Papadopoulos 136 , Nikolaos Pararas 137 , Francesco Pata 138 , Tapan Patel 139 , Gianluca Pellino 140 , Teresa Perra 141 , Gennaro Perrone 142 , Antonio Pesce 143 , Tadeja Pintar 144 , Georgi Ivanov Popivanov 145 , Alberto Porcu 141 , Martha Alexa Quiodettis 146 , Razrim Rahim 147 , Ashrarur Rahman Mitul 148 , Martin Reichert 17 , Miran Rems 149 , Glendee Yolande Reynolds Campbell 150 , Nuno Rocha-Pereira 151 , Gabriel Rodrigues 152 , Gustavo Eduardo Roncancio Villamil 153, 154 , Stefano Rossi 155 , Ibrahima Sall 156 , Hossein Samadi Kafil 157 , Diego Sasia 87 , Jeremiah Seni 158 , Charalampos Seretis 159 , Mario Serradilla-Martín 160 , Vishal G Shelat 161 , Boonying Siribumrungwong 162 , Mihail Slavchev 163 , Leonardo Solaini 164 , Boun Kim Tan 165 , Antonio Tarasconi 142 , Dario Tartaglia 3 , Elena Adelina Toma 78 , Gia Tomadze 166 , Adriana Toro 167 , Marcos Roberto Tovani-Palone 168 , Harry van Goor 169 , Alin Vasilescu 170 , Andras Vereczkei 171 , Massimiliano Veroux 172 , Sergio Alberto Weckmann 173 , Lukas Werner Widmer 174 , AliIbrahim Yahya 175 , Sanoop K Zachariah 176 , Andee Dzulkarnaen Zakaria 177 , Nadezhda Zubareva 178 , Wietse P Zuidema 179 , Isidoro Di Carlo 172 , Francesco Cortese 180 , Gian Luca Baiocchi 181, 182 , Ronald V Maier 183 , Fausto Catena 184
World Journal of Emergency Surgery ( IF 8 ) Pub Date : 2022-03-17 , DOI: 10.1186/s13017-022-00420-4 Massimo Sartelli 1 , Francesco M Labricciosa 2 , Federico Coccolini 3 , Raul Coimbra 4 , Fikri M Abu-Zidan 5 , Luca Ansaloni 6 , Majdi N Al-Hasan 7 , Shamshul Ansari 8 , Philip S Barie 9 , Miguel Angel Caínzos 10 , Marco Ceresoli 11 , Massimo Chiarugi 3 , Jeffrey A Claridge 12 , Enrico Cicuttin 3 , Evan Patchen Dellinger 13 , Donald E Fry 14 , Xavier Guirao 15 , Timothy Craig Hardcastle 16 , Andreas Hecker 17 , Ari K Leppäniemi 18 , Andrey Litvin 19 , Sanjay Marwah 20 , Emilio Maseda 21 , John E Mazuski 22 , Ziad Ahmed Memish 23 , Andrew W Kirkpatrick 24 , Leonardo Pagani 25 , Mauro Podda 26 , Huseyin Kemal Rasa 27 , Boris E Sakakushev 28 , Robert G Sawyer 29 , Fabio Tumietto 30 , Yonghong Xiao 31 , Wedad Faraj Aboubreeg 32 , Harissou Adamou 33 , Lali Akhmeteli 34 , Emrah Akin 35 , Maria Grazia Alberio 36 , Felipe Alconchel 37 , Ibrahim Amadou Magagi 33 , Ana Belén Araúz 38 , Giulio Argenio 39 , Boyko C Atanasov 40 , Semra Demirli Atici 41 , Selmy Sabry Awad 42 , Efstratia Baili 43 , Lovenish Bains 44 , Miklosh Bala 45 , Oussama Baraket 46 , Suman Baral 47 , Vladislav A Belskii 48 , Moussa Benboubker 49 , Offir Ben-Ishay 50 , Pierpaolo Bordoni 51 , Abdalia Boumédiène 52 , Giuseppe Brisinda 53 , Laura Cavazzuti 54 , Sujith J Chandy 55 , Maria Michela Chiarello 56 , Nicola Cillara 57 , Guglielmo Clarizia 51 , Maria-Elena Cocuz 58 , Iuliu Gabriel Cocuz 59 , Luigi Conti 60 , Raffaella Coppola 61 , Yunfeng Cui 62 , Jacek Czepiel 63 , Fabrizio D'Acapito 64 , Dimitrios Damaskos 65 , Koray Das 66 , Belinda De Simone 67 , Samir Delibegovic 68 , Zaza Demetrashvili 69 , Dzemail S Detanac 70 , Sameer Dhingra 71 , Stefano Di Bella 72 , Evgeni N Dimitrov 73 , Agron Dogjani 74 , Mario D'Oria 75 , Irina Magdalena Dumitru 76 , Mutasim M Elmangory 77 , Octavian Enciu 78 , Massimo Fantoni 79 , Daniela Filipescu 80 , Francesco Fleres 51 , Domitilla Foghetti 81 , Pietro Fransvea 53 , Mahir Gachabayov 82 , Rita Galeiras 83 , Gianni Gattuso 84 , Wagih M Ghannam 85 , Valeria Ghisetti 86 , Giorgio Giraudo 87 , Kebebe Bekele Gonfa 88 , Emre Gonullu 89 , Yousif Tag Elsir Y Hamad 90 , Matthias Hecker 91 , Arda Isik 92 , Nizar Ismail 93 , Azzain Ismail 94 , Sumita Agarwal Jain 95 , Souha S Kanj 96 , Garima Kapoor 97 , Ilias Karaiskos 98 , Alfie J Kavalakat 99 , Jakub Kenig 100 , Faryal Khamis 101 , Vladimir Khokha 102 , Ronald Kiguba 103 , Jae Il Kim 104 , Yoshiro Kobe 105 , Kenneth Yuh Yen Kok 106 , Bojan M Kovacevic 107 , Igor Andreevich Kryvoruchko 108 , Akira Kuriyama 109 , Aitor Landaluce-Olavarria 110 , Konstantinos Lasithiotakis 111 , Varut Lohsiriwat 112 , Eftychios Lostoridis 113 , Davide Luppi 114 , Gustavo Miguel Machain Vega 115 , Marc Maegele 116 , Athanasios Marinis 117 , Gennaro Martines 118 , Aleix Martínez-Pérez 119 , Damien Massalou 120 , Cristian Mesina 121 , Gökhan Metan 122 , María Guadalupe Miranda-Novales 123 , Shyam Kumar Mishra 124 , Mohaned Ibrahim Hussein Mohamed 125 , Ali Yasen Y Mohamedahmed 126 , Ismael Mora-Guzmán 127 , Francesk Mulita 128 , Ana-Maria Musina 129 , Pradeep H Navsaria 130 , Ionut Negoi 131 , Gabriela Elisa Nita 114 , Donal B O'Connor 132 , Carlos Alberto Ordoñez 133 , Desiré Pantalone 134 , Arpád Panyko 135 , Aristeidis Papadopoulos 136 , Nikolaos Pararas 137 , Francesco Pata 138 , Tapan Patel 139 , Gianluca Pellino 140 , Teresa Perra 141 , Gennaro Perrone 142 , Antonio Pesce 143 , Tadeja Pintar 144 , Georgi Ivanov Popivanov 145 , Alberto Porcu 141 , Martha Alexa Quiodettis 146 , Razrim Rahim 147 , Ashrarur Rahman Mitul 148 , Martin Reichert 17 , Miran Rems 149 , Glendee Yolande Reynolds Campbell 150 , Nuno Rocha-Pereira 151 , Gabriel Rodrigues 152 , Gustavo Eduardo Roncancio Villamil 153, 154 , Stefano Rossi 155 , Ibrahima Sall 156 , Hossein Samadi Kafil 157 , Diego Sasia 87 , Jeremiah Seni 158 , Charalampos Seretis 159 , Mario Serradilla-Martín 160 , Vishal G Shelat 161 , Boonying Siribumrungwong 162 , Mihail Slavchev 163 , Leonardo Solaini 164 , Boun Kim Tan 165 , Antonio Tarasconi 142 , Dario Tartaglia 3 , Elena Adelina Toma 78 , Gia Tomadze 166 , Adriana Toro 167 , Marcos Roberto Tovani-Palone 168 , Harry van Goor 169 , Alin Vasilescu 170 , Andras Vereczkei 171 , Massimiliano Veroux 172 , Sergio Alberto Weckmann 173 , Lukas Werner Widmer 174 , AliIbrahim Yahya 175 , Sanoop K Zachariah 176 , Andee Dzulkarnaen Zakaria 177 , Nadezhda Zubareva 178 , Wietse P Zuidema 179 , Isidoro Di Carlo 172 , Francesco Cortese 180 , Gian Luca Baiocchi 181, 182 , Ronald V Maier 183 , Fausto Catena 184
Affiliation
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. 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. 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. 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.
中文翻译：
是时候定义一种预防和管理手术途径感染的组织模式了：一项全球横断面调查
该研究的目的是调查全球急性护理设施在预防和管理手术感染方面的组织特征；评估参与者对感染预防和控制 (IPC) 措施、抗生素处方实践和源头控制的看法；描述对全球抗微生物药物耐药性负担 (AMR) 和 IPC 措施的认识；并确定 2019 年冠状病毒病大流行对上述意识的影响。进行了一项基于网络的横断面调查，联系了全球外科感染联盟提供的邮件列表中的 1432 名卫生保健工作者 (HCW)。自我管理的问卷是由一个多学科团队开发的。该调查于 2021 年 5 月 22 日和 2021 年 6 月 22 日开放。分别在 7、14 和 21 天后发送了三个提醒。来自 72 个国家的 304 名受访者返回了问卷，总体回复率为 21.2%。分别有 90.4% 和 68.8% 的参与者表示他们的医院拥有多学科 IPC 团队或多学科抗菌药物管理团队。分别有 76.6% 和 90.8% 的医院存在手术感染的局部抗菌治疗方案和手术抗生素预防方案。23.4% 和 24.0% 的医院没有实施手术部位感染监测系统，也没有实施使用过的抗菌药物监测系统。大多数受访者 (65.1%) 认为患者和家属参与 IPC 管理在他们的医院中并不重要或不重要。54 认为 HCW 对全球 AMR 负担的认识非常重要或重要。6% 的参与者。80.3% 的受访者认为 COVID-19 大流行是提高 HCW 对其医院 IPC 计划认识的一个非常重要或重要的因素。根据调查结果，作者针对有关预防和管理手术感染的几个问题制定了 15 条陈述。这些陈述可能是设计未来基于证据的建议的起点。急性护理机构感染预防和管理的充分性取决于医护人员的行为和急性护理机构的组织特征，以支持最佳实践和促进行为改变。仍然很少考虑患者参与 IPC 的实施。关于如何实施 IPC 的根本变革的辩论，
更新日期：2022-03-17
中文翻译：
是时候定义一种预防和管理手术途径感染的组织模式了：一项全球横断面调查
该研究的目的是调查全球急性护理设施在预防和管理手术感染方面的组织特征；评估参与者对感染预防和控制 (IPC) 措施、抗生素处方实践和源头控制的看法；描述对全球抗微生物药物耐药性负担 (AMR) 和 IPC 措施的认识；并确定 2019 年冠状病毒病大流行对上述意识的影响。进行了一项基于网络的横断面调查，联系了全球外科感染联盟提供的邮件列表中的 1432 名卫生保健工作者 (HCW)。自我管理的问卷是由一个多学科团队开发的。该调查于 2021 年 5 月 22 日和 2021 年 6 月 22 日开放。分别在 7、14 和 21 天后发送了三个提醒。来自 72 个国家的 304 名受访者返回了问卷，总体回复率为 21.2%。分别有 90.4% 和 68.8% 的参与者表示他们的医院拥有多学科 IPC 团队或多学科抗菌药物管理团队。分别有 76.6% 和 90.8% 的医院存在手术感染的局部抗菌治疗方案和手术抗生素预防方案。23.4% 和 24.0% 的医院没有实施手术部位感染监测系统，也没有实施使用过的抗菌药物监测系统。大多数受访者 (65.1%) 认为患者和家属参与 IPC 管理在他们的医院中并不重要或不重要。54 认为 HCW 对全球 AMR 负担的认识非常重要或重要。6% 的参与者。80.3% 的受访者认为 COVID-19 大流行是提高 HCW 对其医院 IPC 计划认识的一个非常重要或重要的因素。根据调查结果，作者针对有关预防和管理手术感染的几个问题制定了 15 条陈述。这些陈述可能是设计未来基于证据的建议的起点。急性护理机构感染预防和管理的充分性取决于医护人员的行为和急性护理机构的组织特征，以支持最佳实践和促进行为改变。仍然很少考虑患者参与 IPC 的实施。关于如何实施 IPC 的根本变革的辩论，
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