5 results on '"Barone, L. C."'
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2. Ukrainian refugee crisis management in the Local Health Authority Roma 1: the challenges of implementing public health policies and lessons learned
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Parente, Paolo, Melnyk, Andriy, Barone, L. C., Kohut, M., Messina, Maria Renata, Lombardo, Paola, Villani, Leonardo, Riccardi, M. T., Martelli, M. G., Grossi, A., Barbara, A., Mogini, V., Santone, Germano, Goletti, M., Parente P., Melnyk A., Messina R., Lombardo P., Villani L. (ORCID:0000-0001-9375-8731), Santone G., Parente, Paolo, Melnyk, Andriy, Barone, L. C., Kohut, M., Messina, Maria Renata, Lombardo, Paola, Villani, Leonardo, Riccardi, M. T., Martelli, M. G., Grossi, A., Barbara, A., Mogini, V., Santone, Germano, Goletti, M., Parente P., Melnyk A., Messina R., Lombardo P., Villani L. (ORCID:0000-0001-9375-8731), and Santone G.
- Abstract
Background: The conflict between Russia and Ukraine has strained the health systems of countries that welcome war refugees on all levels, from national to local. Despite the Public Health guidelines regarding assistance being published on the topic, the scientific literature currently lacks evidence on the experience of applying theory in practice. This study aims to describe evidence-based practices that were implemented and to provide a detailed description of emerging problems and solutions pertaining Ukrainian refugee assistance in the context of one of the biggest Local Health Authorities in Italy (LHA Roma 1). Methods: LHA Roma 1 developed a strategic plan based on local expertise, national and international guidelines to ensure infectious disease prevention and control, as well as continuity of care for non-communicable diseases and mental health. Results: The insertion of Ukrainian refugees in the National Health System through an identification code assignment and other services such as COVID-19 swab and vaccination were provided either in one of the three major assistance hubs or in local district level ambulatories spread throughout the LHA. Many challenges were faced during the implementation phase of the outlined practice guidelines, which required sensible and timely solutions. These challenges include the necessity of rapid resource provision, overcoming linguistic and cultural barriers, guaranteeing a standard of care across multiple sites and coordination of interventions. Public Private Partnerships, the creation of a centralized multicultural and multidisciplinary team and the mutually beneficial collaboration with the local Ukrainian community were essential to guarantee the success of all operations. Conclusions: The experience of LHA Roma 1 helps shed light on the importance of leadership in emergency settings and how a dynamic relationship between policy and practice would allow each intervention to be modulated according to the local environm
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- 2023
3. Additional file 1 of The impact of the COVID-19 pandemic on healthcare-associated infections in intensive care unit patients: a retrospective cohort study
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Baccolini, V., Migliara, G., Isonne, C., Dorelli, B., Barone, L. C., Giannini, D., Marotta, D., Marte, M., Mazzalai, E., Alessandri, F., Pugliese, F., Ceccarelli, G., De Vito, C., Marzuillo, C., De Giusti, M., and Villari, P.
- Abstract
Additional file 1: Table S.1. Characteristics of the patients admitted to the main intensive care unit of Umberto I teaching hospital of Rome between 1st March and 4th April 2020. Results are expressed as number (percentage), mean (standard deviation) or median (interquartile range). Table S.2. Type and frequency of all healthcare-associated infections (HAIs) registered by the active surveillance system among the patients admitted to the main intensive care unit of Umberto I teaching hospital of Rome between 1st March and 4th April 2020. Results are expressed as number (percentage).
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- 2021
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4. The Synergistic Effect of Time of Exposure, Distance and No Use of Personal Protective Equipment in the Determination of SARS-CoV-2 Infection: Results of a Contact Tracing Follow-Up Study in Healthcare Workers
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La Torre, G., Marte, M., Previte, C. M., Barone, L. C., Picchioni, F., Chiappetta, M., Faticoni, A., Marotta, D., Mazzalai, E., Barletta, V. I., Kibi, S., Cammalleri, V., Dorelli, B., Giffi, M., Pocino, R. N., Massetti, A. P., Fimiani, C., Turriziani, O., Romano, F., Antonelli, G., Deales, A., Mastroianni, C. M., Vasaturo, F., Rossi, N., D'Ambrogio, M. G., Calogero, C., Falasconi, G., Mazza, S., Limongi, A., Drago, G., Del Parco, F., Nicoli, F., Colazingari, V., Renzi, S., Celani, M., Buzatu, A., Andreski, A., Koteva, M., Mazza, E., Morgante, L., Masi, P., Bruccoleri, G., La Penna, V., Casertano, F., Vespa, G., Vannozzi, A., Attardo, I., Candeloro, C., Apuzzo, D., Terzo, D., Olbes, A., Addari, S., Cinti, N. A., Bolettieri, A., Campanella, G., Silvestri, G., Sorrentino, A., Taibi, C., Ponzi, B., Marceline, N. K., Colelli, C., Cupelloni, L., Festucci, S., Bellenzier, C., Ribezzo, G., Fabbri, S., Tenore, G., Pacheco, R. M. V., Caprini, D., Andreacchio, S., Antico, R., Catherine, S. M., Pepe, P., Ricci, D., D'Intino, P., Chiaravallotti, S., Napolitano, D., Panarello, C., Galbera, M., Iobbi, N., Lomartire, F., and Inchingolo, V.
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safety ,Infectious Disease Transmission, Patient-to-Professional ,Health Personnel ,Health, Toxicology and Mutagenesis ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,education ,Article ,contact tracing ,synergism ,Environmental health ,time of exposure ,Health care ,Humans ,Medicine ,COVID-19 ,cistance ,personal protective equipment ,SARS-CoV-2 ,female ,follow-up studies ,health personnel ,humans ,infectious disease transmission ,patient-to-professional ,middle aged ,pandemics ,distance ,Pandemics ,Personal protective equipment ,Univariate analysis ,business.industry ,Proportional hazards model ,Hazard ratio ,Public Health, Environmental and Occupational Health ,Follow up studies ,virus diseases ,Middle Aged ,Female ,business ,Contact tracing ,Follow-Up Studies - Abstract
The aim of this study is to assess the effect of contact time, contact distance and the use of personal protective equipment on the determination of SARS-CoV-2 infection in healthcare workers (HCWs). This study consists of an analysis of data gathered for safety reasons at the Sapienza Teaching Hospital Policlinico Umberto I in Rome through the surveillance system that was put into place after the worsening of the COVID-19 pandemic. The studied subjects consist of HCWs who were put under health surveillance, i.e., all employees who were in contact with subjects who were confirmed to have tested positive for SARS-CoV-2. The HCWs under surveillance were monitored for a period encompassing ten days after the date of contact, during which they undertook nasopharyngeal swab tests analysed through RT-PCR (RealStar® SARS-CoV-2 Altona Diagnostic–Germany). Descriptive and univariate analyses have been undertaken, considering the following as risk factors: (a) no personal protective equipment use (PPE), (b) Distance <, 1 m between the positive and contact persons, (c) contact time >, 15′. Finally, a Cox regression and an analysis of the level of synergism between factors, as specified by Rothman, were carried out. We analysed data from 1273 HCWs. Of these HCWs, 799 (62.8%) were females, with a sample average age of 47.8 years. Thirty-nine (3.1%) tested positive during surveillance. The overall incidence rate was 0.4 per 100 person-days. Time elapsed from the last exposure and a positive RT-PCR result ranged from 2 to 17 days (mean = 7, median = 6 days). In the univariate analysis, a distance <, 1 m and a contact time >, 15′ proved to be risk factors for the SARS-CoV-2 infection, with a hazard ratio (HR) of 2.62 (95% CI: 1.11–6.19) and 3.59 (95% IC: 1.57–8.21), respectively. The synergism analysis found the highest synergism between the “no PPE use” x “Contact time”. The synergy index S remains strongly positive also in the analysis of the factors “no PPE use” x “Distance” and “Time of contact” x “Distance”. This study confirms the absolute need to implement safety protocols during the pandemic and to use the correct PPE within health facilities in order to prevent SARS-CoV-2 infection. The analysis shows that among the factors considered (contact time and distance, no use of PPE), there is a strong synergistic effect.
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- 2021
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5. Incidence rate of Healthcare Associated Infections in a COVID-19 Intensive Care Unit.
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Marte, M., Marotta, D., Giannini, D., Mazzalai, E., Barone, L. C., Baccolini, V., Migliara, G., Marzuillo, C., Giusti, M. De, and Villari, P.
- Subjects
CROSS infection prevention ,INTENSIVE care units ,CROSS infection ,CONFERENCES & conventions ,RISK assessment ,COVID-19 pandemic - Abstract
Background: Intensive Care Units (ICU) faced a high pressure under the COVID-19 pandemic. It is recognized that patients admitted in these wards are more susceptible to Healthcare Associated Infections (HAIs). This study aims at comparing the incidence of HAIs in a COVID-19 ICU to a No-COVID ward. Methods: A retrospective cohort study including patients admitted to the ICU of the Teaching Hospital Policlinico Umberto I in Rome from April 2020 to March 2021 was performed. Data on age, gender, hospitalization, different types of devices (ventilation, central venous and urinary catheter), number and type of device-related HAI were collected. Statistical analyses were performed with Episheet and STATA 13. Results: Out of 347 patients admitted in the ICUs, 329 were included in the study (217 had COVID-19 and 112 had not). In the COVID-19 group, patients were mainly male (69.58%) with a mean age of 62.513.5 years, whereas the other group was slightly older (63.216.2 years) and more balanced between the two sexes (52.68% male). A total of 133 patients developed at least one HAI, 94 of which were SARS-CoV-2 positive. Globally, 246 HAIs were diagnosed: 163 occurred in the COVID group and 83 in the No-COVID one. The cumulative days of hospitalization were 3233 for the COVID group and 2134 for the No-COVID. The incidence of HAI considered for 1000 days of hospitalization among COVID patients was 50.42 (IC 95%: 42.97-58.78), compared to 38.89 (IC 95%: 30.98- 48.22) for the No-COVID one, for an incidence rate ratio of 1.30 (IC 95%: 0.99-1.71). Conclusions: Even though the confidence interval contains the value 1, the results point out that there is an increase in the incidence rate of HAI among COVID-19 patients. Further investigations are needed to better understand the reasons behind the present findings. Key messages: Patients admitted to Intensive Care Units are more susceptible to Healthcare Associated Infections. Our study aims at describing the impact of COVID-19 on the risk of developing such conditions. Being infected with COVID-19 leads to an increase in the incidence rate of Healthcare Associated Infections. Further studies are needed to understand the underlying reasons. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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