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1. 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

Sartelli, M., Labricciosa, F. M., Coccolini, F., Coimbra, R., Abu-Zidan, F. M., Ansaloni, L., Al-Hasan, M. N., Ansari, S., Barie, P. S., Cainzos, M. A., Ceresoli, M., Chiarugi, M., Claridge, J. A., Cicuttin, E., Dellinger, E. P., Fry, D. E., Guirao, X., Hardcastle, T. C., Hecker, A., Leppaniemi, A. K., Litvin, A., Marwah, S., Maseda, E., Mazuski, J. E., Memish, Z. A., Kirkpatrick, A. W., Pagani, L., Podda, Maria Vittoria, 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., Arauz, 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., Boumediene, A., Brisinda, Giuseppe, 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, Fabrizio, Damaskos, D., Das, Anil Kumar, 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, Pietro, Gachabayov, M., Galeiras, R., Gattuso, G., Ghannam, W. M., Ghisetti, Valeria, Giraudo, G., Gonfa, K. B., Gonullu, E., Hamad, Y. T. E. Y., Hecker, M., Isik, A., Ismail, N., Ismail, A., Jain, S. A., Kanj, S. S., Kapoor, G., Karaiskos, I., Kavalakat, A. J., Kenig, J., Khamis, F., Khokha, V., Kiguba, R., Kim, J. I., Kobe, Y., Kok, K. Y. Y., Kovacevic, B. M., Kryvoruchko, I. A., Kuriyama, A., Landaluce-Olavarria, A., Lasithiotakis, K., Lohsiriwat, V., Lostoridis, E., Luppi, D., Vega, G. M. M., Maegele, M., Marinis, A., Martines, G., Martinez-Perez, A., Massalou, D., Mesina, C., Metan, G., Miranda-Novales, M. G., Mishra, S. K., Mohamed, M. I. H., Mohamedahmed, A. Y. Y., Mora-Guzman, I., Mulita, F., Musina, A. -M., Navsaria, P. H., Negoi, I., Nita, G. E., O'Connor, D. B., Ordonez, C. A., Pantalone, D., Panyko, A., Papadopoulos, A., Pararas, N., Pata, F., Patel, T., Pellino, Giuseppe, Perra, T., Perrone, G., Pesce, Antonio, Pintar, T., Popivanov, G. I., Porcu, A., Quiodettis, M. A., Rahim, R., Mitul, A. R., Reichert, M., Rems, M., Campbell, G. Y. R., Rocha-Pereira, N., Rodrigues, G., Villamil, G. E. R., Rossi, S., Sall, I., Kafil, H. S., Sasia, D., Seni, J., Seretis, C., Serradilla-Martin, M., Shelat, V. G., Siribumrungwong, B., Slavchev, M., Solaini, L., Tan, B. K., Tarasconi, A., Tartaglia, D., Toma, E. A., Tomadze, G., Toro, A., Tovani-Palone, M. R., van Goor, H., Vasilescu, A., Vereczkei, A., Veroux, M., Weckmann, S. A., Widmer, L. W., Yahya, A. I., Zachariah, S. K., Zakaria, A. D., Zubareva, N., Zuidema, W. P., Di Carlo, I., Cortese, Francesco, Baiocchi, G. L., Maier, R. V., Catena, F., Podda M. (ORCID:0000-0002-2779-8417), Brisinda G. (ORCID:0000-0001-8820-9471), D'Acapito F., Das K., Fransvea P. (ORCID:0000-0003-4969-3373), Ghisetti V., Pellino G., Pesce A., Cortese F., Sartelli, M., Labricciosa, F. M., Coccolini, F., Coimbra, R., Abu-Zidan, F. M., Ansaloni, L., Al-Hasan, M. N., Ansari, S., Barie, P. S., Cainzos, M. A., Ceresoli, M., Chiarugi, M., Claridge, J. A., Cicuttin, E., Dellinger, E. P., Fry, D. E., Guirao, X., Hardcastle, T. C., Hecker, A., Leppaniemi, A. K., Litvin, A., Marwah, S., Maseda, E., Mazuski, J. E., Memish, Z. A., Kirkpatrick, A. W., Pagani, L., Podda, Maria Vittoria, 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., Arauz, 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., Boumediene, A., Brisinda, Giuseppe, 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, Fabrizio, Damaskos, D., Das, Anil Kumar, 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, Pietro, Gachabayov, M., Galeiras, R., Gattuso, G., Ghannam, W. M., Ghisetti, Valeria, Giraudo, G., Gonfa, K. B., Gonullu, E., Hamad, Y. T. E. Y., Hecker, M., Isik, A., Ismail, N., Ismail, A., Jain, S. A., Kanj, S. S., Kapoor, G., Karaiskos, I., Kavalakat, A. J., Kenig, J., Khamis, F., Khokha, V., Kiguba, R., Kim, J. I., Kobe, Y., Kok, K. Y. Y., Kovacevic, B. M., Kryvoruchko, I. A., Kuriyama, A., Landaluce-Olavarria, A., Lasithiotakis, K., Lohsiriwat, V., Lostoridis, E., Luppi, D., Vega, G. M. M., Maegele, M., Marinis, A., Martines, G., Martinez-Perez, A., Massalou, D., Mesina, C., Metan, G., Miranda-Novales, M. G., Mishra, S. K., Mohamed, M. I. H., Mohamedahmed, A. Y. Y., Mora-Guzman, I., Mulita, F., Musina, A. -M., Navsaria, P. H., Negoi, I., Nita, G. E., O'Connor, D. B., Ordonez, C. A., Pantalone, D., Panyko, A., Papadopoulos, A., Pararas, N., Pata, F., Patel, T., Pellino, Giuseppe, Perra, T., Perrone, G., Pesce, Antonio, Pintar, T., Popivanov, G. I., Porcu, A., Quiodettis, M. A., Rahim, R., Mitul, A. R., Reichert, M., Rems, M., Campbell, G. Y. R., Rocha-Pereira, N., Rodrigues, G., Villamil, G. E. R., Rossi, S., Sall, I., Kafil, H. S., Sasia, D., Seni, J., Seretis, C., Serradilla-Martin, M., Shelat, V. G., Siribumrungwong, B., Slavchev, M., Solaini, L., Tan, B. K., Tarasconi, A., Tartaglia, D., Toma, E. A., Tomadze, G., Toro, A., Tovani-Palone, M. R., van Goor, H., Vasilescu, A., Vereczkei, A., Veroux, M., Weckmann, S. A., Widmer, L. W., Yahya, A. I., Zachariah, S. K., Zakaria, A. D., Zubareva, N., Zuidema, W. P., Di Carlo, I., Cortese, Francesco, Baiocchi, G. L., Maier, R. V., Catena, F., Podda M. (ORCID:0000-0002-2779-8417), Brisinda G. (ORCID:0000-0001-8820-9471), D'Acapito F., Das K., Fransvea P. (ORCID:0000-0003-4969-3373), Ghisetti V., Pellino G., Pesce A., and Cortese F.

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

Published
2022

2. 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

Sartelli, M, Labricciosa, F, Coccolini, F, Coimbra, R, Abu-Zidan, F, Ansaloni, L, Al-Hasan, M, Ansari, S, Barie, P, Cainzos, M, Ceresoli, M, Chiarugi, M, Claridge, J, Cicuttin, E, Dellinger, E, Fry, D, Guirao, X, Hardcastle, T, Hecker, A, Leppaniemi, A, Litvin, A, Marwah, S, Maseda, E, Mazuski, J, Memish, Z, Kirkpatrick, A, Pagani, L, Podda, M, Rasa, H, Sakakushev, B, Sawyer, R, Tumietto, F, Xiao, Y, Aboubreeg, W, Adamou, H, Akhmeteli, L, Akin, E, Alberio, M, Alconchel, F, Magagi, I, Arauz, A, Argenio, G, Atanasov, B, Atici, S, Awad, S, Baili, E, Bains, L, Bala, M, Baraket, O, Baral, S, Belskii, V, Benboubker, M, Ben-Ishay, O, Bordoni, P, Boumediene, A, Brisinda, G, Cavazzuti, L, Chandy, S, Chiarello, M, Cillara, N, Clarizia, G, Cocuz, M, Cocuz, I, Conti, L, Coppola, R, Cui, Y, Czepiel, J, D'Acapito, F, Damaskos, D, Das, K, De Simone, B, Delibegovic, S, Demetrashvili, Z, Detanac, D, Dhingra, S, Di Bella, S, Dimitrov, E, Dogjani, A, D'Oria, M, Dumitru, I, Elmangory, M, Enciu, O, Fantoni, M, Filipescu, D, Fleres, F, Foghetti, D, Fransvea, P, Gachabayov, M, Galeiras, R, Gattuso, G, Ghannam, W, Ghisetti, V, Giraudo, G, Gonfa, K, Gonullu, E, Hamad, Y, Hecker, M, Isik, A, Ismail, N, Ismail, A, Jain, S, Kanj, S, Kapoor, G, Karaiskos, I, Kavalakat, A, Kenig, J, Khamis, F, Khokha, V, Kiguba, R, Kim, J, Kobe, Y, Kok, K, Kovacevic, B, Kryvoruchko, I, Kuriyama, A, Landaluce-Olavarria, A, Lasithiotakis, K, Lohsiriwat, V, Lostoridis, E, Luppi, D, Vega, G, Maegele, M, Marinis, A, Martines, G, Martinez-Perez, A, Massalou, D, Mesina, C, Metan, G, Miranda-Novales, M, Mishra, S, Mohamed, M, Mohamedahmed, A, Mora-Guzman, I, Mulita, F, Musina, A, Navsaria, P, Negoi, I, Nita, G, O'Connor, D, Ordonez, C, Pantalone, D, Panyko, A, Papadopoulos, A, Pararas, N, Pata, F, Patel, T, Pellino, G, Perra, T, Perrone, G, Pesce, A, Pintar, T, Popivanov, G, Porcu, A, Quiodettis, M, Rahim, R, Mitul, A, Reichert, M, Rems, M, Campbell, G, Rocha-Pereira, N, Rodrigues, G, Villamil, G, Rossi, S, Sall, I, Kafil, H, Sasia, D, Seni, J, Seretis, C, Serradilla-Martin, M, Shelat, V, Siribumrungwong, B, Slavchev, M, Solaini, L, Tan, B, Tarasconi, A, Tartaglia, D, Toma, E, Tomadze, G, Toro, A, Tovani-Palone, M, van Goor, H, Vasilescu, A, Vereczkei, A, Veroux, M, Weckmann, S, Widmer, L, Yahya, A, Zachariah, S, Zakaria, A, Zubareva, N, Zuidema, W, Di Carlo, I, Cortese, F, Baiocchi, G, Maier, R, Catena, F, Sartelli M., Labricciosa F. M., Coccolini F., Coimbra R., Abu-Zidan F. M., Ansaloni L., Al-Hasan M. N., Ansari S., Barie P. S., Cainzos M. A., Ceresoli M., Chiarugi M., Claridge J. A., Cicuttin E., Dellinger E. P., Fry D. E., Guirao X., Hardcastle T. C., Hecker A., Leppaniemi 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., Arauz 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., Boumediene 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., Jain S. A., Kanj S. S., Kapoor G., Karaiskos I., Kavalakat A. J., Kenig J., Khamis F., Khokha V., Kiguba R., Kim J. I., Kobe Y., Kok K. Y. Y., Kovacevic B. M., Kryvoruchko I. A., Kuriyama A., Landaluce-Olavarria A., Lasithiotakis K., Lohsiriwat V., Lostoridis E., Luppi D., Vega G. M. M., Maegele M., Marinis A., Martines G., Martinez-Perez A., Massalou D., Mesina C., Metan G., Miranda-Novales M. G., Mishra S. K., Mohamed M. I. H., Mohamedahmed A. Y. Y., Mora-Guzman I., Mulita F., Musina A. -M., Navsaria P. H., Negoi I., Nita G. E., O'Connor D. B., Ordonez C. A., Pantalone D., Panyko A., Papadopoulos A., Pararas N., Pata F., Patel T., Pellino G., Perra T., Perrone G., Pesce A., Pintar T., Popivanov G. I., Porcu A., Quiodettis M. A., Rahim R., Mitul A. R., Reichert M., Rems M., Campbell G. Y. R., Rocha-Pereira N., Rodrigues G., Villamil G. E. R., Rossi S., Sall I., Kafil H. S., Sasia D., Seni J., Seretis C., Serradilla-Martin M., Shelat V. G., Siribumrungwong B., Slavchev M., Solaini L., Tan B. K., Tarasconi A., Tartaglia D., Toma E. A., Tomadze G., Toro A., Tovani-Palone M. R., van Goor H., Vasilescu A., Vereczkei A., Veroux M., Weckmann S. A., Widmer L. W., Yahya A. I., Zachariah S. K., Zakaria A. D., Zubareva N., Zuidema W. P., Di Carlo I., Cortese F., Baiocchi G. L., Maier R. V., Catena F., Sartelli, M, Labricciosa, F, Coccolini, F, Coimbra, R, Abu-Zidan, F, Ansaloni, L, Al-Hasan, M, Ansari, S, Barie, P, Cainzos, M, Ceresoli, M, Chiarugi, M, Claridge, J, Cicuttin, E, Dellinger, E, Fry, D, Guirao, X, Hardcastle, T, Hecker, A, Leppaniemi, A, Litvin, A, Marwah, S, Maseda, E, Mazuski, J, Memish, Z, Kirkpatrick, A, Pagani, L, Podda, M, Rasa, H, Sakakushev, B, Sawyer, R, Tumietto, F, Xiao, Y, Aboubreeg, W, Adamou, H, Akhmeteli, L, Akin, E, Alberio, M, Alconchel, F, Magagi, I, Arauz, A, Argenio, G, Atanasov, B, Atici, S, Awad, S, Baili, E, Bains, L, Bala, M, Baraket, O, Baral, S, Belskii, V, Benboubker, M, Ben-Ishay, O, Bordoni, P, Boumediene, A, Brisinda, G, Cavazzuti, L, Chandy, S, Chiarello, M, Cillara, N, Clarizia, G, Cocuz, M, Cocuz, I, Conti, L, Coppola, R, Cui, Y, Czepiel, J, D'Acapito, F, Damaskos, D, Das, K, De Simone, B, Delibegovic, S, Demetrashvili, Z, Detanac, D, Dhingra, S, Di Bella, S, Dimitrov, E, Dogjani, A, D'Oria, M, Dumitru, I, Elmangory, M, Enciu, O, Fantoni, M, Filipescu, D, Fleres, F, Foghetti, D, Fransvea, P, Gachabayov, M, Galeiras, R, Gattuso, G, Ghannam, W, Ghisetti, V, Giraudo, G, Gonfa, K, Gonullu, E, Hamad, Y, Hecker, M, Isik, A, Ismail, N, Ismail, A, Jain, S, Kanj, S, Kapoor, G, Karaiskos, I, Kavalakat, A, Kenig, J, Khamis, F, Khokha, V, Kiguba, R, Kim, J, Kobe, Y, Kok, K, Kovacevic, B, Kryvoruchko, I, Kuriyama, A, Landaluce-Olavarria, A, Lasithiotakis, K, Lohsiriwat, V, Lostoridis, E, Luppi, D, Vega, G, Maegele, M, Marinis, A, Martines, G, Martinez-Perez, A, Massalou, D, Mesina, C, Metan, G, Miranda-Novales, M, Mishra, S, Mohamed, M, Mohamedahmed, A, Mora-Guzman, I, Mulita, F, Musina, A, Navsaria, P, Negoi, I, Nita, G, O'Connor, D, Ordonez, C, Pantalone, D, Panyko, A, Papadopoulos, A, Pararas, N, Pata, F, Patel, T, Pellino, G, Perra, T, Perrone, G, Pesce, A, Pintar, T, Popivanov, G, Porcu, A, Quiodettis, M, Rahim, R, Mitul, A, Reichert, M, Rems, M, Campbell, G, Rocha-Pereira, N, Rodrigues, G, Villamil, G, Rossi, S, Sall, I, Kafil, H, Sasia, D, Seni, J, Seretis, C, Serradilla-Martin, M, Shelat, V, Siribumrungwong, B, Slavchev, M, Solaini, L, Tan, B, Tarasconi, A, Tartaglia, D, Toma, E, Tomadze, G, Toro, A, Tovani-Palone, M, van Goor, H, Vasilescu, A, Vereczkei, A, Veroux, M, Weckmann, S, Widmer, L, Yahya, A, Zachariah, S, Zakaria, A, Zubareva, N, Zuidema, W, Di Carlo, I, Cortese, F, Baiocchi, G, Maier, R, Catena, F, Sartelli M., Labricciosa F. M., Coccolini F., Coimbra R., Abu-Zidan F. M., Ansaloni L., Al-Hasan M. N., Ansari S., Barie P. S., Cainzos M. A., Ceresoli M., Chiarugi M., Claridge J. A., Cicuttin E., Dellinger E. P., Fry D. E., Guirao X., Hardcastle T. C., Hecker A., Leppaniemi 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., Arauz 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., Boumediene 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., Jain S. A., Kanj S. S., Kapoor G., Karaiskos I., Kavalakat A. J., Kenig J., Khamis F., Khokha V., Kiguba R., Kim J. I., Kobe Y., Kok K. Y. Y., Kovacevic B. M., Kryvoruchko I. A., Kuriyama A., Landaluce-Olavarria A., Lasithiotakis K., Lohsiriwat V., Lostoridis E., Luppi D., Vega G. M. M., Maegele M., Marinis A., Martines G., Martinez-Perez A., Massalou D., Mesina C., Metan G., Miranda-Novales M. G., Mishra S. K., Mohamed M. I. H., Mohamedahmed A. Y. Y., Mora-Guzman I., Mulita F., Musina A. -M., Navsaria P. H., Negoi I., Nita G. E., O'Connor D. B., Ordonez C. A., Pantalone D., Panyko A., Papadopoulos A., Pararas N., Pata F., Patel T., Pellino G., Perra T., Perrone G., Pesce A., Pintar T., Popivanov G. I., Porcu A., Quiodettis M. A., Rahim R., Mitul A. R., Reichert M., Rems M., Campbell G. Y. R., Rocha-Pereira N., Rodrigues G., Villamil G. E. R., Rossi S., Sall I., Kafil H. S., Sasia D., Seni J., Seretis C., Serradilla-Martin M., Shelat V. G., Siribumrungwong B., Slavchev M., Solaini L., Tan B. K., Tarasconi A., Tartaglia D., Toma E. A., Tomadze G., Toro A., Tovani-Palone M. R., van Goor H., Vasilescu A., Vereczkei A., Veroux M., Weckmann S. A., Widmer L. W., Yahya A. I., Zachariah S. K., Zakaria A. D., Zubareva N., Zuidema W. P., Di Carlo I., Cortese F., Baiocchi G. L., Maier R. V., and Catena F.

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

Published
2022

3. Response to Dioscoridi et al .

Author

Popivanov, G. I., primary, Mutafchiyski, V. M., additional, Cirocchi, R., additional, Chipeva, S. D., additional, Vasilev, V. V., additional, Kjossev, K. T., additional, and Tabakov, M. S., additional

Published
2020
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5. Endoluminal negative pressure therapy in colorectal anastomotic leaks.

Author

Popivanov, G. I., Mutafchiyski, V. M., Cirocchi, R., Chipeva, S. D., Vasilev, V. V., Kjossev, K. Ts., and Tabakov, M. S.

Subjects
*ILEOSTOMY, *PRESSURE, *ELECTRONIC information resource searching, *LITERATURE reviews, *ABSCESSES
Abstract

Aim: The aim of the present work was to perform an up‐to‐date review of the literature on endoluminal negative pressure therapy for colorectal anastomotic leak. Method: An electronic search in PubMed and Google Scholar and a manual search without language restrictions were performed on 25 January 2019. Only original series reporting endoluminal negative pressure therapy in colorectal anastomotic leaks were included. The primary outcome was the success rate (complete closure of the abscess cavity). The secondary outcomes were the rates of complications and stoma closure. Results: Nineteen series with a total of 295 cases were analysed. The median distance of the anastomosis from the anal verge and the size of the abscess were 5.65 cm (4.9–10) and 6.0 cm (5–8.1) respectively. In 84.5% (78%–91%) the stoma was created at the first intervention. Neoadjuvant therapy was performed in 48.6% (3%–60%). Median 7 sponges (2–34) were used with median negative pressure 150 mmHg (125–700) for a median of 31 days (14–127). The success rate was 85.4% (80%–91%) with ileostomy closure in 72.6%. Complications were observed in 19% (13%–25%): abscesses 11.5% and anastomotic stenosis 4.4%. Laparotomy was required in 15% of the complications. The stoma was the only significant predictor for the success of the therapy (0.007, SE 0.004, P = 0.040). Conclusions: The initial experience looks promising with an 85% success rate, which precludes risky re‐resections with redo anastomosis or Hartmann's procedure. Despite the good initial results, definitive conclusions cannot be drawn because of the small sample size and the lack of high‐quality comparative studies. [ABSTRACT FROM AUTHOR]

Published
2020
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8. Open abdomen and VAC®in severe diffuse peritonitis

Author

Mutafchiyski, Ventsislav M, Popivanov, G I, Kjossev, K T, and Chipeva, S

Abstract

BackgroundCurrently, the open abdomen technique is the widely recognised method for treatment of life-threatening trauma, intra-abdominal sepsis, abdominal compartment syndrome and wound dehiscence. The techniques for temporary closure using negative pressure have gained increasing popularity. Although negative pressure wound therapy has been proved as an effective method in trauma, the results in diffuse peritonitis are contradictory.MethodsOverall, 108 patients with diffuse peritonitis and open abdomen were prospectively enrolled from January 2006 to December 2013—69 treated with mesh-foil laparostomy without negative pressure and 49 with vacuum-assisted closure (VAC®) The primary endpoints were the rate of primary fascial closure and mortality. The secondary outcomes were the rate of complications—enteroatmospheric fistulas, intra-abdominal abscesses, wound infection and necrotising fasciitis, intensive care unit (ICU) and overall hospital stay.ResultsVAC was associated with higher overall (73% vs 53%) and late primary fascial closure rates (31% vs 7%), lower rates of necrotising fasciitis (2% vs 15%, p=0.012), intra-abdominal abscesses (10% vs 20%), enteroatmospheric fistulas (8% vs 19%), overall mortality (31% vs 53%, p<0.05), shorter ICU (6.1 vs 10.6 days, p=0.002) and hospital stay (15.1 vs 25.9 days, p=0.000).ConclusionsThe results clearly suggest the obvious advantage of VAC in comparison to the temporary abdominal closure without negative pressure in the cases with severe diffuse peritonitis. However, to a large extent, our results might be attributed to the combination of VAC with dynamic fascial closure.

Published
2016
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10. UNIQUE CASE OF SIMULTANEOUS ASPIRATION AND INGESTION OF TWO BULLETS AFTER A SINGLE FACIAL GUNSHOT WOUND.

Author

Mutafchiyski, V. M., Popivanov, G. I., Shopov, I. D., and Iordanov, H. A.

Abstract

Within the body, the bullets may have an unpredictable trajectory, which may pose diagnostic and treatment diffi culties. We present a patient, shot by automatic pistol of 7.65 mm caliber. The physical examination revealed a single facial gunshot wound without apparent exit wound, fi ve through-andthrough wounds of the extremities without chest or abdominal involvement. Quite unexpectedly, routine X-ray and subsequent CT scan revealed two projectiles, lodged in the right inferior bronchus and the proximal jejunum. Flexible bronchoscopy and upper endoscopy found no injuries of the trachea, bronchial tree and upper gastrointestinal tract, respectively. The bullet from the right bronchus was retrieved intact by rigid bronchoscopy, while the other was evacuated trough a normal defecation. To our knowledge, this is the fi rst case described in the literature. Despite casuistic, the aspiration or ingestion of the bullets should be considered in all cases of facial gunshot wounds without exit ones. Computer tomography allows excellent depiction of the projectile location and concomitant injuries and may help avoidance of unnecessary interventions [ABSTRACT FROM AUTHOR]

Published
2014

11. Open abdomen and VAC® in severe diffuse peritonitis.

Author

Mutafchiyski VM, Popivanov GI, Kjossev KT, and Chipeva S

Subjects
Adult, Aged, Fasciitis, Necrotizing, Female, Humans, Laparotomy, Length of Stay, Male, Middle Aged, Negative-Pressure Wound Therapy adverse effects, Prospective Studies, Negative-Pressure Wound Therapy methods, Negative-Pressure Wound Therapy statistics & numerical data, Peritonitis epidemiology, Peritonitis surgery, Postoperative Complications epidemiology
Abstract

Background: Currently, the open abdomen technique is the widely recognised method for treatment of life-threatening trauma, intra-abdominal sepsis, abdominal compartment syndrome and wound dehiscence. The techniques for temporary closure using negative pressure have gained increasing popularity. Although negative pressure wound therapy has been proved as an effective method in trauma, the results in diffuse peritonitis are contradictory., Methods: Overall, 108 patients with diffuse peritonitis and open abdomen were prospectively enrolled from January 2006 to December 2013--69 treated with mesh-foil laparostomy without negative pressure and 49 with vacuum-assisted closure (VAC(®)) The primary endpoints were the rate of primary fascial closure and mortality. The secondary outcomes were the rate of complications--enteroatmospheric fistulas, intra-abdominal abscesses, wound infection and necrotising fasciitis, intensive care unit (ICU) and overall hospital stay., Results: VAC was associated with higher overall (73% vs 53%) and late primary fascial closure rates (31% vs 7%), lower rates of necrotising fasciitis (2% vs 15%, p=0.012), intra-abdominal abscesses (10% vs 20%), enteroatmospheric fistulas (8% vs 19%), overall mortality (31% vs 53%, p<0.05), shorter ICU (6.1 vs 10.6 days, p=0.002) and hospital stay (15.1 vs 25.9 days, p=0.000)., Conclusions: The results clearly suggest the obvious advantage of VAC in comparison to the temporary abdominal closure without negative pressure in the cases with severe diffuse peritonitis. However, to a large extent, our results might be attributed to the combination of VAC with dynamic fascial closure., (Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/)

Published
2016
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