World Journal of Emergency Surgery (Feb 2020)
A proposal for a comprehensive approach to infections across the surgical pathway
- Massimo Sartelli,
- Leonardo Pagani,
- Stefania Iannazzo,
- Maria Luisa Moro,
- Pierluigi Viale,
- Angelo Pan,
- Luca Ansaloni,
- Federico Coccolini,
- Marcello Mario D’Errico,
- Iris Agreiter,
- Giorgio Amadio Nespola,
- Francesco Barchiesi,
- Valeria Benigni,
- Raffaella Binazzi,
- Stefano Cappanera,
- Alessandro Chiodera,
- Valentina Cola,
- Daniela Corsi,
- Francesco Cortese,
- Massimo Crapis,
- Francesco Cristini,
- Alessandro D’Arpino,
- Belinda De Simone,
- Stefano Di Bella,
- Francesco Di Marzo,
- Abele Donati,
- Daniele Elisei,
- Massimo Fantoni,
- Anna Ferrari,
- Domitilla Foghetti,
- Daniela Francisci,
- Gianni Gattuso,
- Andrea Giacometti,
- Guido Cesare Gesuelli,
- Cristina Marmorale,
- Enrica Martini,
- Marcello Meledandri,
- Rita Murri,
- Daniela Padrini,
- Dalia Palmieri,
- Paola Pauri,
- Carla Rebagliati,
- Enrico Ricchizzi,
- Vittorio Sambri,
- Anna Maria Schimizzi,
- Walter Siquini,
- Loredana Scoccia,
- Giancarlo Scoppettuolo,
- Gabriele Sganga,
- Nadia Storti,
- Marcello Tavio,
- Giulio Toccafondi,
- Fabio Tumietto,
- Bruno Viaggi,
- Marco Vivarelli,
- Cristian Tranà,
- Melina Raso,
- Francesco Maria Labricciosa,
- Sameer Dhingra,
- Fausto Catena
Affiliations
- Massimo Sartelli
- Department of Surgery, Macerata Hospital, ASUR Marche
- Leonardo Pagani
- Infectious Diseases Unit, Bolzano Central Hospital
- Stefania Iannazzo
- Ministry of Health
- Maria Luisa Moro
- Regional Agency for Health and Social Care, Emilia-Romagna Region–ASSR
- Pierluigi Viale
- Department of Medical and Surgical Sciences, Clinics of Infectious Diseases, S. Orsola-Malpighi Hospital, “Alma Mater Studiorum”-University of Bologna
- Angelo Pan
- Infectious Diseases, ASST di Cremona
- Luca Ansaloni
- General, Emergency and Trauma Surgery Department, Bufalini Hospital
- Federico Coccolini
- Emergency Surgery Unit, New Santa Chiara Hospital, University of Pisa
- Marcello Mario D’Errico
- Department of Biomedical Sciences and Public Health, Marche Polytechnic University
- Iris Agreiter
- Bone Marrow Transplant Unit, Denis Burkitt, St. James’s Hospital
- Giorgio Amadio Nespola
- Infectious Diseases Unit, Fermo Hospital, ASUR Marche
- Francesco Barchiesi
- Infectious Diseases Unit, Azienda Ospedaliera Ospedali Riuniti Marche Nord
- Valeria Benigni
- Clinical Administration, Senigallia Hospital, ASUR Marche
- Raffaella Binazzi
- Infectious Diseases Unit, Bolzano Central Hospital
- Stefano Cappanera
- Infectious Diseases Clinic, Department of Medicine, “S. Maria” Hospital, Terni, University of Perugia
- Alessandro Chiodera
- Infectious Diseases Unit, Macerata Hospital, ASUR Marche
- Valentina Cola
- Department of Hospital Pharmacy, Ospedali Riuniti di Ancona
- Daniela Corsi
- Department of Anesthesiology and Intensive Care Unit, Civitanova Marche Hospital, ASUR Marche
- Francesco Cortese
- Emergency Surgery and Trauma Care Unit, San Filippo Neri Hospital
- Massimo Crapis
- Infectious Diseases Unit, Pordenone Hospital
- Francesco Cristini
- Infectious Diseases Unit, Rimini Hospital
- Alessandro D’Arpino
- Hospital Pharmacy Unit, Santa Maria della Misericordia Hospital, Azienda Ospedaliera di Perugia
- Belinda De Simone
- Operative Unit of General Surgery, Azienda USL IRCCS Reggio Emilia
- Stefano Di Bella
- Infectious Diseases Department, Trieste University Hospital
- Francesco Di Marzo
- Department of Surgery, Versilia Hospital
- Abele Donati
- Department of Anesthesiology and Intensive Care Unit, Department of Biomedical Sciences and Public Health, Università Politecnica delle Marche
- Daniele Elisei
- Department of Anesthesiology and Intensive Care Unit, Macerata Hospital, ASUR Marche
- Massimo Fantoni
- Department of Infectious Diseases, Fondazione Policlinico A. Gemelli IRCCS, Istituto di Clinica delle Malattie Infettive, Università Cattolica S. Cuore
- Anna Ferrari
- Department of Critical Care Medicine Unit, San Filippo Neri Hospital
- Domitilla Foghetti
- Department of Surgery, Azienda Ospedaliera Ospedali Riuniti Marche Nord
- Daniela Francisci
- Infectious Diseases Clinic, University of Perugia
- Gianni Gattuso
- Infectious Diseases Unit, Carlo Poma Hospital
- Andrea Giacometti
- Infectious Diseases Clinic, Department of Biological Sciences and Public Health, Marche Polytechnic University
- Guido Cesare Gesuelli
- Department of Surgery, Macerata Hospital, ASUR Marche
- Cristina Marmorale
- Department of Surgery, Marche Polytechnic University of Marche Region
- Enrica Martini
- Hospital Hygiene Unit, Azienda Ospedaliero-Universitaria Ospedali Riuniti
- Marcello Meledandri
- Unit of Microbiology and Virology, San Filippo Neri Hospital
- Rita Murri
- Department of Infectious Diseases, Fondazione Policlinico A. Gemelli IRCCS, Istituto di Clinica delle Malattie Infettive, Università Cattolica S. Cuore
- Daniela Padrini
- Clinical Administration Santa Maria Annunziata Hospital, USL Toscana Centro
- Dalia Palmieri
- Epidemiology Office, AUSL Pescara
- Paola Pauri
- Unit of Microbiology and Virology, Senigallia Hospital
- Carla Rebagliati
- Surgical Unit, Savona Hospital
- Enrico Ricchizzi
- Regional Agency for Health and Social Care, Emilia-Romagna Region–ASSR
- Vittorio Sambri
- Department of Experimental, Diagnostic and Specialty Medicine (DIMES), University of Bologna
- Anna Maria Schimizzi
- Department of Internal Medicine
- Walter Siquini
- Department of Surgery, Macerata Hospital, ASUR Marche
- Loredana Scoccia
- Unit of Hospital Pharmacy, Macerata Hospital, ASUR Marche
- Giancarlo Scoppettuolo
- Infectious Diseases Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS
- Gabriele Sganga
- Division of Emergency Surgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore
- Nadia Storti
- General Directory, ASUR Marche
- Marcello Tavio
- Infectious Diseases Unit, Azienda Ospedaliero Universitaria Ospedali Riuniti
- Giulio Toccafondi
- Clinical Risk Management and Patient Safety Center
- Fabio Tumietto
- Department of Medical and Surgical Sciences, Clinics of Infectious Diseases, S. Orsola-Malpighi Hospital, “Alma Mater Studiorum”-University of Bologna
- Bruno Viaggi
- Department of Anesthesiology, Neuro Intensive Care Unit, Florence Careggi University Hospital
- Marco Vivarelli
- Unit of Hepato-Pancreato-Biliary and Transplant Surgery, Department of Experimental and Clinical Medicine, Polytechnic University of Marche
- Cristian Tranà
- Department of Surgery, Macerata Hospital, ASUR Marche
- Melina Raso
- Health First Europe
- Francesco Maria Labricciosa
- Global Alliance for Infections in Surgery
- Sameer Dhingra
- Faculty of Medical Sciences, School of Pharmacy, The University of the West Indies
- Fausto Catena
- Emergency Surgery Department, Parma University Hospital
- DOI
- https://doi.org/10.1186/s13017-020-00295-3
- Journal volume & issue
-
Vol. 15,
no. 1
pp. 1 – 26
Abstract
Abstract Despite evidence supporting the effectiveness of best practices in infection prevention and management, many healthcare workers fail to implement them and evidence-based practices tend to be underused in routine practice. Prevention and management of infections across the surgical pathway should always focus on collaboration among all healthcare workers sharing knowledge of best practices. To clarify key issues in the prevention and management of infections across the surgical pathway, a multidisciplinary task force of experts convened in Ancona, Italy, on May 31, 2019, for a national meeting. This document represents the executive summary of the final statements approved by the expert panel.
Keywords
- Antimicrobial resistance
- Antimicrobial stewardship
- Healthcare-associated infections
- Infection control
- Multidrug-resistant organisms
- Preoperative antibiotic prophylaxis