Implementation Strategies for Preventing Healthcare-Associated Infections across the Surgical Pathway: An Italian Multisociety Document

Abstract

Healthcare-associated infections (HAIs) result in significant patient morbidity and can prolong the duration of the hospital stay, causing high supplementary costs in addition to those already sustained due to the patient’s underlying disease. Moreover, bacteria are becoming increasingly resistant to antibiotics, making HAI prevention even more important nowadays. The public health consequences of antimicrobial resistance should be constrained by prevention and control actions, which must be a priority for all health systems of the world at all levels of care. As many HAIs are preventable, they may be considered an important indicator of the quality of patient care and represent an important patient safety issue in healthcare. To share implementation strategies for preventing HAIs in the surgical setting and in all healthcare facilities, an Italian multi-society document was published online in November 2022. This article represents an evidence-based summary of the document.

Surgical Antibiotic Prophylaxis: A Proposal for a Global Evidence-Based Bundle

“…Various implementation interventions have been described and can potentially be used to promote compliance with guidelines [75]. In the setting of SSI prevention, in 2019, Ariyo et al published a systematic review of utilised implementation strategies [76].…”

Hygienic practices among consultant anesthetists in teaching hospitals of Sindh Pakistan

“…This suggested that experience may influence certain aspects of hygienic practice, indicating a potential area for targeted training and development among less experienced anesthetists 15 . Due to the self-reported nature of the survey and the voluntary nature of the participation, this study contains the potential for response and non-response bias [16][17] .…”

Análisis bacteriológico de superficies y efectividad in vitro de desinfectantes en el área de neonatología y quirófano del Hospital Humanitario Fundación Pablo Jaramillo Crespo. Cuenca – Ecuador

“…Por otro lado, resistencia bacteriana frente a desinfectantes es un problema frecuente, en varias ocasiones se relacionan con Infecciones asociadas a la Atención en Salud (IAAS) (6). El uso de desinfectantes de grado hospitalario ayuda a evitar estas infecciones garantizando esterilidad y limpieza de estas áreas; sin embargo, actualmente las infecciones nosocomiales han incrementado en gran medida (7). Se puede observar en los últimos años la aparición de resistencias ligada a biosidas, particularmente a desinfectantes de uso hospitalario, siendo este un punto un factor favorable en la supervivencia y multirresistencia dando como resultado contaminación intrahospitalaria (8).…”