Response to Comments on Montagna et al. “Evaluation of Legionella Air Contamination in Healthcare Facilities by Different Sampling Methods: An Italian Multicenter Study” Int. J. Environ. Res. Public Health 2017, 14, 670

Montagna, Maria Teresa; Giglio, Osvalda De; Agodi, Antonella; Pasquarella, Cesira

doi:10.3390/ijerph14080906

IJERPH

2017

DOI: 10.3390/ijerph14080906

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Response to Comments on Montagna et al. “Evaluation of Legionella Air Contamination in Healthcare Facilities by Different Sampling Methods: An Italian Multicenter Study” Int. J. Environ. Res. Public Health 2017, 14, 670

Maria Teresa Montagna

Osvalda De Giglio

Antonella Agodi

et al.

Abstract: We would like to thank Collins andWalker for their comments and for acknowledging that this is an area requiring more research to improve our basic understanding of Legionella [1]. [...]

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Cited by 21 publications

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New immunomagnetic separation method to analyze risk factors for Legionella colonization in health care centres

Ortí-Lucas

Luciano

2022

J Expo Sci Environ Epidemiol

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Background It’s pivotal to control the presence of legionella in sanitary structures. So, it’s important to determine the risk factors associated with Legionella colonization in health care centres. In recent years that is why new diagnostic techniques have been developed. Objective To evaluate risks factors for Legionella colonization using a novel and more sensitive Legionella positivity index. Methods A total of 204 one-litre water samples (102 cold water samples and 102 hot water samples), were collected from 68 different sampling sites of the hospital water system and tested for Legionella spp. by two laboratories using culture, polymerase chain reaction and a method based on immunomagnetic separation (IMS). A Legionella positivity index was defined to evaluate Legionella colonization and associated risk factors in the 68 water samples sites. We performed bivariate analyses and then logistic regression analysis with adjustment of potentially confounding variables. We compared the performance of culture and IMS methods using this index as a new gold standard to determine if rapid IMS method is an acceptable alternative to the use of slower culture method. Results Based on the new Legionella positivity index, no statistically significant differences were found neither between laboratories nor between methods (culture, IMS). Positivity was significantly correlated with ambulatory health assistance ( p = 0.05) and frequency of use of the terminal points. The logistic regression model revealed that chlorine ( p = 0.009) and the frequency of use of the terminal points ( p = 0.001) are predictors of Legionella colonization. Regarding this index, the IMS method proved more sensitive (69%) than culture method (65.4%) in hot water samples. Significance We showed that the frequency of use of terminal points should be considered when examining environmental Legionella colonization, which can be better evaluated using the provided Legionella positivity index. This study has implications for the prevention of Legionnaires’ disease in hospital settings.

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New immunomagnetic separation method to analyze risk factors for Legionella colonization in health care centres

Ortí-Lucas

Luciano

2022

J Expo Sci Environ Epidemiol

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The Preventive Health Professions in Italy: The Efficient Use of Resources, Skills and Best Practice during the Pandemic

Marcotrigiano¹,

Pattavina

Blangiardi³

et al. 2022

Healthcare

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Health visitors (HVs) and environmental health officers (EHOs) are the healthcare workers (HCWs) who, in the Italian National Health Service, mainly operate in the prevention departments of local health authorities, guaranteeing the territorial activities specifically declared with the respective professional profiles. During the SARS-CoV-2 pandemic, it was necessary to reallocate all HCWs supporting Hygiene and Public Health Services involved on the front lines of the emergency, in order to perform preventive activities and to take immediate action to fight the spread of the virus. By means of an IT survey consisting of three sections, this study investigated how 960 HVs and EHOs dealt with this reallocation, with the shifting in service assignment, and with the perceived level of fatigue and pressure, through the application of skills acquired from university training. The synergy among the preventive health professions, the ability to work in a multi-professional team, and the complementary training of HCWs represent the main strengths for overcoming future public health challenges, aimed at protecting human health.

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Knowledge, Attitude, and Behaviour with Regard to Medication Errors in Intravenous Therapy: A Cross-Cultural Pilot Study

et al. 2023

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Background: Literature on the prevention of medication errors is growing, highlighting that knowledge, attitude and behavior with regard to medication errors are strategic to planning of educational activities and evaluating their impact on professional practice. In this context, the present pilot study aims to translate and validate nursing professionals’ knowledge, attitudes and behavior (KAB theory) concerning medication administration errors in ICU from English into Persian. Furthermore, two main objectives of the project were: performing a pilot study among Iranian nurses using the translated questionnaire and carrying out a cultural measurement of the KAB theory concerning medication administration errors in an ICU questionnaire across two groups of Italian and Iranian populations. Methods: A cross-cultural adaptation of an instrument, according to the Checklist for reporting of survey studies (CROSS), was performed. The convenience sample was made up of 529 Iranian and Italian registered nurses working in ICU. An exploratory factor analysis was performed and reliability was assessed. A multi-group confirmatory factor analysis was conducted to test the measurement invariance. Ethical approval was obtained. Results: There was an excellent internal consistency for the 19-item scale. Results regarding factorial invariance showed that the nursing population from Italy and Iran used the same cognitive framework to conceptualize the prevention of medication errors. Conclusions: Findings from this preliminary translation and cross-cultural validation confirm that the questionnaire is a reliable and valid instrument within Persian healthcare settings. Moreover, these findings suggest that Italian and Persian nurses used an identical cognitive framework or mental model when thinking about medication errors prevention. The paper not only provides, for the first time, a validated instrument to evaluate the KAB theory in Iran, but it should promote other researchers in extending this kind of research, supporting those countries where attention to medical error is still increasing.

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Response to Comments on Montagna et al. “Evaluation of Legionella Air Contamination in Healthcare Facilities by Different Sampling Methods: An Italian Multicenter Study” Int. J. Environ. Res. Public Health 2017, 14, 670

Abstract: We would like to thank Collins andWalker for their comments and for acknowledging that this is an area requiring more research to improve our basic understanding of Legionella [1]. [...]

Cited by 21 publications

References 5 publications

New immunomagnetic separation method to analyze risk factors for Legionella colonization in health care centres

New immunomagnetic separation method to analyze risk factors for Legionella colonization in health care centres

The Preventive Health Professions in Italy: The Efficient Use of Resources, Skills and Best Practice during the Pandemic

Knowledge, Attitude, and Behaviour with Regard to Medication Errors in Intravenous Therapy: A Cross-Cultural Pilot Study

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