Studio multicentrico di sorveglianza delle infezioni post-chirurgiche in Campania

Translated title of the contribution: Multicentre survey of post-surgical infections in Campania (Italy)

Silvano Esposito, Filomena Iannielio, Sebastiano Leone, Silvana Noviello, Alberto Marvaso, Nicola Iannantuoni, Eulalia Esposito, Luigi Imperato, Domenico Aiello, Carmine Coppola, Teresa Aloisio, Patrizia Maio, Domenico Acierno, Giovanni Romano, Germanico Patrelli

Research output: Contribution to journalArticle

Abstract

The aim of the study was to evaluate the incidence of post-surgical infections and to assess the way of managing antibiotic surgical prophylaxis. The survey was carried out by means of a questionnaire in order to obtain diverse information such as demographics, length of pre- and post-operative hospitalization, type of surgery, intervention duration, possible antibiotic prophylaxis and onset of post-surgical infections also monitored by post-discharge ambulatory controls. Four General Surgery and five Obstetrics and Gynaecology Departments in Campania (southern Italy) participated in the study, which was carried out in the period December 2001-January 2002. Overall, 410 questionnaires were collected referring to as many patients; antibiotic prophylaxis was performed in 385 (93.9%) patients. Antibiotic prophylaxis was generally managed not according to the general principles suggested by the international guidelines either for timing or for its duration or for the route of administration. Substantial differences were also noted in patient selection and antibiotic choice. Surgical site infections were recorded in 0.6% of patients undergoing clean surgery, in 5.3% of patients undergoing clean-contaminated surgery and in 3.2% of those undergoing contaminated surgery. Distant infections occurred in 1.8% and 6.5% in clean-contaminated and contaminated surgery, respectively. The results of the present study suggest the need of a continuous and accurate monitoring of post-surgical infections and the need to adopt appropriate guidelines to improve the management of surgical prophylaxis.

Translated title of the contributionMulticentre survey of post-surgical infections in Campania (Italy)
Original languageItalian
Pages (from-to)146-152
Number of pages7
JournalInfezioni in Medicina
Volume11
Issue number3
Publication statusPublished - 2003

ASJC Scopus subject areas

  • Microbiology (medical)

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    Esposito, S., Iannielio, F., Leone, S., Noviello, S., Marvaso, A., Iannantuoni, N., Esposito, E., Imperato, L., Aiello, D., Coppola, C., Aloisio, T., Maio, P., Acierno, D., Romano, G., & Patrelli, G. (2003). Studio multicentrico di sorveglianza delle infezioni post-chirurgiche in Campania. Infezioni in Medicina, 11(3), 146-152.