It is time to define an organizational model for the prevention and management of infections along the surgical pathway: a worldwide cross-sectional survey

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 several questions regarding the prevention and management of infections in surgery. The statements may be the starting point for designing future evidence-based recommendations. Conclusion Adequacy of prevention and management of infections in acute care facilities depends on HCWs behaviours and on the organizational characteristics of acute health care facilities to support best practices and promote behavioural change. Patient involvement in the implementation of IPC is still little considered. A debate on how operationalising a fundamental change to IPC, from being solely the HCWs responsibility to one that involves a collaborative relationship between HCWs and patients, should be opened

Primer congreso científico UNACHI 2015.

La Universidad Autónoma de Chiriquí (UNACHI), a través de la Vicerrectoría de Investigación y Postgrado (VIP), en cumplimiento de su misión, visión y objetivos estratégicos, realiza el Primer Congreso Científico del 5 al 9 de octubre de 2015, con el lema: “Impulsando la cultura, la ciencia y la humanidad”. En atención al Plan Estratégico del Gobierno de la República de Panamá 2015-2019; al Plan Estratégico Nacional de Ciencia, Tecnología e Innovación (PENCYT) 2015-2019 de la Secretaría Nacional de Ciencia, Tecnología e Innovación (SENACYT); al Plan Estratégico Institucional 2013-2018 de la Universidad Autónoma de Chiriquí y a las Políticas de Investigación e Innovación de la Universidad, se presenta a la consideración de la comunidad científica universitaria y a la sociedad panameña, los resultados de las investigaciones correspondientes al período académico 2014-2015. Las investigaciones que hoy se presentan, corresponden a trabajos realizados por investigadores procedentes de nuestra institución, de universidades y centros de investigación del país y de investigadores procedentes de países hermanos, quienes comparten con nosotros los productos de sus muchas horas de trabajo realizadas en sus laboratorios, redes temáticas y giras de campo. El Congreso tiene sus antecedentes en los seis encuentros científicos realizados, anualmente en la universidad, desde el año 2009 hasta el año 2014. No obstante, dado el impulso y decidido respaldo de la Magnífica Rectora, Etelvina Medianero de Bonagas, al eje de investigación e innovación y al trabajo realizado por nuestros investigadores, se presentó ante el Consejo Académico N° 11-2015, del 16 de junio de 2015, la propuesta para elevar los encuentros a congreso científico, y que fue aprobada por unanimidad. Se convierte este evento académico, en un reto para la institución y a la vez en una gran oportunidad para el fortalecimiento de la investigación e innovación, al servicio de la sociedad y de los grandes temas de interés nacional. Con mucho agrado se puede señalar que en el Congreso se exponen conferencias magistrales, conferencias cortas, ponencias, mesas redondas, videoconferencias y dos exposiciones fotográficas tituladas: “Nuestros ríos, nuestro futuro” y “La luz en las ciencias”. Por segundo año consecutivo se realiza el reconocimiento al investigador del año; en esta oportunidad se honrará al connotado ambientalista Demetrio Miranda Miranda. Se presentan investigadores nacionales de la Secretaría Nacional de Ciencia, Tecnología e Innovación; de la Universidad Tecnológica de Panamá; del Instituto de Investigaciones Científicas y Servicios de Alta Tecnología; de la Universidad de Panamá; del Ministerio de Salud y de la Universidad Autónoma de Chiriquí. También se cuenta con investigadores internacionales procedentes de Estados Unidos, Honduras, Costa Rica y de República Dominicana. Los registros de los participantes, en la página web de la universidad, nos indican que durante el congreso se tendrá la participación de investigadores procedentes de las áreas de las ciencias económicas administrativas, de las ciencias de la salud, de las ciencias sociales y humanidades y de las ciencias naturales y exactas, estos últimos en un mayor porcentaje. Atendiendo a sus políticas institucionales, la UNACHI está cimentando las bases de un sistema de investigación e innovación, a través de acciones muy puntuales, las cuales aspiran a convertir a la Institución, en un centro de educación superior de excelencia y a disponer de un conjunto de investigadores de alto nivel. Con este propósito, se ha aprobado en el Consejo Académico, el Reglamento de Investigación e Innovación, donde se establece por primera vez, la figura del investigador a tiempo completo, a fin de impulsar la investigación en todas las áreas del conocimiento humano; se ha firmado un convenio con SENACYT para la reinserción de talentos en el nivel doctoral, a partir del año 2015, con miras a fortalecer la investigación científica y se han incrementado, significativamente, los fondos destinados a los subsidios de las investigaciones de las tesis de licenciatura, de las tesis de maestrías, de las tesis de doctorados y de los docentes investigadores, con proyectos que se encuentran en este momento en revisión por los evaluadores externos

It is time to define an organizational model for the prevention and management of infections along the surgical pathway: a worldwide cross-sectional survey

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 several questions regarding the prevention and management of infections in surgery. The statements may be the starting point for designing future evidence-based recommendations. CONCLUSION: Adequacy of prevention and management of infections in acute care facilities depends on HCWs behaviours and on the organizational characteristics of acute health care facilities to support best practices and promote behavioural change. Patient involvement in the implementation of IPC is still little considered. A debate on how operationalising a fundamental change to IPC, from being solely the HCWs responsibility to one that involves a collaborative relationship between HCWs and patients, should be opened