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Veronesi L, Giudice L, Agodi A, Arrigoni C, Baldovin T, Barchitta M, Benedetti T, Caggiano G, Cannizzaro SG, De Giglio O, D'Errico M, Destri S, Fiorentini R, Gentile L, Mannone A, Mascipinto S, Mercuri M, Montagna MT, Novati R, Oriani R, Ortolani S, Pennino F, Ripabelli G, Rossini A, Sammarco ML, Sodano L, Squeri R, Tamarri F, Tamburro M, Torre I, Troiani S, Pasquarella C. A multicentre study on epidemiology and prevention of needle stick injuries among students of nursing schools. Ann Ig 2019; 30:99-110. [PMID: 30374515 DOI: 10.7416/ai.2018.2254] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
INTRODUCTION Among the health professions with a long period of training, the students of the Nursing Bachelor's Degree are the most exposed to biological risk resulting from accidents, in particular with needles and cutting edges. The aim of the study was to estimate the frequency and the circumstances for the occurrence of needle stick injuries, as a knowledge base for targeted prevention interventions. METHODS The study was carried out between May and July 2017 in 11 Universities in Italy and 1 in Albania (associated with the "Tor Vergata" University of Rome). An anonymous semi-structured questionnaire was proposed to 1st (second semester), 2nd and 3rd year students of Nursing Bachelor's Degree. RESULTS A total of 2742 questionnaires were collected. The average age of participants was 22.9 years (median 22, range 19-60 years), 73% of whom were females. A total of 381 injuries were reported. Three hundred and sixteen students (11.8%) underwent at least 1 injury (12.7% among females, 9.7% among males); 41 students declared two or more injuries; four students did not report the number of injuries occurred. The first injury occurred, as an average, 17 days after the start of the internship (median 15 days) and, in 25% of the cases, during the first 9 days. The highest percentage of accidents occurred during the first internship (25.3% of the total) and decreased with the progress of the training path. The injuries occurred in 38% of cases during drug preparation, 24% when disposing of sharp devices, 15% while re-capping needles, 13% during blood sampling and 10% in other circumstances. In 51.2% of cases, the needle was not sterile. Among the nursing students who suffered a needle stick injury, 58.1% declared that they had performed the post-exposure prophylaxis. 96% of students stated to be vaccinated against Hepatitis B virus. Amongst the students who had their serological status checked (74%), 18% stated the antibody titre was not protective. 49.8% of students answered to have been trained in advance on the correct procedures to avoid needle stick and cutting edges injuries in each clinical ward attended, 41.2% referred that this occurred only in some wards and 10% in no ward at all. CONCLUSION The results of this study show a high percentage of needle stick injuries in students of the Nursing Bachelor's Degree. Therefore, there is a need for careful reflection on the most effective methods of targeted training acquisition of knowledge, skills and behavioural models useful for the exercise of the profession.
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Affiliation(s)
- L Veronesi
- Department of Medicine and Surgery, University of Parma, Italy
| | - L Giudice
- Department of Medicine and Surgery, University of Parma, Italy
| | - A Agodi
- Department of Medical and Surgical Sciences and Advanced Technologies 'GF Ingrassia', University of Catania, Italy
| | - C Arrigoni
- Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Italy
| | - T Baldovin
- Department of Cardiac, Thoracic and Vascular Sciences, Hygiene and Public Health Unit, University of Padua, Italy
| | - M Barchitta
- Department of Medical and Surgical Sciences and Advanced Technologies 'GF Ingrassia', University of Catania, Italy
| | - T Benedetti
- Department of Biomedical Sciences and Public Health, Marche Polithecnical University, Ancona, Italy
| | - G Caggiano
- Department of Biomedical Science and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - S G Cannizzaro
- Department of Biomedical Sciences and Public Health, Marche Polithecnical University, Ancona, Italy
| | - O De Giglio
- Department of Biomedical Science and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - M D'Errico
- Department of Biomedical Sciences and Public Health, Marche Polithecnical University, Ancona, Italy
| | - S Destri
- Department of Cardiac, Thoracic and Vascular Sciences, Hygiene and Public Health Unit, University of Padua, Italy
| | - R Fiorentini
- Department of Biomedical Sciences and Public Health, Marche Polithecnical University, Ancona, Italy
| | - L Gentile
- Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Italy
| | - A Mannone
- Department of Medicine and Surgery, University of Parma, Italy
| | - S Mascipinto
- Department of Biomedical Science and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - M Mercuri
- Department of Biomedical Sciences and Public Health, Marche Polithecnical University, Ancona, Italy
| | - M T Montagna
- Department of Biomedical Science and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | | | | | - S Ortolani
- Department of Biomedical Sciences and Public Health, Marche Polithecnical University, Ancona, Italy
| | - F Pennino
- Department of Public Health, University "Federico II" of Naples, Italy
| | - G Ripabelli
- Department of Medicine and Health Sciences "Vincenzo Tiberio", University of Molise, Campobasso, Italy
| | - A Rossini
- Hospital Santa Lucia, IRCCS, Rome, Italy
| | - M L Sammarco
- Department of Medicine and Health Sciences "Vincenzo Tiberio", University of Molise, Campobasso, Italy
| | - L Sodano
- Catholic University "Our Lady of Good Counsel", Tirana-Elbasan, Albania
| | - R Squeri
- Department of Biomedical and Dental Sciences and Morphological Imaging, University of Messina, Italy
| | - F Tamarri
- Department of Medicine and Surgery, University of Parma, Italy
| | - M Tamburro
- Department of Medicine and Health Sciences "Vincenzo Tiberio", University of Molise, Campobasso, Italy
| | - I Torre
- Department of Public Health, University "Federico II" of Naples, Italy
| | - S Troiani
- Department of Biomedical Sciences and Public Health, Marche Polithecnical University, Ancona, Italy
| | - C Pasquarella
- Department of Medicine and Surgery, University of Parma, Italy
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Montagna MT, Mascipinto S, Pousis C, Bianchi FP, Caggiano G, Carpagnano LF, De Giglio O, Barbuti G, Auxilia F, Destrebecq A, Castaldi S, Baldovin T, Bargellini A, Righi E, Boccia G, Santoro E, Casini B, Baggiani A, Novati R, Oriani R, Odone A, Mezzoiuso AG, Orsi GB, Napoli C, Pasquarella C, Veronesi L, Ripabelli G, Sammarco ML, Rossini A, Squeri R, Laganà P, Antonuccio GM, Genovese C, Tardivo S, Torre I, Alfano R, Pennino F, Torregrossa MV, Barchitta M, Agodi A. Knowledge, experiences, and attitudes toward Mantoux test among medical and health professional students in Italy: a cross-sectional study. Ann Ig 2019; 30:86-98. [PMID: 30374514 DOI: 10.7416/ai.2018.2253] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
BACKGROUND The World Health Organization's Action Framework for tuberculosis elimination in low-tuberculosis incidence countries includes the screening for active and latent tuberculosis in selected high-risk groups, including health care workers. In this context, medical and health profession students, exposed to nosocomial tuberculosis transmission during training and clinical rotations, are target populations for tuberculosis screening. No updated data are available on tuberculosis screening practice and knowledge of medical and health profession students in Italy. METHODS Within the activities Italian Study Group on Hospital Hygiene of the Italian Society of Hygiene, Preventive Medicine and Public Health, we carried out a multicentre cross-sectional study to assess knowledge, attitude and practices on tuberculosis prevention and control among Medical, Dentistry, Nursing and other health professions' students. Students were enrolled in the study on a voluntary basis and were administered a previously piloted structured questionnaire. Logistic regression models were applied to explore knowledge on tuberculosis prevention by selected socio-demographic variables and University-based tuberculosis prevention practice. RESULTS Students of seventeen Universities across Italy participated in the study, and 58.2% of them received compulsory tuberculin skin test either at enrollment or while attending clinical practice. A total of 5,209 students filled the questionnaire. 37.7% were medicine and dentistry students (Group 1), 44.9% were nursing students (Group 2) and 17.4% were other health professions' students (Group 3). Age and gender had different distributions by groups, as well as knowledge and practice on tuberculin skin test. 84.4% of the study population (95% CI = 83.3-85.3) was aware of the existence of the tuberculin skin test, 74.4% (95% CI = 73.2-75.6) knew what is the first-level screening test for latent tuberculosis and only 22.5% (95% CI = 21.4-23.6) knew how to proceed after a positive tuberculin skin test result. Overall, knowledge on tuberculosis prevention was higher in Group 2 and lower Group 3, as compared to Group 1. CONCLUSION In Italy, the knowledge on tuberculosis screening among University students is generally good. To reduce some of the criticalities found among the different study courses, it would be appropriate to harmonize both the regulations on tuberculosis screening practices for admission to University courses, and the educational activities on the topic of tuberculosis, to be extended to all workers involved in health care setting.
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Affiliation(s)
- M T Montagna
- Department of Biomedical Science and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - S Mascipinto
- Department of Biomedical Science and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - C Pousis
- Department of Biomedical Science and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - F P Bianchi
- Department of Biomedical Science and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - G Caggiano
- Department of Biomedical Science and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - L F Carpagnano
- Department of Biomedical Science and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - O De Giglio
- Department of Biomedical Science and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - G Barbuti
- Department of Biomedical Science and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - F Auxilia
- Department of Biomedical Sciences for Health, University of Milano, Milano, Italy
| | - A Destrebecq
- Department of Biomedical Sciences for Health, University of Milano, Milano, Italy
| | - S Castaldi
- Department of Biomedical Sciences for Health, University of Milano, Milano, Italy
| | - T Baldovin
- Department of Cardiac, Thoracic and Vascular Sciences, University of Padova, Hygiene and Public Health Unit, Padova, Italy
| | - A Bargellini
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | - E Righi
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | - G Boccia
- Department of Medicine, Surgery and Dentistry, "Scuola Medica Salernitana", University of Salerno, Salerno, Italy
| | - E Santoro
- Department of Medicine, Surgery and Dentistry, "Scuola Medica Salernitana", University of Salerno, Salerno, Italy
| | - B Casini
- Department of Translational Research, N.T.M.S. - Hygiene and Epidemiology Unit, University of Pisa, Pisa, Italy
| | - A Baggiani
- Department of Translational Research, N.T.M.S. - Hygiene and Epidemiology Unit, University of Pisa, Pisa, Italy
| | - R Novati
- Medical Direction, Aosta Regional Hospital, Aosta, Italy
| | - R Oriani
- Medical Direction, Aosta Regional Hospital, Aosta, Italy
| | - A Odone
- Faculty of Medicine and Surgery, University Vita-Salute San Raffaele, Milan, Italy
| | - A G Mezzoiuso
- Faculty of Medicine and Surgery, University Vita-Salute San Raffaele, Milan, Italy
| | - G B Orsi
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - C Napoli
- Department of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy
| | - C Pasquarella
- Department of Medicine and Surgery, University of Parma, Parma, Italy
| | - L Veronesi
- Department of Medicine and Surgery, University of Parma, Parma, Italy
| | - G Ripabelli
- Department of Medicine and Health Sciences "Vincenzo Tiberio", University of Molise, Campobasso, Italy
| | - M L Sammarco
- Department of Medicine and Health Sciences "Vincenzo Tiberio", University of Molise, Campobasso, Italy
| | - A Rossini
- Fondazione Santa Lucia, Institute for Research and Health Care, IRCCS, University of Tor Vergata, Rome, Italy
| | - R Squeri
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy
| | - P Laganà
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy
| | - G M Antonuccio
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy
| | - C Genovese
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy
| | - S Tardivo
- Department of Diagnostic and Public Health, University of Verona, Verona, Italy
| | - I Torre
- Department of Public Health, University of Napoli "Federico II", Napoli, Italy
| | - R Alfano
- Department of Public Health, University of Napoli "Federico II", Napoli, Italy
| | - F Pennino
- Department of Public Health, University of Napoli "Federico II", Napoli, Italy
| | - M V Torregrossa
- Department of Sciences for Health Promotion and Mother-Child Care "G. D'Alessandro", University of Palermo, Palermo, Italy
| | - M Barchitta
- Department of Medical and Surgical Sciences and Advanced Technologies 'GF Ingrassia', University of Catania, Catania, Italy
| | - A Agodi
- Department of Medical and Surgical Sciences and Advanced Technologies 'GF Ingrassia', University of Catania, Catania, Italy
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Abstract
Exposure to pathogenic agents is a major occupational risk factor in healthcare facilities. The most common pathogenic agents are human immunodeficiency virus, hepatitis B and C viruses, and Mycobacterium tuberculosis. In Italy, about 70-80% of all cases of exposure to biological agents result from injuries caused by needles or other sharp instruments used during healthcare procedures. These accidents place a high economic burden on healthcare facilities. Indeed, each event is estimated to cost around € 375. Various studies have shown that the adoption of needlestick-prevention devices reduces occupational exposure to biological risk. At regulatory level, Italian Legislative Decrees 81/08 and 19/14 provide for measures to protect healthcare professionals from biological exposure to pathogenic agents.
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Affiliation(s)
- M Triassi
- Department of Public Health, University of Napoli Federico II, Italy
| | - F Pennino
- Department of Public Health, University of Napoli Federico II, Italy
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Gualano MR, Voglino G, Castaldi S, Pennino F, Signorelli C, Masanotti G, Mogini V, Massimi A, Nante N, Olivero E, Rossello P, Siliquini R. Risk perception of acquiring vaccine preventable diseases in Italy: results from NAVIDAD Study. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky212.238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- MR Gualano
- Department of Public Health, University of Torino, Turin, Italy
| | - G Voglino
- Department of Public Health, University of Torino, Turin, Italy
| | - S Castaldi
- Postgraduate School of Public Health, Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
| | - F Pennino
- Department of Public Health, University of Naples “Federico II”, Naples, Italy
| | - C Signorelli
- Department of Biomedical, Biotechnological and Translational Sciences, University of Parma, Parma, Italy
| | - G Masanotti
- Department of Sperimental Medicine, University of Perugia, Perugia, Italy
| | - V Mogini
- Institute of Public Health, Section of Hygiene, Catholic University of the Sacred Heart, Rome, Italy
| | - A Massimi
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy
| | - N Nante
- Post Graduate School of Public Health, University of Siena, Siena, Italy
| | - E Olivero
- Department of Public Health, University of Torino, Turin, Italy
| | - P Rossello
- Department of Public Health, University of Torino, Turin, Italy
| | - R Siliquini
- Department of Public Health, University of Torino, Turin, Italy
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Gualano MR, Bert F, Voglino G, Buttinelli E, D'Errico MM, De Waure C, Di Giovanni P, Fantini MP, Giuliani AR, Marranzano M, Masanotti G, Massimi A, Nante N, Pennino F, Squeri R, Stefanati A, Signorelli C, Siliquini R. Attitudes towards compulsory vaccination in Italy: Results from the NAVIDAD multicentre study. Vaccine 2018; 36:3368-3374. [PMID: 29729995 DOI: 10.1016/j.vaccine.2018.04.029] [Citation(s) in RCA: 61] [Impact Index Per Article: 10.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2018] [Revised: 03/26/2018] [Accepted: 04/11/2018] [Indexed: 11/29/2022]
Abstract
BACKGROUND Vaccine hesitancy is a considerable issue in European countries and leads to low coverage rates. After a long debate, Italy has made vaccination mandatory for admission to its schools. METHODS In the NAVIDAD study (a cross-sectional multicentre study), a 63-item questionnaire was administered to 1820 pregnant women from 15 Italian cities. The questionnaire assessed the interviewee's opinion on mandatory vaccines, as well as their socioeconomic status, sources of information about vaccines, confidence in the Italian National Healthcare Service (NHS), and intention to vaccinate their newborn. RESULTS Information sources play a key role in determining the opinion on restoration of mandatory vaccines; in particular, women who obtained information from anti-vaccination movements are less likely to accept the vaccines (OR: 0.35, 95% CI: 0.21-0.58, p < 0.001). Women who had confidence in healthcare professional information agreed more on mandatory vaccination than did the other women (OR: 2.66, 95% CI: 1.62-4.36, p < 0.001); those who perceived that healthcare professionals have economic interest in child immunization and who declared that healthcare providers inform only on vaccinations benefits not on risks were less likely to agree on compulsory vaccination (OR: 0.66, CI 95%: 0.46-0.96, p = 0.03; OR: 0.66, CI 95%: 0.46-0.95, p = 0.03, respectively). CONCLUSION Information sources and confidence towards health professionals are the main determinants of acceptance of mandatory vaccine restoration. To increase the acceptability of the restoration and reduce vaccine hesitancy, these aspects need to be strengthened.
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Affiliation(s)
- M R Gualano
- Department of Public Health, University of Torino, Italy
| | - F Bert
- Department of Public Health, University of Torino, Italy
| | - G Voglino
- Department of Public Health, University of Torino, Italy.
| | - E Buttinelli
- Postgraduate School of Public Health, Department of Biomedical Sciences for Health, University of Milan, Italy
| | - M M D'Errico
- Department of Biomedical Sciences and Public Health, Università Politecnica delle Marche, Ancona, Italy
| | - C De Waure
- Institute of Public Health, Section of Hygiene, Catholic University of the Sacred Heart, Rome, Italy
| | - P Di Giovanni
- Department of Pharmacy, Università degli Studi "G. D'Annunzio" of Chieti-Pescara, Italy
| | - M P Fantini
- Department of Biomedical and Neuromotor Sciences (DIBINEM) University of Bologna, Bologna, Italy
| | - A R Giuliani
- Department of Life, Health and Environmental Sciences, University of L'Aquila, Italy
| | - M Marranzano
- Department of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia", Section of Hygiene and Preventive Medicine, University of Catania, Catania, Italy
| | - G Masanotti
- Public Health Section, Department of Experimental Medicine, University of Perugia, Perugia, Italy
| | - A Massimi
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - N Nante
- Post Graduate School of Public Health, University of Siena, Siena, Italy
| | - F Pennino
- Department of Public Health, University of Naples "Federico II", Italy
| | | | - A Stefanati
- Department of Medicine and Surgery, University of Parma, Parma, Italy
| | - C Signorelli
- Department of Morphology, Surgery and Experimental Medicine, Section of Obstetrics and Gynecology, University of Ferrara, Ferrara, Italy
| | - R Siliquini
- Department of Public Health, University of Torino, Italy
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Torre I, Diana MV, Iervolino C, Borriello T, Imperato OCM, Maccarino S, Pennino F. Legionella contamination in hospitals of the Campania Region: five years of environmental surveillance results. Ann Ig 2014; 26:89-96. [PMID: 24452187 DOI: 10.7416/ai.2014.1961] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
OBJECTIVE The purpose of this study was to assess the presence and the distribution of Legionella serotypes in 50 hospital facilities in the Campania Region (Italy) through the sampling of their waters. METHODS From January 2008 to December 2012, in compliance with the Italian Monitoring Guidelines for Legionellosis, 4.842 water samples were collected from the end points of hot water distribution networks, air conditioning systems, boilers and cooling towers. RESULTS 1.426 (29.4%) of the 4.842 samples resulted positive for Legionella spp, with a bacterial average of 3.40 log10 cfu/L. The frequency of Legionella isolation in the specimens progressively decreased during the study (43.8% in 2008 vs 22.9% in 2012). Samples from cooling towers (32.7%), showers and taps (31.9%) revealed a more frequent presence of the microorganism, although considerable bacterial concentration variability was found in all examined points. A bacterial average of 3.33 + 0.88 log10 cfu/L was detected in cooling towers, whereas the lowest values (2.89 + 0.92 cfu/L) were found in ACSs. The most frequently isolated species were L. pneumophila 2-14, detected in 60.6% of positive samples. Within serotypes, types 6 (23.8%), 8 (21.9%) and 3 (21.4%) resulted as being the most representative. CONCLUSIONS A significant contamination was found in examined centers. It is therefore advisable to systematically implement currently available surveillance and monitoring strategies through the scrupulous monitoring of systems as well as through the application of validated and effective procedures.
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Affiliation(s)
- I Torre
- Dipartimento di Scienze Mediche Preventive, Università degli Studi di Napoli "Federico II", Italy
| | - M V Diana
- Dipartimento di Scienze Mediche Preventive, Università degli Studi di Napoli "Federico II", Italy
| | - C Iervolino
- Dipartimento di Scienze Mediche Preventive, Università degli Studi di Napoli "Federico II", Italy
| | - T Borriello
- Dipartimento di Scienze Mediche Preventive, Università degli Studi di Napoli "Federico II", Italy
| | - O C M Imperato
- Dipartimento di Scienze Mediche Preventive, Università degli Studi di Napoli "Federico II", Italy
| | - S Maccarino
- Dipartimento di Scienze Mediche Preventive, Università degli Studi di Napoli "Federico II", Italy
| | - F Pennino
- Dipartimento di Scienze Mediche Preventive, Università degli Studi di Napoli "Federico II", Italy
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7
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Raiola E, Pennino F, Torre I. [The surveillance of Candida spp. infections related to health care in the Neonatal Intensive Care of University Hospital Federico II of Naples, Italy]. Ann Ig 2013; 25:65-71. [PMID: 23435781 DOI: 10.7416/ai.2013.19067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
BACKGROUND In neonatal intensive care unit (NICU) invasive fungal infections are predominantly supported by Candida species, with an increasing frequency of C. non-albicans. This work aims to demonstrate the need for monitoring of these infections for the purposes of a more effective prevention strategy. METHODS This study, conducted for 15 months on 365 patients admitted to the NICU of the University Hospital "Federico II" of Naples, examines the colonization and nosocomial infections by Candida species in relation to the most significant risk factors such as prematurity, low birth weight and the application of relief devices. RESULTS It was detected a statistically significant association between infections and pharyngeal colonization (p = 0.002), gestational age <28 weeks (p = 0.001) and central venous catheterization (p = 0.01). 12% of the 336 patients cared for more than 48 hours had pharyngeal colonization by Candida spp, especially C. albicans, while 2% develops sepsis due to C. parapsilosis. CONCLUSIONS The results demonstrate the importance and validity of the procedures used for the surveillance of infections in NICU.
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Affiliation(s)
- E Raiola
- Dipartimento di Scienze Mediche Preventive, Università degli Studi di Napoli "Federico II", Italy
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8
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Triassi M, Ottaiano E, Diana MV, Pennino F, Avolio S, Dattilo W, Simonetti A. [Epidemiologic situation of viral hepatitis type A in Campania: perspectives of prevention and control of infections at the local level]. Ann Ig 2012; 24:73-80. [PMID: 22670339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
In the Region Campania (South Italy) the Hepatitis A infection reveals to be very present, despite of worldwide decreasing trend. Particularly Naples has a high incidence pathology as compared with other regional districts: the propose of this work is analysing the reasons by analysis of small but representative sample of this pathology. Health District of ASL Napoli 1 Center provides us with the notifications of this disease. The cases disease are attributable to consumption of contaminated shellfish purchased from mainly non-authorized dealers present on all city territory. A properly educational, of the population, increased repression control of dealers, careful monitoring of illegal dumping, can reduce the incidence of EVA in city live Naples.
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Affiliation(s)
- M Triassi
- Dipartimento di Scienze Mediche Preventive, Università degli Studi di Napoli Federico II
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9
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Borella P, Bargellini A, Marchesi I, Rovesti S, Stancanelli G, Scaltriti S, Moro M, Montagna MT, Tatò D, Napoli C, Triassi M, Montegrosso S, Pennino F, Zotti CM, Ditommaso S, Giacomuzzi M. Prevalence of anti-legionella antibodies among Italian hospital workers. J Hosp Infect 2008; 69:148-55. [PMID: 18448198 DOI: 10.1016/j.jhin.2008.03.004] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2007] [Accepted: 03/06/2008] [Indexed: 10/22/2022]
Abstract
This study evaluated the prevalence of anti-legionella antibodies in workers at hospitals with a long-term history of legionella contamination. The hospitals are located in Milan and Turin, northern Italy, and in Naples and Bari, southern Italy. Antibody prevalence and titres of healthcare workers, medical and dental students and blood donors were assessed. In total 28.5% of subjects were antibody positive, most frequently to L. pneumophila serogroups 7-14. Major differences were observed in seroprevalence and type of legionella antibody in persons from different geographic areas. Healthcare workers had a significantly higher frequency of antibodies compared with blood donors in Milan (35.4 vs 15.9%, P<0.001), whereas in Naples both groups exhibited high antibody frequency (48.8 vs 44.0%) and had a higher proportion of antibodies to legionella serogroups 1-6. Dental workers had a higher seroprevalence than office staff in Bari, but not in Turin, where daily disinfecting procedures had been adopted to avoid contamination of dental unit water. No association was found between the presence of antibodies and the presence of risk factors for legionellosis, nor with the occurrence of pneumonia and/or flu-like symptoms. In conclusion, the presence of legionella antibodies may be associated with occupational exposure in the hospital environment, but there was no evidence of any association with disease.
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Affiliation(s)
- P Borella
- Department of Public Health Sciences, University of Modena and Reggio Emilia, Italy.
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Torre I, Pennino F, Crispino M. [Microbiological verification of a self control plan for a hospital food service]. Ann Ig 2006; 18:13-21. [PMID: 16649499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/08/2023]
Abstract
During the past years, it has been an increment of food related infectious diseases. In order to avoid micro biological food contamination, adherence to good manufacturing is required through control measures of food safety practices. Updated national and European regulations underline the need to apply the HACCP system, overcoming the old concept of sample control on the end user product. This work shows results of microbiological controls made along the whole productive chain. Measurements are made using biomolecular techniques (PFGE) in order to assess the management of the micro biological risk of the self control plan applied to a hospital food service of Naples. The use of the PFGE applied on some micro-organisms gram negative potentially pathogen, underlines the circulation, continued in time, of these micro-organisms within the cooking area. In addition, cross contamination between several matrixes of samples has been detected.
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Affiliation(s)
- I Torre
- Dipartimento di Scienze Mediche Preventive, Università degli Studi di Napoli Federico II.
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