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Altini N, Rossini M, Turkevi-Nagy S, Pesce F, Pontrelli P, Prencipe B, Berloco F, Seshan S, Gibier JB, Pedraza Dorado A, Bueno G, Peruzzi L, Rossi M, Eccher A, Li F, Koumpis A, Beyan O, Barratt J, Vo HQ, Mohan C, Nguyen HV, Cicalese PA, Ernst A, Gesualdo L, Bevilacqua V, Becker JU. Performance and limitations of a supervised deep learning approach for the histopathological Oxford Classification of glomeruli with IgA nephropathy. Comput Methods Programs Biomed 2023; 242:107814. [PMID: 37722311 DOI: 10.1016/j.cmpb.2023.107814] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Revised: 09/11/2023] [Accepted: 09/12/2023] [Indexed: 09/20/2023]
Abstract
BACKGROUND AND OBJECTIVE The Oxford Classification for IgA nephropathy is the most successful example of an evidence-based nephropathology classification system. The aim of our study was to replicate the glomerular components of Oxford scoring with an end-to-end deep learning pipeline that involves automatic glomerular segmentation followed by classification for mesangial hypercellularity (M), endocapillary hypercellularity (E), segmental sclerosis (S) and active crescents (C). METHODS A total number of 1056 periodic acid-Schiff (PAS) whole slide images (WSIs), coming from 386 kidney biopsies, were annotated. Several detection models for glomeruli, based on the Mask R-CNN architecture, were trained on 587 WSIs, validated on 161 WSIs, and tested on 127 WSIs. For the development of segmentation models, 20,529 glomeruli were annotated, of which 16,571 as training and 3958 as validation set. The test set of the segmentation module comprised of 2948 glomeruli. For the Oxford classification, 6206 expert-annotated glomeruli from 308 PAS WSIs were labelled for M, E, S, C and split into a training set of 4298 glomeruli from 207 WSIs, and a test set of 1908 glomeruli. We chose the best-performing models to construct an end-to-end pipeline, which we named MESCnn (MESC classification by neural network), for the glomerular Oxford classification of WSIs. RESULTS Instance segmentation yielded excellent results with an AP50 ranging between 78.2-80.1 % (79.4 ± 0.7 %) on the validation and 75.1-77.7 % (76.5 ± 0.9 %) on the test set. The aggregated Jaccard Index was between 73.4-75.9 % (75.0 ± 0.8 %) on the validation and 69.1-73.4 % (72.2 ± 1.4 %) on the test set. At granular glomerular level, Oxford Classification was best replicated for M with EfficientNetV2-L with a mean ROC-AUC of 90.2 % and a mean precision/recall area under the curve (PR-AUC) of 81.8 %, best for E with MobileNetV2 (ROC-AUC 94.7 %) and ResNet50 (PR-AUC 75.8 %), best for S with EfficientNetV2-M (mean ROC-AUC 92.7 %, mean PR-AUC 87.7 %), best for C with EfficientNetV2-L (ROC-AUC 92.3 %) and EfficientNetV2-S (PR-AUC 54.7 %). At biopsy-level, correlation between expert and deep learning labels fulfilled the demands of the Oxford Classification. CONCLUSION We designed an end-to-end pipeline for glomerular Oxford Classification on both a granular glomerular and an entire biopsy level. Both the glomerular segmentation and the classification modules are freely available for further development to the renal medicine community.
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Affiliation(s)
- Nicola Altini
- Department of Electrical and Information Engineering (DEI), Polytechnic University of Bari, Via Edoardo Orabona n.4, Bari 70126, Italy
| | - Michele Rossini
- Nephrology Dialysis and Transplantation Unit, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy
| | - Sándor Turkevi-Nagy
- Department of Pathology, Albert Szent-Györgyi Health Center, University of Szeged, Szeged, Hungary
| | - Francesco Pesce
- Nephrology Dialysis and Transplantation Unit, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy; Division of Renal Medicine, "Fatebenefratelli Isola Tiberina - Gemelli Isola", Rome, Italy
| | - Paola Pontrelli
- Nephrology Dialysis and Transplantation Unit, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy
| | - Berardino Prencipe
- Department of Electrical and Information Engineering (DEI), Polytechnic University of Bari, Via Edoardo Orabona n.4, Bari 70126, Italy
| | - Francesco Berloco
- Department of Electrical and Information Engineering (DEI), Polytechnic University of Bari, Via Edoardo Orabona n.4, Bari 70126, Italy
| | - Surya Seshan
- Department of Pathology, Weill-Cornell Medical Center/New York Presbyterian Hospital, New York, NY, USA
| | - Jean-Baptiste Gibier
- Department of Pathology, Pathology Institute, Lille University Hospital (CHU), Lille, France
| | | | - Gloria Bueno
- VISILAB Research Group, University of Castilla-La Mancha, Ciudad Real, Spain
| | - Licia Peruzzi
- AOU Città della Salute e della Scienza di Torino, Regina Margherita Children's Hospital, Turin, Italy
| | - Mattia Rossi
- Division of Nephrology, Department of Medicine, University of Verona, Verona, Italy
| | - Albino Eccher
- Section of Pathology, Department of Medical and Surgical Sciences for Children and Adults, University of Modena and Reggio Emilia, University Hospital of Modena, Modena, Italy
| | - Feifei Li
- Faculty of Medicine, University Hospital Cologne, University of Cologne, Institute for Medical Informatics, Cologne, Germany
| | - Adamantios Koumpis
- Faculty of Medicine, University Hospital Cologne, University of Cologne, Institute for Medical Informatics, Cologne, Germany
| | - Oya Beyan
- Faculty of Medicine, University Hospital Cologne, University of Cologne, Institute for Medical Informatics, Cologne, Germany
| | - Jonathan Barratt
- Department of Cardiovascular Sciences, University of Leicester, Leicester, UK
| | - Huy Quoc Vo
- Department of Biomedical Engineering, University of Houston, Houston, USA
| | - Chandra Mohan
- Department of Biomedical Engineering, University of Houston, Houston, USA
| | - Hien Van Nguyen
- Department of Biomedical Engineering, University of Houston, Houston, USA
| | | | - Angela Ernst
- Institute of Medical Statistics and Computational Biology, University of Cologne, Cologne, Germany
| | - Loreto Gesualdo
- Nephrology Dialysis and Transplantation Unit, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy
| | - Vitoantonio Bevilacqua
- Department of Electrical and Information Engineering (DEI), Polytechnic University of Bari, Via Edoardo Orabona n.4, Bari 70126, Italy; Apulian Bioengineering s.r.l., Via delle Violette n.14, Modugno 70026, Italy.
| | - Jan Ulrich Becker
- Institute of Pathology, University Hospital of Cologne, Cologne, Germany
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Berloco F, Ciavarella S, Colucci S, Grieco LA, Guarini A, Zaccaria GM. ARGO 2.0: a Hybrid NLP/ML Framework for Diagnosis Standardization. Annu Int Conf IEEE Eng Med Biol Soc 2023; 2023:1-4. [PMID: 38083100 DOI: 10.1109/embc40787.2023.10340022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/18/2023]
Abstract
A relevant problem in medicine is the standardization of the diagnosis associated with a clinical case. Although diagnosis formulation is an intrinsically subjective and uncertain process, its standardization may take benefit from digital solutions automating the routines at the basis of such a decision. In this work, we propose ARGO 2.0: a framework for the development of decision support systems for diagnosis formulation. The framework can read free-text reports and store their clinically relevant information as personalized electronic Case Report Forms. A hybrid strategy, exploiting the synergy of Natural Language Processing and Machine Learning techniques, is used to automatically suggest a diagnosis in a standardized fashion. ARGO 2.0 has been designed to be template-independent and easily tailored to specific medical fields. We here demonstrate its feasibility in hemo lympho-pathology, by detailing its implementation, object of an ongoing validation campaign in a standing medical institute. ARGO 2.0 achieved an average Accuracy of 95.07%, an average precision of 94.85%, an average Recall of 96.31% and a F-Score of 95.32% onto the test set, outperforming both its embedded components, based on Natural Language Processing and Machine Learning.
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Cuscito R, Fragnoli F, Indelicati C, Sanfrancesco G, De Pascali C, De Masi M, Parabita R, Aga A, Berloco F, Brana' L, Ciocia A, Curci D, Ladisa G, Nardiello M, Nardelli D, De Candia V, Gregucci F, Surgo A, Carbonara R, Cliliberti M, Caliandro M, Bonaparte I, Fiorentino A. PO-1845 Surface guided adjuvant radiotherapy tattoo-free for breast cancer. Radiother Oncol 2022. [DOI: 10.1016/s0167-8140(22)03808-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Fragnoli F, Bonaparte I, Branà L, Aga A, De Masi M, Ciocia A, Indellicati C, Parabita R, Sanfrancesco G, De Pascali C, Berloco F, Caliandro M, Gregucci F, Surgo A, Carbonara R, Fiorentino A. PO-1947: ARIA 15 Visual care Path for quality assurance of radiation oncology course. Radiother Oncol 2020. [DOI: 10.1016/s0167-8140(21)01964-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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5
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Pumpo MD, Barbara A, La Milia DI, Tamburrano A, Vallone D, Gentili A, Cavalieri S, Viora C, Berloco F, Laurenti P. Flu vaccination coverage in a large Italian teaching hospital: the example of the leaders. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz185.630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Annual flu vaccination among healthcare workers (HCWs) is recommended to prevent influenza and to avoid its transmission especially to frail patients. In our teaching hospital, flu vaccination rate among HCWs has been growing during last 3 years. The aim of this study was therefore to describe the flu vaccination coverage across the past 3 years and to analyze which factors lead to such increase. We performed a cross-sectional study on all HCWs of Fondazione Policlinico Universitario “A. Gemelli” (FPG) hospital of Rome (Italy) to determine the flu vaccination coverage. Socio-demographic and occupational data were collected from hospital personnel records and included age, gender, previous flu vaccination, profession and workplace unit. On site vaccination plus academic detailing involving leaders have been the main strategies adopted in this last 3 years that have already proved to be effective in increasing vaccination coverage among HCWs. During the 2018-2019 season, we analyzed how the flu vaccination coverage among leaders (nurse coordinators and head physicians) could affect all HCWs coverage rate. Flu vaccination rate increased from 9.57% in the 2016-17 to 14.24% in the 2017-18 and to 22.38% in 2018-2019. A total of 4035 HCWs employed in the FPG were included in 2018-19. Concerning the role played by vaccination of leaders in increasing general vaccination coverage during the 2018-2019, the group of HCWs with a vaccinated leader showed a higher coverage rate (28.65%) than the group with a non-vaccinated leader (16.22%) (p < 0.0001). The results are preliminary. Flu vaccination coverage of HCWs in our hospital during the last 3 years has been increasingly higher. Vaccination of the leaders, in addition to previously implemented effective strategies, resulted to be a key factor in increasing flu vaccination coverage among all HCWs. Socio-demographic and occupational variables can significantly influence the coverage rate as well.
Key messages
Annual flu vaccination among healthcare workers (HCWs) is recommended to prevent influenza and to avoid its transmission especially to frail patients. This study shows the growing flu vaccination coverage rate in our teaching hospital and the effectiveness of the example given by the vaccinated leaders in increasing the coverage among all HCWs.
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Affiliation(s)
- M Di Pumpo
- Sezione di Igiene – Istituto di Sanità Pubblica, Università Cattolica del Sacro Cuore, Rome, Italy
| | - A Barbara
- Sezione di Igiene – Istituto di Sanità Pubblica, Università Cattolica del Sacro Cuore, Rome, Italy
| | - D I La Milia
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
| | - A Tamburrano
- Sezione di Igiene – Istituto di Sanità Pubblica, Università Cattolica del Sacro Cuore, Rome, Italy
| | - D Vallone
- Sezione di Igiene – Istituto di Sanità Pubblica, Università Cattolica del Sacro Cuore, Rome, Italy
| | - A Gentili
- Sezione di Igiene – Istituto di Sanità Pubblica, Università Cattolica del Sacro Cuore, Rome, Italy
| | - S Cavalieri
- Sezione di Igiene – Istituto di Sanità Pubblica, Università Cattolica del Sacro Cuore, Rome, Italy
| | - C Viora
- Sezione di Igiene – Istituto di Sanità Pubblica, Università Cattolica del Sacro Cuore, Rome, Italy
| | - F Berloco
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
| | - P Laurenti
- Sezione di Igiene – Istituto di Sanità Pubblica, Università Cattolica del Sacro Cuore, Rome, Italy
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
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Gentili A, La Milia DI, Vallone D, Di Pumpo M, Vangi G, Berloco F, Cambieri A, Damiani G, Laurenti P, Ricciardi W. A six-years point prevalence survey of healthcare-associated infections in an Italian hospital. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz186.617] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Healthcare-Associated Infections (HAIs) are among the most serious public health problems in Europe representing the most frequent adverse event during care delivery. Despite their limitations, point prevalence surveys of HAIs are often preferred to prospective surveillance, since they provide a feasible estimate when resources are limited.
The aim of this study was to analyze the results of a six-years point prevalence survey of HAIs in a teaching acute care hospital in Italy and to investigate the main risk factors of HAIs in the acute-care hospital. A point prevalence survey to detect HAIs was carried out in Gemelli Hospital during the last 6 years, from 2013 to 2018. Inpatients of any age in Gemelli Hospital were eligible for inclusion. Patients in outpatient areas were excluded. HAIs were identified according to diagnosis guideline from ECDC in 2011. Statistically significant differences were tested through t-test and Chi-square test. Multi-variate analysis was performed to evaluate the impact of regressor factors for predict HAI’s prevalence. The statistical significance level was set at p < 0.05. The point prevalence ranged from 3,16% in 2017 to 6,64% in 2013. Pneumonia and surgical site infections (SSI) were the most frequent HAIs during the 6 years, with a rate of 27,31% and 26,20% respectively of all HAIs. The multiple logistic regression showed that length of stay at the moment of detection, urinary catheter, CVC and antibiotic therapy are useful to meaningfully predict HAI prevalence, with a regression coefficient (adjusted R2) of 0.2780.
Thanks to proper hospital policies, the point prevalence of HAIs does not seem to increase through the years, even though it is still too early to draw any conclusions. Pneumonia and SSI represented each one more than a quarter of all the HAIs, as reported also in literature. There is a strong association between length of stay at the moment of detection and HAIs but it is hard to understand which one is the cause of the other.
Key messages
Point prevalence from 2013 to 2018 seems to be stable. An accurate incidence survey is needed in order to identify the main risk factors of HAI and to realize more specific hospital programmes. Length of stay at the moment of detection is useful to meaningfully predict HAIs prevalence although the cause-and-effect relationship is still not clear.
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Affiliation(s)
- A Gentili
- Institute of Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, Rome, Italy
| | - D I La Milia
- Radioprotection and Hospital Hygiene Unit, Fondazione Agostino Gemelli IRCCS, Rome, Italy
| | - D Vallone
- Institute of Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, Rome, Italy
| | - M Di Pumpo
- Institute of Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, Rome, Italy
| | - G Vangi
- Radioprotection and Hospital Hygiene Unit, Fondazione Agostino Gemelli IRCCS, Rome, Italy
| | - F Berloco
- Radioprotection and Hospital Hygiene Unit, Fondazione Agostino Gemelli IRCCS, Rome, Italy
| | - A Cambieri
- Medical Management, Fondazione Agostino Gemelli IRCCS, Rome, Italy
| | - G Damiani
- Institute of Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, Rome, Italy
- Radioprotection and Hospital Hygiene Unit, Fondazione Agostino Gemelli IRCCS, Rome, Italy
| | - P Laurenti
- Institute of Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, Rome, Italy
- Radioprotection and Hospital Hygiene Unit, Fondazione Agostino Gemelli IRCCS, Rome, Italy
| | - W Ricciardi
- Institute of Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, Rome, Italy
- Radioprotection and Hospital Hygiene Unit, Fondazione Agostino Gemelli IRCCS, Rome, Italy
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7
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Vallone D, Di Pumpo M, Gentili A, Tamburrano A, Berloco F, Corbo MI, Cambieri A, Damiani G, Ricciardi W, Laurenti P. Incidence study of surgical site infections in a large University Hospital in Rome, first results. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz186.515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Surgical Site Infections (SSI) represent about a quarter of healthcare associated infections (HAI), increase the risk of mortality and hospital stay and extend healthcare costs. The aim of this work is to evaluate the incidence of SSI in patients undergoing surgical procedures of Hospital Units in the Fondazione Policlinico A. Gemelli IRCCS (FPG).
Methods
This descriptive observational monocentric study has a 30-months duration: the first phase was conducted between July 2018 and March 2019. Patients undergoing abdominal surgery procedures were enrolled. Active infection surveillance was performed, according to the ECDC, during the hospital stay and the surgical outpatient visits. We also performed a post-discharge surveillance (PDS) at 30 days (or 90 days if an implant has been inserted), through a telephone interview, made by a medical doctor resident in Public Health.
Results
During the first phase were enrolled 431 procedures in 2 Hospital Units, about emergency and hepatobiliary surgery. There were 53 cases of surgical site infection (SSI) highlighted in these procedures. Therefore, SSI’s were reported in 12.09% of the procedures. In particular, in 6.28% of cases, SSIs were diagnosed during the hospital stay. The results of this study showed statistically significant differences (p < 0.005) in incidence rate of emergency (10,70%) and hepatobiliary tract (13,17%) procedures. The average hospital stay was significant higher (p < 0.001) in patients who developed an SSI (17.27 days) than in patients without SSI (4.89 days).
Conclusions
These preliminary results show that the incidence rate of SSI for gastrointestinal procedures is similar to other European Countries (9.6%). The Hospital Health Management of FPG take care to the surveillance of hospital infections and monitor the correct application of the procedures, in line with the standards defined by Joint Commission International for guarantee high level in patients’ care.
Key messages
Performing a survey to measure the incidence of surgical site infections for surgery procedures is very important to define it and to improve surveillance systems of hospital infections in FPG. Active surveillance of surgical site infections may allow to enhance appropriate preventive measures.
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Affiliation(s)
- D Vallone
- Institute of Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, Rome, Italy
| | - M Di Pumpo
- Institute of Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, Rome, Italy
| | - A Gentili
- Institute of Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, Rome, Italy
| | - A Tamburrano
- Institute of Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, Rome, Italy
| | - F Berloco
- Hospital Health Management, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
| | - M I Corbo
- Hospital Health Management, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
| | - A Cambieri
- Hospital Health Management, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
| | - G Damiani
- Institute of Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, Rome, Italy
- Hospital Health Management, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
| | - W Ricciardi
- Institute of Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, Rome, Italy
- Hospital Health Management, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
| | - P Laurenti
- Institute of Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, Rome, Italy
- Hospital Health Management, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
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Gentili A, Barbara A, Tamburrano A, Berloco F, La Milia D, Zega M, Sguera A, Damiani G, Ricciardi W, Laurenti P. The use of Academic Detailing to promote influenza vaccination among healthcare workers in hospital. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky218.262] [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: 11/12/2022] Open
Affiliation(s)
- A Gentili
- Catholic University of the Sacred Heart, Rome, Italy
| | - A Barbara
- Catholic University of the Sacred Heart, Rome, Italy
| | - A Tamburrano
- Catholic University of the Sacred Heart, Rome, Italy
| | - F Berloco
- Agostino Gemelli Teaching Hospital, Rome, Italy
| | - D La Milia
- Agostino Gemelli Teaching Hospital, Rome, Italy
| | - M Zega
- Agostino Gemelli Teaching Hospital, Rome, Italy
| | - A Sguera
- Agostino Gemelli Teaching Hospital, Rome, Italy
| | - G Damiani
- Catholic University of the Sacred Heart, Rome, Italy
| | - W Ricciardi
- Catholic University of the Sacred Heart, Rome, Italy
| | - P Laurenti
- Catholic University of the Sacred Heart, Rome, Italy
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Barbara A, Gentili A, Tognetto A, Tamburrano A, La Milia DI, de Waure C, Zega M, Berloco F, Piccoli B, Damiani G, Ricciardi W, Laurenti P. Factors influencing flu vaccination in a large Italian teaching hospital. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky214.164] [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)
- A Barbara
- Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - A Gentili
- Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - A Tognetto
- Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - A Tamburrano
- Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - DI La Milia
- Hospital Hygiene Unit, Fondazione Policlinico Universitario “Agostino Gemelli”, Rome, Italy
| | - C de Waure
- Department of Experimental Medicine, University of Perugia, Perugia, Italy
| | - M Zega
- Servizio Infermieristico Tecnico e Riabilitazione Aziendale (S.I.T.R.A.), Fondazione Policlinico Universitario “Agostino Gemelli”, Rome, Italy
| | - F Berloco
- Hospital Hygiene Unit, Fondazione Policlinico Universitario “Agostino Gemelli”, Rome, Italy
| | - B Piccoli
- Section of Occupational Medicine, Institute of Public Health, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario “Agostino Gemelli”, Rome, Italy
| | - G Damiani
- Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
| | - W Ricciardi
- Italian National Institute of Health, Rome, Italy
| | - P Laurenti
- Section of Hygiene, Institute of Public Health, Università Cattolica del Sacro Cuore, Rome, Italy
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Barbara A, Giubbini G, De Waure C, Poscia A, De Meo C, Berloco F, Damiani G, Ricciardi W, Laurenti P. Is the on site flu vaccination among health care workers effective? A Italian teaching hospital case. Eur J Public Health 2017. [DOI: 10.1093/eurpub/ckx187.380] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- A Barbara
- Institute of Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, Rome, Italy
| | - G Giubbini
- Institute of Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, Rome, Italy
| | - C De Waure
- Institute of Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, Rome, Italy
| | - A Poscia
- Institute of Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, Rome, Italy
| | - C De Meo
- Institute of Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, Rome, Italy
| | - F Berloco
- Radioprotection and Hospital Hygiene Unit, “Agostino Gemelli” Teaching Hospital, Rome, Italy
| | - G Damiani
- Institute of Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, Rome, Italy
| | | | - P Laurenti
- Institute of Public Health, Section of Hygiene, Università Cattolica del Sacro Cuore, Rome, Italy
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Corsaro A, de Waure C, Poscia A, Raponi M, Michelazzo MB, Frisicale EM, Berloco F, Staiti D, Damiani G, Laurenti P. Fostering flu vaccination among health workers; Forum Theatre and On Site Vaccination in Hospital. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw166.051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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De Meo C, Poscia A, de Waure C, Corsaro A, Anzelmo V, Maruccia A, Santoro PE, Berloco F, Damiani G, Laurenti P. A health promotion campaign to improve flu vaccination adherence among Italian medical residents. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw174.228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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13
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Laurenti P, Corsaro A, De Meo C, Raponi M, Staiti D, Berloco F, Celani F, Corbo M, Ricciardi W. New strategies to implement flu vaccination in health workers: forum theatre in a university hospital. Eur J Public Health 2015. [DOI: 10.1093/eurpub/ckv176.154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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