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Di Lorenzo A, Martinelli A, Bianchi FP, Scazzi FL, Diella G, Tafuri S, Stefanizzi P. The safety of pneumococcal vaccines at the time of sequential schedule: data from surveillance of adverse events following 13-valent conjugated pneumococcal and 23-valent polysaccharidic pneumococcal vaccines in newborns and the elderly, in Puglia (Italy), 2013-2020. Ann Ig 2023; 35:459-467. [PMID: 36477097 DOI: 10.7416/ai.2022.2551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
Background Nowadays, two types of anti-pneumococcal vaccine are available: pneumococcal 13-valent conjugate vaccine (PCV13), first licensed in the United States (US) in 2013, and pneumococcal 23-valent polysaccaridic vaccine (PPSV23), first licensed in the US in 1999. These vaccines are recommended in Italy for the immunization of newborns and of the elderly, using a combined sequential schedule for the latter. This report aims to describe the PCV13- and PPSV23-related AEFIs notified in Puglia in 2013-2020, in order to design these products' safety profile in a real-life scenario, three years after the official recommendation about the sequential schedule for people over 60 years of age. Methods This is a retrospective observational study. Data were gathered from the list of AEFIs notified following PCV13 and PPSV23 administration in Puglia in 2013-2020. The number of administered vaccine doses was obtained from the regional immunization database. AEFIs were classified according to WHO's algorithm, and causality assessment was carried out in case of serious AEFIs. Results From January 2013 to December 2020, 764,183 doses of PCV13 and 40,382 doses of PPSV23 were administered in Puglia. In the same period, 71 PCV13 AEFIs (Reporting Rate: 9.29 x100,000 doses) and 5 PPSV23 AEFIs (Reporting Rate: 12.4 x100,000 doses) were reported. The overall male/female ratio in AEFIs was 0.85. The majority of AEFIs occurred in subjects aged less than 2 (64/76, 84.2%), while 10 out of 76 (13.2%) occurred in patients aged 60 or older. 22 AEFIs were classified as serious and for 12 (54.5%) causality assessment showed a consistent relationship with immunization. The most commonly reported symptoms were fever (Reporting Rate: 4.72 x100,000 doses) and neurological symptoms (Reporting Rate: 3.23 x100,000 doses). Only one death was notified, classified as non-vaccine-related. Conclusions The benefit of pneumococcal vaccination appears to be greater than the risk of AEFIs for both PCV13 and PPSV23. In fact, AEFIs occur in less than 0.1‰ of patients and the majority of AEFIs are mild and self-limiting.
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Affiliation(s)
- A Di Lorenzo
- Interdisciplinary Department of Medicine, Aldo Moro University of Bari, Bari, Italy
| | - A Martinelli
- Interdisciplinary Department of Medicine, Aldo Moro University of Bari, Bari, Italy
| | - F P Bianchi
- Interdisciplinary Department of Medicine, Aldo Moro University of Bari, Bari, Italy
| | - F L Scazzi
- Interdisciplinary Department of Medicine, Aldo Moro University of Bari, Bari, Italy
| | - G Diella
- Interdisciplinary Department of Medicine, Aldo Moro University of Bari, Bari, Italy
| | - S Tafuri
- Interdisciplinary Department of Medicine, Aldo Moro University of Bari, Bari, Italy
| | - P Stefanizzi
- Interdisciplinary Department of Medicine, Aldo Moro University of Bari, Bari, Italy
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Diella G, Caggiano G, Apollonio F, Triggiano F, Stefanizzi P, Fasano F, Pace L, Marcotrigiano V, Sorrenti DP, Sorrenti GT, Galante D, Montagna MT. SARS-CoV-2 RNA viability on high-touch surfaces and evaluation of a continuous-flow ozonation treatment. Ann Ig 2023; 35:112-120. [PMID: 36222607 DOI: 10.7416/ai.2022.2547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
BACKGROUND The COVID-19 emergency has highlighted the importance of prevention systems and environ-mental microbiological monitoring as fundamental elements in the response to epidemics and other such threats to individual and collective health. The use of automated "No-touch" room disinfection systems eliminates or reduces the dependence on operators, thus allowing an improvement in the effectiveness of terminal disinfection. STUDY DESIGN In the present study, we focused on possible SARS-CoV-2 contamination of surfaces of com-mercial services, and the effectiveness of ozone treatment on the virus. METHODS Analyses were conducted on 4-7 October and 27-30 December 2021 in four supermarkets in an Apulian city; supermarkets A and B were equipped with an ozonisation system, while C and D were without any environmental remediation. RESULTS SARS-CoV-2 RNA was detected by real-time RT-PCR only in December, in 6% of the surfaces tested, and all examined samples were found to be negative after viral culture, since no cytopathic effect was observed. A statistically significant difference emerged from the comparison of October vs. December (p = 0.0289), but no statistically significant difference (p = 0.6777) emerged from the comparison between supermarkets with and without the ozonisation system. CONCLUSIONS Although no important changes were observed by treating the environments with ozonisation systems, further studies are needed to validate the effectiveness of environmental treatments with airborne disinfectants.
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Affiliation(s)
- G Diella
- Interdisciplinary Department of Medicine, Section of Hygiene, Aldo Moro University of Bari, Italy
| | - G Caggiano
- Interdisciplinary Department of Medicine, Section of Hygiene, Aldo Moro University of Bari, Italy
| | - F Apollonio
- Interdisciplinary Department of Medicine, Section of Hygiene, Aldo Moro University of Bari, Italy
| | - F Triggiano
- Department of Biomedical Science and Human Oncology, Aldo Moro University of Bari, Italy
| | - P Stefanizzi
- Interdisciplinary Department of Medicine, Section of Hygiene, Aldo Moro University of Bari, Italy
| | - F Fasano
- Interdisciplinary Department of Medicine, Section of Hygiene, Aldo Moro University of Bari, Italy
| | - L Pace
- Istituto Zooprofilattico Sperimentale della Puglia e della Basilicata, Foggia, Italy
| | - V Marcotrigiano
- Department of Prevention, Food Hygiene and Nutrition Service, Local Health Unit Barletta-Andria-Trani, Trani, Italy
| | - D P Sorrenti
- Department of Prevention, Food Hygiene and Nutrition Service, Local Health Unit Barletta-Andria-Trani, Trani, Italy
| | - G T Sorrenti
- Department of Prevention, Food Hygiene and Nutrition Service, Local Health Unit Barletta-Andria-Trani, Trani, Italy
| | - D Galante
- Istituto Zooprofilattico Sperimentale della Puglia e della Basilicata, Foggia, Italy
| | - M T Montagna
- Interdisciplinary Department of Medicine, Section of Hygiene, Aldo Moro University of Bari, Italy
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Ronga L, Stolfa S, Romanelli F, Bavaro DF, Saracino A, Mosca A, Sparapano E, De Carlo C, Montagna MT, Diella G, Nisi L, Del Prete R. Trend of sexually transmitted infections during the Covid-19 age. What was the impact of the pandemic and the social distancing measures? J Eur Acad Dermatol Venereol 2021; 36:e190-e192. [PMID: 34862991 DOI: 10.1111/jdv.17853] [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] [Received: 07/03/2021] [Accepted: 11/17/2021] [Indexed: 11/29/2022]
Affiliation(s)
- L Ronga
- UOC Microbiologia e Virologia, Azienda Ospedaliero-Universitaria, Bari, Italy
| | - S Stolfa
- Section of Microbiology, Interdisciplinary Department of Medicine, School of Medicine, University of Bari "Aldo Moro", Bari, Italy
| | - F Romanelli
- Section of Microbiology, Interdisciplinary Department of Medicine, School of Medicine, University of Bari "Aldo Moro", Bari, Italy
| | - D F Bavaro
- Clinic of Infectious Diseases, Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - A Saracino
- Clinic of Infectious Diseases, Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - A Mosca
- UOC Microbiologia e Virologia, Azienda Ospedaliero-Universitaria, Bari, Italy.,Section of Microbiology, Interdisciplinary Department of Medicine, School of Medicine, University of Bari "Aldo Moro", Bari, Italy
| | - E Sparapano
- UOC Microbiologia e Virologia, Azienda Ospedaliero-Universitaria, Bari, Italy
| | - C De Carlo
- UOC Microbiologia e Virologia, Azienda Ospedaliero-Universitaria, Bari, Italy
| | - M T Montagna
- Hygiene Section, Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - G Diella
- Hygiene Section, Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - L Nisi
- Section of Microbiology, Interdisciplinary Department of Medicine, School of Medicine, University of Bari "Aldo Moro", Bari, Italy
| | - R Del Prete
- UOC Microbiologia e Virologia, Azienda Ospedaliero-Universitaria, Bari, Italy.,Section of Microbiology, Interdisciplinary Department of Medicine, School of Medicine, University of Bari "Aldo Moro", Bari, Italy
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Di Muzio M, Diella G, Di Simone E, Pazzaglia M, Alfonsi V, Novelli L, Cianciulli A, Scarpelli S, Gorgoni M, Giannini A, Ferrara M, Lucidi F, De Gennaro L. Comparison of Sleep and Attention Metrics Among Nurses Working Shifts on a Forward- vs Backward-Rotating Schedule. JAMA Netw Open 2021; 4:e2129906. [PMID: 34661660 PMCID: PMC8524311 DOI: 10.1001/jamanetworkopen.2021.29906] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
IMPORTANCE The association of fast backward-rotating shift work (ie, anticlockwise sequence of afternoon, morning, and night shifts) with subjective and objective measures of sleep-wake quality, daytime attention, and tiredness of health care workers has not yet been established. OBJECTIVE To investigate the association of shift rotation direction with tiredness, sleepiness, and sustained attention among nurses working forward- and backward-rotating shifts. DESIGN, SETTING, AND PARTICIPANTS Data of this cohort study were collected from nurses working at 5 midsized Italian hospitals. The nurses had either a forward-rotating schedule (ie, morning to afternoon to night) and or a backward-rotating schedule (ie, afternoon to morning to night). The data were collected from July 2017 to February 2020. Data analysis was performed from May to October 2020. EXPOSURES Participants were working either forward- or backward-rotating schedules, in which the sequence of 3 shifts (morning, afternoon, and night) changed in a clockwise or anticlockwise direction. MAIN OUTCOMES AND MEASURES Sleep data were collected using the Karolinska Sleepiness Scale and Pittsburgh Sleep Quality Index. Sustained attention was measured using the Psychomotor Vigilance Task. Tiredness was evaluated using the Tiredness Symptom Scale. RESULTS A total of 144 nurses (mean [SE] age, 41.3 [0.8] years; 92 women [63.9%]) participated in the study; 80 nurses had forward-rotating schedules, and 64 had backward-rotating schedules. Nurses with irregular sleep-wake patterns due to night shift work had poor sleep quality (46 [57.5%] in forward-rotating schedule group; 37 [57.8%] in backward-rotating schedule group). Nurses working backward-rotating shifts exhibited significantly greater sleepiness (F1,139 = 41.23; P < .001) and cognitive slowing (ie, longer median reaction times; F1,139 = 42.12; P < .001) than those working forward rotations. Importantly, these differences were not affected by age, years of employment, and quality of sleep. Of nurses working on a backward-rotating schedule, 60 (93.8%) reported elevated sleepiness (Karolinska Sleepiness Scale score ≥7) after the night shift. The median reaction time (F1,139 = 42.12; P < .001), 10% fastest reaction time (F1,139 = 97.07; P < .001), minor lapses (F1,139 = 46.29; P < .001), and reaction time distribution (F1,139 = 60.13; P < .001) of nurses on backward-rotating schedules indicated a lower level of vigilance, which is negatively associated with neurobehavioral performance. CONCLUSIONS AND RELEVANCE In this study, both shift rotation models were negatively associated with health and cognitive performance. These findings suggest that forward shift rotation may be more beneficial than backward rotation for several measured performance attentional outcomes and sleepiness. Optimization of shift rotations should be implemented to decrease the combination of the negative outcomes associated with shift work and reduce the potential risk of medical errors in health care systems.
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Affiliation(s)
- Marco Di Muzio
- Department of Clinical and Molecular Medicine, University of Rome Sapienza, Rome, Italy
| | - Giulia Diella
- Department of Clinical and Molecular Medicine, University of Rome Sapienza, Rome, Italy
| | - Emanuele Di Simone
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy
| | - Mariella Pazzaglia
- Department of Psychology, University of Rome Sapienza, Rome, Italy
- Body and Action Lab, IRCCS Fondazione Santa Lucia, Rome, Italy
| | | | - Luana Novelli
- Department of Psychology, University of Rome Sapienza, Rome, Italy
| | - Angelo Cianciulli
- Department of Clinical and Molecular Medicine, University of Rome Sapienza, Rome, Italy
| | | | - Maurizio Gorgoni
- Department of Psychology, University of Rome Sapienza, Rome, Italy
| | | | - Michele Ferrara
- Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, L’Aquila, Italy
| | - Fabio Lucidi
- Department of Developmental and Social Psychology, University of Rome Sapienza, Rome, Italy
| | - Luigi De Gennaro
- Department of Psychology, University of Rome Sapienza, Rome, Italy
- Body and Action Lab, IRCCS Fondazione Santa Lucia, Rome, Italy
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Ferrucci F, Jorio M, Marci S, Bezenchek A, Diella G, Nulli C, Miranda F, Castelli-Gattinara G. A Web-Based Application for Complex Health Care Populations: User-Centered Design Approach. JMIR Hum Factors 2021; 8:e18587. [PMID: 33439146 PMCID: PMC7840279 DOI: 10.2196/18587] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Revised: 06/17/2020] [Accepted: 12/03/2020] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Although eHealth technology makes it possible to improve the management of complex health care systems and follow up on chronic patients, it is not without challenges, thus requiring the development of efficient programs and graphic user interface (GUI) features. Similar information technology tools are crucial, as health care populations are going to have to endure social distancing measures in the forthcoming months and years. OBJECTIVE This study aims to provide adequate and personalized support to complex health care populations by developing a specific web-based mobile app. The app is designed around the patient and adapted to specific groups, for example, people with complex or rare diseases, autism, or disabilities (especially among children) as well as Alzheimer or senile dementia. The app's core features include the collection, labeling, analysis, and sorting of clinical data. Furthermore, it authorizes a network of people around the patient to securely access the data contained in his or her electronic health record. METHODS The application was designed according to the paradigms of patient-centered care and user-centered design (UCD). It considers the patient as the main empowered and motivating factor in the management of his or her well-being. Implementation was informed through a family needs and technology perception assessment. We used 3 interdisciplinary focus groups and 2 assessment surveys to study the contexts of app use, subpopulation management, and preferred functions. Finally, we developed an observational study involving 116 enrolled patients and 253 system users, followed by 2 feedback surveys to evaluate the performance and impact of the app. RESULTS In the validated general GUI, we developed 10 user profiles with different privacy settings. We tested 81 functions and studied a modular structure based on disease or medical area. This allowed us to identify replicable methods to be applied to module design. The observational study not only showed good family and community engagement but also revealed some limitations that need to be addressed. In total, 42 of 51 (82%) patients described themselves as satisfied or very satisfied. Health care providers reported facilitated communication with colleagues and the need to support data quality. CONCLUSIONS The experimented solution addressed some of the health system challenges mentioned by the World Health Organization: usability appears to be significantly improved when the GUI is designed according to patients' UCD mental models and when new media and medical literacy are promoted. This makes it possible to maximize the impact of eHealth products, thereby overcoming some crucial gaps reported in the literature. Two main features seemed to have potential benefit compared with other eHealth products: the modeling, within the app, of both the formal and informal health care support networks and the modular structure allowing for comorbidity management, both of which require further implementation.
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Affiliation(s)
- Francesca Ferrucci
- Informapro Srl, Rome, Italy.,Department of Human Sciences, Communication and Tourism, University of Tuscia, Viterbo, Italy.,EuResist Network European Economic Interest Grouping, Rome, Italy
| | | | - Stefano Marci
- Unità Operativa Complessa Materno-Infantile - Azienda Sanitaria Locale Rieti, Consultorio Pediatrico, Rieti, Italy
| | - Antonia Bezenchek
- Informapro Srl, Rome, Italy.,EuResist Network European Economic Interest Grouping, Rome, Italy
| | - Giulia Diella
- Academic Department of Pediatrics, Division of Immune and Infectious Diseases - Istituto di Ricovero e Cura a Carattere Scientifico Ospedale Pediatrico Bambino Gesù, Rome, Italy
| | - Cinzia Nulli
- Unità Operativa Complessa Materno-Infantile - Azienda Sanitaria Locale Rieti, Consultorio Pediatrico, Rieti, Italy
| | - Ferdinando Miranda
- Academic Department of Pediatrics, Division of Immune and Infectious Diseases - Istituto di Ricovero e Cura a Carattere Scientifico Ospedale Pediatrico Bambino Gesù, Rome, Italy
| | - Guido Castelli-Gattinara
- Academic Department of Pediatrics, Division of Immune and Infectious Diseases - Istituto di Ricovero e Cura a Carattere Scientifico Ospedale Pediatrico Bambino Gesù, Rome, Italy
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Gola M, Caggiano G, De Giglio O, Napoli C, Diella G, Carlucci M, Carpagnano LF, D'Alessandro D, Joppolo CM, Capolongo S, Montagna MT. SARS-CoV-2 indoor contamination: considerations on anti-COVID-19 management of ventilation systems, and finishing materials in healthcare facilities. Ann Ig 2020; 33:381-392. [PMID: 33270076 DOI: 10.7416/ai.2020.2396] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Abstract Many of the devastating pandemics and outbreaks of last centuries have been caused by enveloped viruses. The recent pandemic of Coronavirus disease 2019 (COVID-19) has seriously endangered the global health system. In particular, hospitals have had to deal with a frequency in the emergency room and a request for beds for infectious diseases never faced in the last decades. It is well-known that hospitals are environments with a high infectious risk. Environmental control of indoor air and surfaces becomes an important means of limiting the spread of SARS-CoV-2. In particular, to preserve an adequate indoor microbiological quality, an important non-pharmacological strategy is represented by Heating, Ventilation and Air Conditioning (HVAC) systems and finishing materials. Starting from the SARS-CoV-2 transmission routes, the paper investigates the hospital risk analysis and management, the indoor air quality and determination of microbial load, surface management and strategies in cleaning activities, HVAC systems' management and filters' efficiency. In conclusion, the paper suggests some strategies of interventions and best practices to be taken into considerations for the next steps in design and management.
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Affiliation(s)
- M Gola
- Architecture, Built environment and Construction engineering Department and Design & Health LAB, Politecnico di Milano, Milan, Italy
| | - G Caggiano
- Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - O De Giglio
- Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - C Napoli
- Department of Medical-Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy
| | - G Diella
- Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - M Carlucci
- Azienda Ospedaliero-Universitaria Consorziale, Policlinico - "Giovanni XXIII", Bari, Italy
| | - L F Carpagnano
- Azienda Ospedaliero-Universitaria Consorziale, Policlinico - "Giovanni XXIII", Bari, Italy
| | - D D'Alessandro
- Department of Civil Construction and Environmental Engineering, Sapienza University of Rome, Rome, Italy
| | - C M Joppolo
- Department of Energy and Air Lab, Politecnico di Milano, Milan, Italy
| | - S Capolongo
- Architecture, Built environment and Construction engineering Department and Design & Health LAB, Politecnico di Milano, Milan, Italy
| | - M T Montagna
- Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
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Di Muzio M, Diella G, Di Simone E, Novelli L, Alfonsi V, Scarpelli S, Annarumma L, Salfi F, Pazzaglia M, Giannini AM, De Gennaro L. Nurses and Night Shifts: Poor Sleep Quality Exacerbates Psychomotor Performance. Front Neurosci 2020; 14:579938. [PMID: 33154716 PMCID: PMC7591770 DOI: 10.3389/fnins.2020.579938] [Citation(s) in RCA: 28] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2020] [Accepted: 09/10/2020] [Indexed: 02/05/2023] Open
Abstract
In Europe, 40% of health-care employees are involved in shift work. The altered sleep/wake rhythm of night-shift nurses is also associated with deteriorated cognitive efficiency. In this study, we examine the effects of the night shift on psychomotor performance, sleepiness, and tiredness in a large sample of shift-working nurses and evaluated if poor sleep quality, sex, age, or years on the job could impact on a better adaptation to shift work. Eighty-six nurses with 8-h-rapidly-rotating-shifts were evaluated at the end of three shifts (morning/afternoon/night) for sleepiness and tiredness. Sleepiness, as measured by the Karolinska Sleepiness Scale, and tiredness, as measured by the Tiredness Symptoms Scale, were more pronounced after the night shift. These increases were paralleled by lower attentional performance on the psychomotor vigilance task (PVT) after the night shift. While sex, age, and years on the job did not affect PVT performance after the night shift, lower sleep quality (Pittsburgh Sleep Quality, PSQI > 5) was associated with decreased performance. The high prevalence of altered sleep quality showed that nurses, and shift workers in general, are at risk for a poor sleep quality. The evaluation of sleep quality through PSQI could represent a rapid, inexpensive tool to assess health-care workers assigned to rotating night shifts or to evaluate nurses who coped poorly with night-shift work.
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Affiliation(s)
- Marco Di Muzio
- Department of Clinical and Molecular Medicine, Sapienza University of Rome, Rome, Italy
| | - Giulia Diella
- Department of Clinical and Molecular Medicine, Sapienza University of Rome, Rome, Italy
| | - Emanuele Di Simone
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy
| | - Luana Novelli
- Department of Psychology, Sapienza University of Rome, Rome, Italy
| | | | | | | | - Federico Salfi
- Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy
| | - Mariella Pazzaglia
- Department of Psychology, Sapienza University of Rome, Rome, Italy.,IRCCS Fondazione Santa Lucia, Rome, Italy
| | | | - Luigi De Gennaro
- Department of Psychology, Sapienza University of Rome, Rome, Italy
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Montagna MT, Diella G, De Giglio O, Triggiano F, Carlucci M, Carpagnano FL, Caggiano G. Can beaches and bathing environments represent a risk of spreading COVID-19? Ann Ig 2020; 32:593-596. [PMID: 32744590 DOI: 10.7416/ai.2020.2379] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- M T Montagna
- Department of Biomedical Science and Human Oncology, University of Bari Aldo Moro, Italy
| | - G Diella
- Department of Biomedical Science and Human Oncology, University of Bari Aldo Moro, Italy
| | - O De Giglio
- Department of Biomedical Science and Human Oncology, University of Bari Aldo Moro, Italy
| | - F Triggiano
- Department of Biomedical Science and Human Oncology, University of Bari Aldo Moro, Italy
| | - M Carlucci
- Medical Director, A.O.U. Policlinico di Bari Aldo Moro, Italy
| | - F L Carpagnano
- MD in Public Health Residency Training, University of Bari Aldo Moro, Italy
| | - G Caggiano
- Department of Biomedical Science and Human Oncology, University of Bari Aldo Moro, Italy
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9
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Marcotrigiano V, Lanzilotti C, Rondinone D, De Giglio O, Caggiano G, Diella G, Orsi GB, Montagna MT, Napoli C. Food labelling: Regulations and Public Health implications. Ann Ig 2019; 30:220-228. [PMID: 29670991 DOI: 10.7416/ai.2018.2213] [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
Legislators have implemented policies to improve food labelling to protect consumers and to make the presentation of ingredients and nutritional information more transparent. Proper food labelling allows consumers who may suffer from food allergies or intolerances to know exactly what ingredients a product contains, and it also helps them make more informed health and nutrition choices. This paper deals with the most current European and Italian legislation on food labelling, actions taken in non-EU countries to increase health choices, and the expected impact on Public Health.
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Affiliation(s)
- V Marcotrigiano
- Food Hygiene and Nutrition Service, Department of Prevention, Local Health Authority n. 2 "Marca trevigiana", Treviso, Italy
| | - C Lanzilotti
- Hygiene and Public Health Service, Department of Prevention, Local Health Authority, Lecce, Italy
| | - D Rondinone
- Food Hygiene and Nutrition Service, Department of Prevention, Local Health Authority, Lecce, Italy
| | - O De Giglio
- Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - G Caggiano
- Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - G Diella
- Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - G B Orsi
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - M T Montagna
- Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - C Napoli
- Department of Medical and Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy
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10
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Diella G, Caggiano G, Ferrieri F, Ventrella A, Palma M, Napoli C, Rutigliano S, Lopuzzo M, Lovero G, Montagna MT. Aflatoxin contamination in nuts marketed in Italy: preliminary results. Ann Ig 2019; 30:401-409. [PMID: 30062368 DOI: 10.7416/ai.2018.2240] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [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 Aflatoxins (AFs) are one of the main groups of mycotoxins produced by molds. Nuts, although recognized as a food with health benefits, are frequently contaminated by AFs. STUDY DESIGN In this preliminary study we evaluated the contamination by total AFs and AFB1 in different types of nuts from different countries marketed in Apulia. METHODS Overall, 124 samples (almonds, apricot kernels, chestnuts, hazelnuts, peanuts, pistachios, walnuts and Brazil nut) were analyzed using an High-Performance Liquid Chromatography system. RESULTS Twenty samples (16.1%) were contaminated with AFs of which 55% were non-compliant, according to Reg. 165/2010. The median values (µg/kg) of total AFs and AFB1 were 16.6 and 15.1, respectively. Pistachios appeared more susceptible to AF contamination than the other nuts, with levels of total AFs ranging from 8.8 to 387.3 µg/kg and of AFB1 from 8.2 to 354.5 µg/kg. The majority of contaminated samples came from Asia and AF contamination was different in the various Asiatic sub-regions: regardless of the type of nuts, samples from Western Asia were the least contaminated. CONCLUSIONS As geographical origin may influence the risk of contamination, in order to protect human health, customer countries should increase AF monitoring in nuts coming from those countries with favorable environments for the growth of aflatoxigenic molds or with less strict regulations.
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Affiliation(s)
- G Diella
- 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
| | - F Ferrieri
- ARPA Puglia - Regional Agency for the Environmental Prevention and Protection, Food Specialization Centre, Bari, Italy
| | - A Ventrella
- ARPA Puglia - Regional Agency for the Environmental Prevention and Protection, Food Specialization Centre, Bari, Italy
| | - M Palma
- ARPA Puglia - Regional Agency for the Environmental Prevention and Protection, Food Specialization Centre, Bari, Italy
| | - C Napoli
- Department of Medical and Surgical Sciences and Translational Medicine, Sapienza University of Roma, Roma, Italy
| | - S Rutigliano
- Department of Biomedical Science and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - M Lopuzzo
- Department of Biomedical Science and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - G Lovero
- Department of Biomedical Science and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - M T Montagna
- Department of Biomedical Science and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
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Di Muzio M, Reda F, Diella G, Di Simone E, Novelli L, D'Atri A, Giannini A, De Gennaro L. Not only a Problem of Fatigue and Sleepiness: Changes in Psychomotor Performance in Italian Nurses across 8-h Rapidly Rotating Shifts. J Clin Med 2019; 8:jcm8010047. [PMID: 30621274 PMCID: PMC6352064 DOI: 10.3390/jcm8010047] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2018] [Revised: 12/26/2018] [Accepted: 12/29/2018] [Indexed: 02/05/2023] Open
Abstract
Although many studies have detailed the consequences of shift work in nurses concerning health, fatigue, sleepiness, or medical errors, no study has been carried out trying to disentangle the contribution of sleepiness and fatigue associated to shift work from the attentional performance. The aim of this pilot study is (A) to investigate the effects of an 8-h rapidly rotating shift on fatigue and sleepiness among staff nurses and (B) how these factors affect their psychomotor performance. Fourteen nurses were selected for a within-subject cross-sectional study according to this sequence of shifts: morning⁻afternoon⁻night, which were compared as function of tiredness, sleepiness, and performance at the Psychomotor Vigilance Task (PVT). Subsequently, a within-subject Analysis of Covariance (ANCOVA) evaluated if the observed differences between shifts persist when the contribution of sleepiness is controlled. Our results clearly indicate that night shifts are associated with significant greater sleepiness and tiredness, and worsened performance at the PVT. As hypothesized, ANCOVA showed that these differences disappear when the contribution of sleepiness is controlled. Results point to a lower psychomotor performance in night compared to day shifts that depends on sleepiness. Hence, interventions to minimize the consequences of the night shift should consider a reduction of sleepiness.
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Affiliation(s)
- Marco Di Muzio
- Department of Clinical and Molecular Medicine, St. Andrea Hospital, University of Rome "Sapienza", I-00118 Rome, Italy.
| | - Flaminia Reda
- Department of Psychology, University of Rome "Sapienza", I-00185 Rome, Italy.
| | - Giulia Diella
- Department of Clinical and Molecular Medicine, St. Andrea Hospital, University of Rome "Sapienza", I-00118 Rome, Italy.
| | - Emanuele Di Simone
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, I-00133 Rome, Italy.
| | - Luana Novelli
- Department of Psychology, University of Rome "Sapienza", I-00185 Rome, Italy.
| | - Aurora D'Atri
- Department of Psychology, University of Rome "Sapienza", I-00185 Rome, Italy.
| | - Annamaria Giannini
- Department of Psychology, University of Rome "Sapienza", I-00185 Rome, Italy.
| | - Luigi De Gennaro
- Department of Psychology, University of Rome "Sapienza", I-00185 Rome, Italy.
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12
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Caggiano G, Dambrosio A, Ioanna F, Balbino S, Barbuti G, De Giglio O, Diella G, Lovero G, Rutigliano S, Scarafile G, Baldassarre A, Vimercati L, Musti M, Montagna MT. Prevalence and characterization of methicillin-resistant Staphylococcus aureus isolates in food industry workers. Ann Ig 2017; 28:8-14. [PMID: 26980505 DOI: 10.7416/ai.2016.2080] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [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 Methicillin-resistant S. aureus (MRSA) is a pathogen spread not only in the hospital environment but also in the community and amongst livestock (LA-MRSA). LA-MRSA can be transmitted to humans that live in close contact with MRSA-colonized animals, and human colonization and/or infection has been reported worldwide, particularly among those involved with livestock farming. In this study the authors evaluated the prevalence of S. aureus and MRSA among healthy carriers who worked in the food industry in Apulia, Southern Italy. METHODS Nasal swabs were taken from pasta and pork industry workers. All swab samples were subjected to tests for the isolation, identification and typing of S. aureus and MRSA strains. The identification of the strains was confirmed by molecular assessment using multiplex-PCR for the amplification of the nuc and mecA genes. The strains identified as MRSA were then subjected to a PCR protocol for the characterization of sequence type ST398. RESULTS In total 26.3% of examined nasal swabs were positive for S. aureus, 8.2% of them were methicillin resistant strains and 28.5% of MRSA isolates were characterized as ST398. The MRSA prevalence among pork factory workers was 3% , whereas among the pasta operators the prevalence was 11.5. CONCLUSION The presence of S. aureus and MRSA among food workers represents a public health risk. Further, considering the dissemination of S. aureus and MRSA among non-nosocomial environments, including communities and livestock, careful surveillance and continuous monitoring of the emergence of MRSA is fundamental for safeguarding public health.
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Affiliation(s)
- G Caggiano
- Department of Biomedical Science and Human Oncology, Hygiene Section University of Bari "Aldo Moro", Bari, Italy
| | - A Dambrosio
- Department of Emergency and Organ Transplantation. Veterinary Clinics and Animal Production, University of Bari "Aldo Moro", Bari, Italy
| | - F Ioanna
- Department of Emergency and Organ Transplantation. Veterinary Clinics and Animal Production, University of Bari "Aldo Moro", Bari, Italy
| | - S Balbino
- Department of Biomedical Science and Human Oncology, Hygiene Section University of Bari "Aldo Moro", Bari, Italy
| | - G Barbuti
- Department of Biomedical Science and Human Oncology, General Pathology Section University of Bari "Aldo Moro", Bari, Italy
| | - O De Giglio
- Department of Biomedical Science and Human Oncology, Hygiene Section University of Bari "Aldo Moro", Bari, Italy
| | - G Diella
- Department of Biomedical Science and Human Oncology, Hygiene Section University of Bari "Aldo Moro", Bari, Italy
| | - G Lovero
- Department of Biomedical Science and Human Oncology, Hygiene Section University of Bari "Aldo Moro", Bari, Italy
| | - S Rutigliano
- Department of Biomedical Science and Human Oncology, Hygiene Section University of Bari "Aldo Moro", Bari, Italy
| | - G Scarafile
- Department of Biomedical Science and Human Oncology, Hygiene Section University of Bari "Aldo Moro", Bari, Italy
| | - A Baldassarre
- Interdisciplinary Department of Medicine, Occupational Medicine Section "B. Ramazzini", University of Bari "Aldo Moro", Bari, Italy
| | - L Vimercati
- Interdisciplinary Department of Medicine, Occupational Medicine Section "B. Ramazzini", University of Bari "Aldo Moro", Bari, Italy
| | - M Musti
- Interdisciplinary Department of Medicine, Occupational Medicine Section "B. Ramazzini", University of Bari "Aldo Moro", Bari, Italy
| | - M T Montagna
- Department of Biomedical Science and Human Oncology, Hygiene Section University of Bari "Aldo Moro", Bari, Italy
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13
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Lovero G, De Giglio O, Montagna O, Diella G, Divenuto F, Lopuzzo M, Rutigliano S, Laforgia N, Caggiano G, Montagna MT. Epidemiology of candidemia in neonatal intensive care units: a persistent public health problem. Ann Ig 2017; 28:282-7. [PMID: 27479764 DOI: 10.7416/ai.2016.2107] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [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 Candidemia has become an increasingly important problem in infants hospitalized in the Neonatal Intensive Care Units (NICUs). Candida species are the third most common agents of late-onset infections in critically ill neonates and they are associated with high morbidity and mortality rates. In this study we evaluated the epidemiology of Candida bloodstream infections in the NICU of an Italian university hospital during a 15-year period. Our specific aims were to analyze the change in species distribution and the vitro susceptibility of these yeasts to fluconazole (FCZ) and amphotericin B (AmB). METHODS A retrospective study of candidemia in the NICU of a university hospital in southern Italy, covering the years 2000-2014 was carried out. The isolates were identified using the VITEK2 yeast identification system and antifungal susceptibility was determined using the E-test method. RESULTS Among the 57 patients with confirmed candidemia, 60% were males (n = 34 cases) and 82% (n = 47) had a gestational age of 24-32 weeks. Twenty-seven neonates (47%) had a very low birth weight (<1500 g), 20 (35%) an extremely low birth weight (<1000 g), and 10 (18%) a low birth weight (<2500 g). The most important potential risk factors were the placement of a central venous catheter, total parenteral nutrition, and endotracheal intubation (100%, each). Candida albicans was the most frequent yeast (47%), followed by Candida parapsilosis (44%). The proportion of Candida non-albicans increased slightly, from 46% in 2000-2004 to 71% in 2010-2014 (χ2 test for trend, p = 0.030). All isolates were susceptible to FCZ and AmB. CONCLUSIONS The detection in this epidemiologic study of an increase in Candida non-albicans highlights the importance of correct species-level identification in the rapid diagnosis for an efficient treatment of candidemia. Knowledge of the local epidemiological trends in Candida species isolated in blood cultures will facilitate therapeutic decision-making.
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Affiliation(s)
- G Lovero
- Department of Biomedical Science and Human Oncology, Hygiene section, University of Bari "Aldo Moro", Bari, Italy
| | - O De Giglio
- Department of Biomedical Science and Human Oncology, Hygiene section, University of Bari "Aldo Moro", Bari, Italy
| | - O Montagna
- Neonatology and NICU section, Azienda Ospedaliero-Universitaria Policlinico of Bari, Italy
| | - G Diella
- Department of Biomedical Science and Human Oncology, Hygiene section, University of Bari "Aldo Moro", Bari, Italy
| | - F Divenuto
- Department of Biomedical Science and Human Oncology, Hygiene section, University of Bari "Aldo Moro", Bari, Italy
| | - M Lopuzzo
- Department of Biomedical Science and Human Oncology, Hygiene section, University of Bari "Aldo Moro", Bari, Italy
| | - S Rutigliano
- Department of Biomedical Science and Human Oncology, Hygiene section, University of Bari "Aldo Moro", Bari, Italy
| | - N Laforgia
- Neonatology and NICU section, Department of Biomedical Sciences and Human Oncology University of Bari "Aldo Moro", Bari, Italy
| | - G Caggiano
- Department of Biomedical Science and Human Oncology, Hygiene section, University of Bari "Aldo Moro", Bari, Italy
| | - M T Montagna
- Department of Biomedical Science and Human Oncology, Hygiene section, University of Bari "Aldo Moro", Bari, Italy
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