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Pattavina F, Wachocka M, Tuti F, Boninti F, Santi R, Grossi R, Laurenti P. From hazard identification to risk assessment: The role of the prevention technician in the carcinogenic risk assessment for formaldehyde. Front Public Health 2023; 11:960921. [PMID: 37124772 PMCID: PMC10140350 DOI: 10.3389/fpubh.2023.960921] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Accepted: 03/06/2023] [Indexed: 05/02/2023] Open
Abstract
The Prevention Technician in the Environment and Workplaces (PTEW) is a health professional who works in the identification, assessment, and management of risk in living and working places. The PTEW implements specific corrective actions at reducing exposure levels to chemicals such as formaldehyde. The aim of this report was to update the formaldehyde risk assessment document (RAD). The risk assessment process was divided into three steps as follows: (1) preliminary data collection, (2) an on-site visit to identify the use patterns and process, and (3) application of the algorithm to calculate the exposure levels of healthcare workers. In addition, with the introduction of closed-circuit systems, 23 devices were evaluated to identify possible airborne dispersion of formaldehyde. The algorithm was applied in 31 hospital units and the results allowed us to classify the staff in two levels of exposure for each hospital unit; healthcare workers were classified as "exposed" or "potentially exposed." Most of the HCWs are categorized as potentially exposed, and only workers working in laboratories are considered to be exposed. The results showed that devices must be used properly according to the user manual. To increase the level of worker safety, we have proposed to introduce closed-circuit safe handling systems and keeping the duration and intensity of exposure at the lowest possible levels according to the "ALARA" principle. The assignment of the Italian PTEW is to achieve excellence in the levels of health and safety of patients and hospital workers by pursuing a shared mission: improving the quality of public health.
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Affiliation(s)
- Fabio Pattavina
- Hygiene Hospital Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
- *Correspondence: Fabio Pattavina,
| | - Malgorzata Wachocka
- Hygiene Hospital Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
| | | | - Federica Boninti
- Hygiene Hospital Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
| | - Riccardo Santi
- Hygiene Hospital Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
| | - Roberta Grossi
- Hygiene Hospital Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
| | - Patrizia Laurenti
- Hygiene Hospital Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy
- Life Sciences and Public Health Department, Università Cattolica del Sacro Cuore, Rome, Italy
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2
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Marcotrigiano V, Pattavina F, Blangiardi L, Salerno G, Dalena A, Del Bianco F, Di Fant M, Fabbro A, Forgiarini M, Lanzilotti C, Wachocka M, Marchet P, Mazzurana M, Rizzi R, Russo C, Salerno F, Vailati M, Stingi GD, Laurenti P, Ferro A, Cinquetti S, Napoli C. The Preventive Health Professions in Italy: The Efficient Use of Resources, Skills and Best Practice during the Pandemic. Healthcare (Basel) 2022; 10:1906. [PMID: 36292353 PMCID: PMC9601740 DOI: 10.3390/healthcare10101906] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [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: 08/16/2022] [Revised: 09/25/2022] [Accepted: 09/26/2022] [Indexed: 11/26/2023] Open
Abstract
Health visitors (HVs) and environmental health officers (EHOs) are the healthcare workers (HCWs) who, in the Italian National Health Service, mainly operate in the prevention departments of local health authorities, guaranteeing the territorial activities specifically declared with the respective professional profiles. During the SARS-CoV-2 pandemic, it was necessary to reallocate all HCWs supporting Hygiene and Public Health Services involved on the front lines of the emergency, in order to perform preventive activities and to take immediate action to fight the spread of the virus. By means of an IT survey consisting of three sections, this study investigated how 960 HVs and EHOs dealt with this reallocation, with the shifting in service assignment, and with the perceived level of fatigue and pressure, through the application of skills acquired from university training. The synergy among the preventive health professions, the ability to work in a multi-professional team, and the complementary training of HCWs represent the main strengths for overcoming future public health challenges, aimed at protecting human health.
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Affiliation(s)
- Vincenzo Marcotrigiano
- Prevention Department, Local Health Authority BT, Barletta-Andria-Trani, 76125 Trani, Italy
| | - Fabio Pattavina
- Hygiene Hospital Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy
| | - Lorenzo Blangiardi
- Prevention Department, Local Health Authority “AULSS 6 Euganea”, 35131 Padua, Italy
| | - Gerardo Salerno
- Department of Neurosciences, Mental Health and Sensory Organs “NESMOS”, Sapienza University of Rome, 00185 Rome, Italy
| | - Annamaria Dalena
- Prevention Department, Local Health Authority Taranto, 74121 Taranto, Italy
| | - Flavio Del Bianco
- Prevention Technical Platform, “AS FO” Western Friuli Health Authority, 33170 Pordenone, Italy
| | - Marcella Di Fant
- Prevention Department, “ASU FC” Friuli Centrale University Health Authority, 33100 Udine, Italy
| | - Anna Fabbro
- Prevention Department, “ASU FC” Friuli Centrale University Health Authority, 33100 Udine, Italy
| | - Mariarita Forgiarini
- Prevention Department, “ASU FC” Friuli Centrale University Health Authority, 33100 Udine, Italy
| | - Carola Lanzilotti
- Prevention Department, Local Health Authority Brindisi, 72100 Brindisi, Italy
| | - Malgorzata Wachocka
- Hygiene Hospital Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy
| | - Paola Marchet
- Prevention Department, Local Health Authority “AULSS 1 Dolomiti”, 32100 Belluno, Italy
| | - Mirko Mazzurana
- Prevention Department, Provincial Authority for Health Services, “APSS” Autonomous Province of Trento, 38123 Trento, Italy
| | - Roberto Rizzi
- Prevention Department, Local Health Authority Taranto, 74121 Taranto, Italy
| | - Carmela Russo
- Bachelor’s Course in Health Assistance, University of Padua, 35122 Padua, Italy
| | - Fabiana Salerno
- Prevention Department, “ASU FC” Friuli Centrale University Health Authority, 33100 Udine, Italy
| | - Mattia Vailati
- Authorization for the Accreditation of Healthcare Structures Unit, “ATS” Agency for Health Protection of Metropolitan Area of Milan, 20122 Milan, Italy
| | | | - Patrizia Laurenti
- Life Sciences and Public Health Department, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
| | - Antonio Ferro
- Prevention Department, Provincial Authority for Health Services, “APSS” Autonomous Province of Trento, 38123 Trento, Italy
| | - Sandro Cinquetti
- Prevention Department, Local Health Authority “AULSS 1 Dolomiti”, 32100 Belluno, Italy
| | - Christian Napoli
- Department of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, 00189 Rome, Italy
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3
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Wachocka M, Pattavina F, Palluzzi V, Cerabona V, Laurenti P. Health Professionals of Prevention in Italy: The Value of Expertise During COVID-19 Pandemic. Front Public Health 2020; 8:575500. [PMID: 33425833 PMCID: PMC7793693 DOI: 10.3389/fpubh.2020.575500] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Accepted: 11/30/2020] [Indexed: 11/28/2022] Open
Abstract
There are 22 different degree courses related to the Healthcare Professions in the Italian university system, which are divided into four areas. “Healthcare Professions of Prevention” is the fourth area and it is fundamental for the National Health Service. In particular, in this pandemic emergency situation, the contribution of the Prevention Technicians in the Environment and Workplaces (PTEW) is essential in the field and workplace management. The “Core Competence” of the PTEW is to carry out, with professional autonomy, prevention, verification, and control activities in the field of hygiene and safety of living and working environments. In the hospitals, the indications provided by national and/or regional authorities are implemented through procedures on good hygiene practices developed by PTEW (e.g., hand hygiene, “respiratory tract hygiene,” environmental hygiene, social distancing, and use of Personal Protective Equipment). One of the activities is the health surveillance on the field by population monitoring. The protocols foreseen for the “in-flow of workers” involve a wider control between social life and work. The PTEW will use a Check List divided into 3 macro phases: Entry, Activity Context, and Exit, defining each behavior of the work phases with a constant presence of verification of the procedures. The PTEW will be a Leader on the topics of education, training, and persuasion, considering a New Principle that “transforms the worker as active part in the application and diffusion of the safety measures”.
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Affiliation(s)
- Malgorzata Wachocka
- Dipartimento Scienze della Vita e di Sanità Pubblica, Università Cattolica del Sacro Cuore, Rome, Italy.,Fondazione Policlinico Universitario A. Gemelli Dipartimento di Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Rome, Italy
| | - Fabio Pattavina
- Dipartimento Scienze della Vita e di Sanità Pubblica, Università Cattolica del Sacro Cuore, Rome, Italy.,Fondazione Policlinico Universitario A. Gemelli Dipartimento di Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Rome, Italy
| | - Vincenzo Palluzzi
- Dipartimento di Prevenzione, Azienda Sanitaria Locale Roma1, Rome, Italy
| | - Vito Cerabona
- Dipartimento di Prevenzione, Azienda Sanitaria Locale Roma1, Rome, Italy
| | - Patrizia Laurenti
- Dipartimento Scienze della Vita e di Sanità Pubblica, Università Cattolica del Sacro Cuore, Rome, Italy.,Fondazione Policlinico Universitario A. Gemelli Dipartimento di Scienze della Salute della Donna, del Bambino e di Sanità Pubblica, Rome, Italy
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4
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Vincenti S, La Milia DI, Boninti F, Marchetti E, Wachocka M, Laurenti P. Effect of ClO2 on the distribution of Legionella pneumophila serogroups in a Teaching Hospital. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa165.174] [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
The prevention of Legionella colonization of water systems is one of the goals of hospital management. Among chemical disinfection methods, chlorine dioxide (ClO2) has been largely used to control Legionella in water systems. We analysed the distribution of Legionella pneumophila serogroups (sg) and Legionella other spp before (PRE) and after (POST) installation of chlorine dioxide (ClO2) continuous disinfection systems in a Teaching Hospital in Rome.
According to the Italian National Guidelines, our surveillance plan involved a systematic sampling of the water system. The sampling was performed from Jan. 2010 to Dec. 2019. From 2011 to 2019, ClO2 continuous disinfection systems were installed in all hot water system of the hospital, and maintained at a concentration of 0.25 mg/l at the end point. The isolated strains of Legionella were first serotyped using a kit that identifies sg1, other species and that discriminate sg from 2 to 15.
1505 hot water samples were collected from the Hospital and analysed. 363 samples are PRE and 1142 are POST activation of ClO2. Only the 16.74% of monitored sampling points were colonized by Legionella during the study period. This percentage decrease from 31.40% of PRE samples, to 12.08% of POST samples (p ≤ 0.000). The sg isolated were: sg3 (60.31%), sg8 (17.12%), sg1 (16.73%), sg6 (1.95%) and other species (3.89%). Comparing the distribution of sg between the PRE and POST samples, the sg8 showed a high increase (+136.84%) and the sg3 a slight decrease (-17.94%). These variations were statistically significative.
The results showed a predominance of Legionella pneumophila sg3, compared to what was observed in a multicenter study conducted between different hospitals of various regions of Italy, where sg6 was the major isolate. The ClO2 affect the distribution of sg, in particular for sg8. This interesting result will be further investigated.
Key messages
Our data deriving from an environmental monitoring plan, show that the ClO2 affects the distribution of Legionella’s serogroups. The ClO2 reduces the percentage of samples colonized by Legionella. The ClO2 reduces the percentage of samples colonized by Legionella.
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Affiliation(s)
- S Vincenti
- Fondazione Policlinico Universitario A.Gemelli IRCCS, Rome, Italy
| | - D I La Milia
- Fondazione Policlinico Universitario A.Gemelli IRCCS, Rome, Italy
| | - F Boninti
- Fondazione Policlinico Universitario A.Gemelli IRCCS, Rome, Italy
| | - E Marchetti
- Università Cattolica del Sacro Cuore, Rome, Italy
| | - M Wachocka
- Fondazione Policlinico Universitario A.Gemelli IRCCS, Rome, Italy
| | - P Laurenti
- Fondazione Policlinico Universitario A.Gemelli IRCCS, Rome, Italy
- Università Cattolica del Sacro Cuore, Rome, Italy
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5
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La Milia DI, Vincenti S, Fiori B, Pattavina F, Torelli R, Barbara A, Wachocka M, Moscato U, Sica S, Amato V, Ricciardi W, Laurenti P. Monitoring of Particle Environmental Pollution and Fungal Isolations During Hospital Building-Work Activities in a Hematology Ward. Mediterr J Hematol Infect Dis 2019; 11:e2019062. [PMID: 31700587 PMCID: PMC6827607 DOI: 10.4084/mjhid.2019.062] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [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: 06/13/2019] [Accepted: 10/06/2019] [Indexed: 01/15/2023] Open
Abstract
Building-work activities could cause dust contamination and fungal spores' dissemination. A significant relationship was found between building-work activities and the incidence of invasive aspergillosis, in profoundly immunocompromised patients. Renovation-works activities were carried out by four building sites of the hematology ward in a Teaching Hospital without the interruption of clinical activities. These sites were monitored by environmental sampling to determine the particles and fungi count. Clinical surveillance was made using galactomannan antigen test as a proxy for invasive aspergillosis diagnosis. A definitive diagnosis of IA was confirmed by clinical and radiological features. The galactomannan antigen test showed no significant difference between presence (2,75%) and absence (5,03%) of renovation work activities (p=0,522). During the renovation activities, an increment of IA cases with respect to the control period was not recorded. The particle counts showed higher values of small and big-diameter particles before the renovation works if compared to the end of the activities. It was probably due to the containment measures implemented during and immediately after the final phases of the building site. The Fungi counts showed no significant differences between the phase before and after the renovation activities. Our findings show that is possible to perform renovation work, during clinical activities, by increasing clinical and environmental surveillance.
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Affiliation(s)
| | - Sara Vincenti
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
| | - Barbara Fiori
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
- Università Cattolica del Sacro Cuore, Roma, Italia
| | - Fabio Pattavina
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
| | - Riccardo Torelli
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
| | | | | | - Umberto Moscato
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
- Università Cattolica del Sacro Cuore, Roma, Italia
| | - Simona Sica
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
- Università Cattolica del Sacro Cuore, Roma, Italia
| | | | - Walter Ricciardi
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
- Università Cattolica del Sacro Cuore, Roma, Italia
| | - Patrizia Laurenti
- Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
- Università Cattolica del Sacro Cuore, Roma, Italia
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6
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Boccia S, Laurenti P, Leoncini E, Amore R, Vincenti S, Arzani D, Berloco F, Boninti F, Bruno S, Celani F, Damiani G, Di Giannantonio P, Moscato U, Posteraro B, Sezzatini R, Vecchioni A, Wachocka M, Ricciardi W, Quaranta G, Ficarra MG. [Comparison of conventional culture methods and quantitative real-time PCR methods for the detection of Legionella pneumophila in water samples in a large University teaching hospital in Rome, Italy]. Ig Sanita Pubbl 2015; 71:569-576. [PMID: 26847270] [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: 06/05/2023]
Abstract
The aims of this study were to identify the best threshold value for the real-time PCR method in detecting the presence of Legionella pneumophila in water samples, and to evaluate the prognostic significance of negative results obtained with the molecular method. From 2011 to 2014, 77 water samples were collected from hospital wards of a large University teaching hospital in Rome (Italy) and screened for L.pneumophila by the standard culture method and by real-time PCR. The high sensitivity and negative predictive value of real-time PCR make this method suitable as a quick screening tool to exclude the presence of L. pneumophila in water samples in the hospital setting.
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Affiliation(s)
- Stefania Boccia
- Istituto di Sanità Pubblica, sezione di Igiene, Università Cattolica del Sacro Cuore, Roma, Italia
| | - Patrizia Laurenti
- Istituto di Sanità Pubblica, sezione di Igiene, Università Cattolica del Sacro Cuore, Roma, Italia
| | - Emanuele Leoncini
- Istituto di Sanità Pubblica, sezione di Igiene, Università Cattolica del Sacro Cuore, Roma, Italia
| | - Rosarita Amore
- Istituto di Sanità Pubblica, sezione di Igiene, Università Cattolica del Sacro Cuore, Roma, Italia
| | - Sara Vincenti
- Istituto di Sanità Pubblica, sezione di Igiene, Università Cattolica del Sacro Cuore, Roma, Italia
| | - Dario Arzani
- Istituto di Sanità Pubblica, sezione di Igiene, Università Cattolica del Sacro Cuore, Roma, Italia
| | - Filippo Berloco
- Direzione Rischio Clinico e Igiene, Policlinico Universitario "Agostino Gemelli, Roma, Italia
| | - Federica Boninti
- Istituto di Sanità Pubblica, sezione di Igiene, Università Cattolica del Sacro Cuore, Roma, Italia
| | - Stefania Bruno
- Istituto di Sanità Pubblica, sezione di Igiene, Università Cattolica del Sacro Cuore, Roma, Italia
| | - Fabrizio Celani
- Direzione Rischio Clinico e Igiene, Policlinico Universitario "Agostino Gemelli, Roma, Italia
| | - Gianfranco Damiani
- Istituto di Sanità Pubblica, sezione di Igiene, Università Cattolica del Sacro Cuore, Roma, Italia
| | - Paolo Di Giannantonio
- Istituto di Sanità Pubblica, sezione di Igiene, Università Cattolica del Sacro Cuore, Roma, Italia
| | - Umberto Moscato
- Istituto di Sanità Pubblica, sezione di Igiene, Università Cattolica del Sacro Cuore, Roma, Italia
| | - Brunella Posteraro
- Istituto di Sanità Pubblica, sezione di Igiene, Università Cattolica del Sacro Cuore, Roma, Italia
| | - Romina Sezzatini
- Istituto di Sanità Pubblica, sezione di Igiene, Università Cattolica del Sacro Cuore, Roma, Italia
| | - Alessia Vecchioni
- Istituto di Sanità Pubblica, sezione di Igiene, Università Cattolica del Sacro Cuore, Roma, Italia
| | - Malgorzata Wachocka
- Istituto di Sanità Pubblica, sezione di Igiene, Università Cattolica del Sacro Cuore, Roma, Italia
| | - Walter Ricciardi
- Istituto di Sanità Pubblica, sezione di Igiene, Università Cattolica del Sacro Cuore, Roma, Italia
| | - Gianluigi Quaranta
- Istituto di Sanità Pubblica, sezione di Igiene, Università Cattolica del Sacro Cuore, Roma, Italia
| | - Maria Giovanna Ficarra
- Istituto di Sanità Pubblica, sezione di Igiene, Università Cattolica del Sacro Cuore, Roma, Italia
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7
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Raponi M, Damiani G, Vincenti S, Wachocka M, Boninti F, Bruno S, Quaranta G, Moscato U, Boccia S, Ficarra MG, Specchia ML, Posteraro B, Berloco F, Celani F, Ricciardi W, Laurenti P. [Definition of "Safety and Hygiene Packages" as a management model for the Hospital Hygiene Service (HHS)]. Ig Sanita Pubbl 2014; 70:151-169. [PMID: 25008222] [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: 06/03/2023]
Abstract
The purpose of this research is to identify and formalize the Hospital Hygiene Service activities and products, evaluating them in a cost accounting management view. The ultimate aim, is to evaluate the financial adverse events prevention impact, in an Hospital Hygiene Service management. A three step methodology based on affinity grouping activities, was employed. This methodology led us to identify 4 action areas, with 23 related productive processes, and 86 available safety packages. Owing to this new methodology, we was able to implement a systematic evaluation of the furnished services.
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Affiliation(s)
- Matteo Raponi
- Dipartimento di Sanità Pubblica -Servizio di Igiene Ospedaliera - Università Cattolica del Sacro Cuore, Roma
| | - Gianfranco Damiani
- Dipartimento di Sanità Pubblica -Servizio di Igiene Ospedaliera - Università Cattolica del Sacro Cuore, Roma
| | - Sara Vincenti
- Dipartimento di Sanità Pubblica -Servizio di Igiene Ospedaliera - Università Cattolica del Sacro Cuore, Roma
| | - Malgorzata Wachocka
- Dipartimento di Sanità Pubblica -Servizio di Igiene Ospedaliera - Università Cattolica del Sacro Cuore, Roma
| | - Federica Boninti
- Dipartimento di Sanità Pubblica -Servizio di Igiene Ospedaliera - Università Cattolica del Sacro Cuore, Roma
| | - Stefania Bruno
- Dipartimento di Sanità Pubblica -Servizio di Igiene Ospedaliera - Università Cattolica del Sacro Cuore, Roma
| | - Gianluigi Quaranta
- Dipartimento di Sanità Pubblica -Servizio di Igiene Ospedaliera - Università Cattolica del Sacro Cuore, Roma
| | - Umberto Moscato
- Dipartimento di Sanità Pubblica -Servizio di Igiene Ospedaliera - Università Cattolica del Sacro Cuore, Roma
| | - Stefania Boccia
- Dipartimento di Sanità Pubblica -Servizio di Igiene Ospedaliera - Università Cattolica del Sacro Cuore, Roma
| | - Maria Giovanna Ficarra
- Dipartimento di Sanità Pubblica -Servizio di Igiene Ospedaliera - Università Cattolica del Sacro Cuore, Roma
| | - Maria Lucia Specchia
- Dipartimento di Sanità Pubblica -Servizio di Igiene Ospedaliera - Università Cattolica del Sacro Cuore, Roma
| | - Brunella Posteraro
- Dipartimento di Sanità Pubblica -Servizio di Igiene Ospedaliera - Università Cattolica del Sacro Cuore, Roma
| | - Filippo Berloco
- Direzione Rischio Clinico e Igiene -Policlinico Universitario Agostino Gemelli- Roma
| | - Fabrizio Celani
- Direzione Rischio Clinico e Igiene -Policlinico Universitario Agostino Gemelli- Roma
| | - Walter Ricciardi
- Dipartimento di Sanità Pubblica -Servizio di Igiene Ospedaliera - Università Cattolica del Sacro Cuore, Roma
| | - Patrizia Laurenti
- Dipartimento di Sanità Pubblica -Servizio di Igiene Ospedaliera - Università Cattolica del Sacro Cuore, Roma
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8
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Gallucci P, Wachocka M, Poscia A, La Milia DI, Cerabona V, Colaiacomo G, Di Giovanni A, Pattavina F, Ricciardi W, Moscato U. Risk Management Indoor Air Quality in schools: an integrated public health approach applied to the radon assessment. Eur J Public Health 2013. [DOI: 10.1093/eurpub/ckt124.059] [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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9
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Zaffina S, Camisa V, Poscia A, Tucci MG, Montaldi V, Cerabona V, Wachocka M, Moscato U. [Occupational exposure to sevoflurane in pediatric operating rooms: the multi-point sampling method for risk assessment]. G Ital Med Lav Ergon 2012; 34:266-268. [PMID: 23405637] [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
Several studies have shown that occupational exposure to anesthetic gases might be higher during pediatric surgery, probably due to the increased use of inhalational induction techniques. Our study aims to assess the level of exposure to sevoflurane in two rooms of pediatric surgery, using multi-point sampling method for environmental monitoring. The gas concentrations as well as its dispersion were measured in strategic points in the rooms for a total of 44 surgical interventions. Although the average of these concentrations has been rather low (1.32, SD +/- 1:55 ppm), the results obtained have documented a significant distribution kinetics difference inside the rooms as function of multiple factors among which there were the anesthetic technique used and the team involved. Therefore the method described allows to correctly analyze the spread of anesthetic gases and suggests a different risk stratification which may be dependent on the professional work.
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Affiliation(s)
- S Zaffina
- Servizio Prevenzione e Protezione - IRCCS Ospedale Pediatrico Bambino Gesù, Roma, Italy
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