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The management of endoscopic retrograde cholangio- pancreatography-related infections risk: results of an italian survey at regional level.
Cennamo, V; Landi, S; Aragona, G; Colecchia, A; Conigliaro, R; Di Lorenzo, D; Di Marco, M; Fabbri, C; Falcone, P; Gaiani, F; Manno, M; Merighi, A; Mussetto, A; Peghetti, A; Sassateli, R; Solfrini, V; Zagari, R M; Arena, R; Bertani, H; Binda, C; Boarino, V; De Padova, A; Feletti, V; Fuccio, L; Iori, V; Nervi, G; Prati, G M; Soriani, P; De Palma, R.
Afiliação
  • Cennamo V; Gastroenterology and Interventional Endoscopy Unit, Bellaria-Maggiore Hospital, AUSL of Bologna, Italy.
  • Landi S; Gastroenterology and Interventional Endoscopy Unit, Bellaria-Maggiore Hospital, AUSL of Bologna, Italy.
  • Aragona G; Department of Internal Medicine, Guglielmo da Saliceto Hospital, Piacenza, Italy.
  • Colecchia A; Gastroenterology Unit, Department of Medical Specialties, Azienda Ospedaliero-Universitaria and University of Modena and Reggio Emilia, Modena, Italy.
  • Conigliaro R; Digestive Endoscopy Unit, Ospedale Civile di Baggiovara, Azienda Ospedaliero-Universitaria di Modena, Italy.
  • Di Lorenzo D; Territorial Assistance Service - Pharmacy and Medical Devices Area, AUSL of Bologna, Italy.
  • Di Marco M; Gastroenterology and Digestive Endoscopy Unit, Ospedale Infermi Rimini, AUSL della Romagna, Italy.
  • Fabbri C; Gastroenterology and Digestive Endoscopy Unit, Forlì-Cesena Hospitals, AUSL della Romagna, Italy.
  • Falcone P; Territorial Assistance Service - Pharmacy and Medical Devices Area, AUSL of Bologna, Italy.
  • Gaiani F; Gastroenterology and Endoscopy Unit, University Hospital of Parma, Italy.
  • Manno M; Gastroenterology and Digestive Endoscopy Unit, AUSL Modena, Carpi Hospital and Modena District Network of Gastro-enterology, Italy.
  • Merighi A; Gastroenterology and Digestive Endoscopy Unit, University Hospital Sant'Anna, Ferrara, Italy.
  • Mussetto A; Gastroenterology Unit, Santa Maria delle Croci Hospital, Ravenna, Italy.
  • Peghetti A; Territorial Assistance Service - Pharmacy and Medical Devices Area, AUSL of Bologna, Italy.
  • Sassateli R; Gastroenterology and Digestive Endoscopy Unit, Azienda USL - IRCCS di Reggio Emilia, Italy.
  • Solfrini V; Territorial Assistance Service - Pharmacy and Medical Devices Area, AUSL of Bologna, Italy.
  • Zagari RM; Gastroenterology Unit, Department of Medical and Surgical Sciences, IRCCS Azienda Ospedaliero-Universitaria and University of Bologna, Italy.
  • Arena R; Gastroenterology and Digestive Endoscopy Unit, University Hospital Sant'Anna, Ferrara, Italy.
  • Bertani H; Digestive Endoscopy Unit, Ospedale Civile di Baggiovara, Azienda Ospedaliero-Universitaria di Modena, Italy.
  • Binda C; Gastroenterology and Digestive Endoscopy Unit, Forlì-Cesena Hospitals, AUSL della Romagna, Italy.
  • Boarino V; Gastroenterology Unit, Department of Medical Specialties, Azienda Ospedaliero-Universitaria and University of Modena and Reggio Emilia, Modena, Italy.
  • De Padova A; Gastroenterology and Digestive Endoscopy Unit, Ospedale Infermi Rimini, AUSL della Romagna, Italy.
  • Feletti V; Gastroenterology Unit, Santa Maria delle Croci Hospital, Ravenna, Italy.
  • Fuccio L; Gastroenterology Unit, Department of Medical and Surgical Sciences, IRCCS Azienda Ospedaliero-Universitaria and University of Bologna, Italy.
  • Iori V; Gastroenterology and Digestive Endoscopy Unit, Azienda USL - IRCCS di Reggio Emilia, Italy.
  • Nervi G; Gastroenterology and Endoscopy Unit, University Hospital of Parma, Italy.
  • Prati GM; Department of Internal Medicine, Guglielmo da Saliceto Hospital, Piacenza, Italy.
  • Soriani P; Gastroenterology and Digestive Endoscopy Unit, AUSL Modena, Carpi Hospital and Modena District Network of Gastro-enterology, Italy.
  • De Palma R; Hospital Care Service, AUSL Bologna, Italy.
Ann Ig ; 35(1): 84-91, 2023.
Article em En | MEDLINE | ID: mdl-35442386
Background and aim: Among the Endoscopic retrograde cholangiopancreatography (ERCP) adverse events, an increasingly arising problem is the transmission of Multi Drug Resistant (MDR) Bacteria through duodenoscopes. The aim of this survey was to evaluate the current clinical practice of management of ERCP associated infections in Emilia-Romagna, Italy. Methods: An online survey was developed including 12 questions on management of ERCP associated infections risk. The survey was proposed to all 12 endoscopy centers in Emilia Romagna that perform at least > 200 ERCPs per year. Results: 11 centers completed the survey (92%). Among all risk factors of ERCP infections, hospitalization in intensive care units, immunosuppressant therapies, and previous MDR infections have achieved a 80 % minimum of concurrence by our respondents. The majority of them did not have a formalized document in their hospital describing categories and risk factors helpful in the detection of patients undergoing ERCP with an high-level infective risk (9/11, 82%). Most centers (8/11, 72%) do not perform screening in patients at risk of ERCP infections. Post procedural monitoring is performed by 6 of 11 centers (55%). Conclusion: Our survey showed that, at least at regional level, there is a lack of procedures and protocols related to the management of patients at risk of ERCP infections.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Colangiopancreatografia Retrógrada Endoscópica / Duodenoscópios Limite: Humans País como assunto: Europa Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Colangiopancreatografia Retrógrada Endoscópica / Duodenoscópios Limite: Humans País como assunto: Europa Idioma: En Ano de publicação: 2023 Tipo de documento: Article