Screening policies, preventive measures and in-hospital infection of COVID-19 in global surgical practices

Vittoria Bellato, Tsuyoshi Konishi, Gianluca Pellino, Yongbo An, Alfonso Piciocchi, Bruno Sensi, Leandro Siragusa, Krishn Khanna, Brunella Maria Pirozzi, Marzia Franceschilli, Michela Campanelli, Sergey Efetov, Giuseppe S Sica, A Kefleyesus, Agm Hoofwijk, Abdullah Sami Eldaly, Abel Gonzalez, Adraoui Jawad, Ahmad Jooma, Ahmed Mousa HafezAinhoa Valle Rubio, Aitor Landaluce-Olavarria, Aiwen Wu, Akihisa Nagatsu, Akira Inoue, Akira Kanamoto, Akira Ouchi, Alaa El-Hussuna, Alba Vazquez-Melero, Albert M Wolthuis, Alberto M Peral, Alejandra Cruz Lozano, Aleksandr Efremov, Aleksandr V Ryasantsev, Alessandra Di Giorgio, Alessandro Parente, Alessandro Tamburrini, Alessio Alò, Alexander Forero-Torres, Alexander L Vahrmeijer, Alexander Varabei, Siles Hinojosa, Ali Zeynel Abidin Balkan, Alice Frontali, Alikin Oleg, Álvaro Soler-Silva, Amin Makni, Ana André, Ana María García Cabrera, Ana María Gonzalez Fernández, Ana M Minaya-Bravo, Ana Rodríguez-Sánchez, Ana-Maria Musina, Anang Pangeni, Anastasia Zolotko, Andranik Tonoyan, Andrea Balla, Andrea Belli, Andrea Cavallaro, Andrea Chierici, Andrea Divizia, Andrea Fares Bucci, Andrea Jiménez Salido, Andrea Morini, Andrea Muratore, Andrea Vignali, Andrei Chitul, Diaconescu Andrei Sebastian, Andrejs Pcolkins, Andrey Shchegolev, Andrew Hollenbeck, Andrew Wisneski, Angelo Iossa, Anna D'Amore, Anndrew Hunter, Anthony J Hesketh, Andrea La Brocca, Antonino Spinelli, Antonio Caires, Antonio D'Alessandro, Antonio Francisco Sanchís López Correo, Antonio Macrì, Antonio Navarro-Sánchez, Apollo Pronk, Aram Akunc, Arash Mehri, Arie Pelta, Aristeidis Papadopoulos, Aristotelis Kechagias, Arshad Rashid, Artur Ramazanov, Ashfaq Chandio, Atsushi Kohyama, Atsushi Nishimura, Atsushi Ohkawa, Audrius Dulskas, Aun Jamal, Aurora Mariani, Ayse Gizem Unal, Ayse Karagoz, Bahar Busra Ozkan, Barham Salih, Baris Gülcü, Beatrice Pessia, Beatriz Martin-Perez, Benedetto Ielpo, Berenice Tulelli, Bin Yang, Boumadani Mhamed, Brenda Murphy, Bs Langenhoff, Bulent Belevi, Burak Güney, Caecilia Ng, Camilo Rueda, Campbell S Roxburgh, Carlo V Feo, Carlo Ferrari, Carlo Gazia, Carlo Pratesi, Carlo Ratto, Carlos Cerdán Santacruz, Carlos Rodolfo Martinez Arroyave, Carlos Macias, Carlota Garcia Fernandez, Carmen Cagigas Fernandez, Carolina Curtis-Martinez, Caroline Fortmann, Caroline Kim, Catalina Uribe Galeano, Catarina Barroso, Caterina Baldi, Caterina Foppa, Cesare Formisano, Changzai Li, Chao Ding, Chenyu Wang, Chiara Iacusso, Chongwei Yang, Christian Pizzera, Christoph Skias, Christos Chouliras, Christos Liakos, Chu Matsuda, Chun-Yi Wu, Cihangir Ozaslan, Cinzia Tanda, Cipolat Mis Tommaso, Claire Dagorno, Claudia Patricia Arellano Ramos, Claudio Arcudi, Claudio Coco, Cleotilde Mateo Morales, Mujahid Zulfiqar Ali, Constança Teresa Miranda De Azevedo, Coral Cózar Lozano, Corrado Sala, Cosimo Alex Leo, Cosimo Riccardo Scarpa, Cristian Varela Ferro, Cristina Mosquera Fernandez, D Morales-Garcia, Daisuke Nakano, Daniel Cristian, Daniel Hechtl, Daniel Triguero Cánovas, Daniela Calabrese, Daniela Rega, Daniele Ferraro, Daniele Morezzi, Daniele Sommacale, Danielle Brogden, Danilo Miskovic, David Merlini, Davide Pertile, Denise Coniglio, Dexiang Zhu, Dianwen Wu, Diego Coletta, Diego Ramos Rubio, Diego Sasia, Dmitry Fillipov, Domenico Russiello, Dragomir Dardanov, Ecj Consten, Edgaras Smolskas, Edoardo Maria Muttillo, Edward Jones, Eiji Sunami, El-Helou Etienne, Elena Chalkiadaki, Elena Giacomelli, Elena Karbovnichaya, Elena Ruiz-Úcar, Eleonora Guaitoli, Elgun Samadov, Elio Jovine, Elio Treppiedi, Elisa Maria Vaterlini, Elisa Zambaiti, Elisabetta Moggia, Elmi Coetzee, Emanuele Chisari, Emanuele D'Errico, Emilia Ciofic, Emilio Peña, Emine Kurt, Emre Balık, Emre Gunay, Emre Sivrikoz, Enrico Andolfi, Enrico Araimo, Enrico Lucci, Enrico Opocher, Enrico Pinotti, Enrico Rubino, Enver Reyhan, Erica Mazzotta, Ernesto Barzola Navarro, Etienne El-Helou, Eugenio Licardie-Bolaños, Eva Iglesias Porto, Evelyn Contreras, Evert-Jan Boerma, Fabio Cianchi, Fabio Marino, Fabio Uggeri, Fanghai Han, Federica Calculli, Federica Falaschi, Federico Ghignone, Federico Perrone, Felice Borghi, Felipe García, Ferdinando Agresta, Ferdinando Carlo Maria Cananzi, Fernando Mendoza-Moreno, Fevzi Cengiz, Filipe Macedo Almeida, Filippo Baracchi, Filippo Carannante, Filippo La Torre, Flavio Fernandes, Florian Friedmacher, Florin Grama, Francesca Carissimi, Francesca Pecchini, Francesco Bianco, Francesco Colombo, Francesco Ferrara, Francesco Litta, Francesco Maria Carrano, Francesco Martignoni, Francesco Menegon Tasselli, Francesco Milone, Francesco Pata, Francesco Sammartino, Francesco Zambianchi, Francisco Barragan, Francisco Herrero, Francisco Schlottmann, Frank C Den Boer, Frank Pfeffer, Fumihiko Fujita, G Navarra, Gabriel Herrera-Almario, Gabriele Pozzo, Gabriella Teresa Capolupo, Gabrielle H Van Ramshorst, Gadiel Liscia, Gaetano Gallo, Ganesh Asawa, Gaoxiang Wang, Gaurang Raiyani, Geerard Beets, Gemma Sugrañes Naval, Genfeng Jin, George J Chang, George Saakian, Gerardo Kahane, Giacomo Borroni, Giacomo Lo Secco, Gian Luca Baiocchi, Gianluca Baronio, Gianluca Pagano, Gianmaria Casoni Pattacini, Giorgio Lisi, Giovanni Milito, Giovanni Sinibaldi, Giuditta Serrao, Giulia Bagaglini, Giuliano Sarro, Giuseppe Brisinda, Giuseppe Candilio, Giuseppe Mangiameli, Giuseppe Giuliani, Gonzalo Pablo Martin-Martin, Gordon Bodzin, Graat Leon, Graham Mackay, Granila Vasil, Graziano Palmisano, Grella Maria Giovanna, Guadalupe Campos Fernández, Guillermo Berrones Steingel, Guoyun Zhang, Gyu Seog Choi, Haipeng Chen, Hajime Hirose, Hajime Kayano, Hanife Seyda Ulgur, Harmony Impellizzeri, Hasani Ariola, Heli Liu, Heriberto Medina, Hideaki Miyauchi, Hidekazu Takahashi, Hideki Hayashi, Hideki Ishikawa, Hideyuki Ishida, Hilbert De Vries, Hilmican Ulman, Hirofumi Kon, Hirofumi Ota, Hiroki Akamatsu, Hiroshi Tamagawa, Hirotaka Shoji, Hiroyuki Egi, Hisahiro Matsubara, Hisanori Miki, Hossam Elfeki, Hung-Hsin Lin, Iacopo Giani, Iban Caravaca-García, Ichiro Takemasa, Imerio Angriman, Ionut Negoi, Irina Volkova, Iris Russo, Irmgard E Kronberger, Iskander Shageev, Ishak Aydin, Ismael Mora-Guzmán, Ivana Novak, Izzo Giuliano, Jacob Rachmuth, James Chi-Yong Ngu, James Glasbey, Jan Stoot, Jan Žatecký, Jarno Melenhorst, Van Der Wal Jbc, Jeroen Leijtens, Jessica Bogach, Jessie Elliott, De Wilt Jhw, Jiagang Han, Jian Cui, Jiaqi Liu, Jim Khan, Jimmy Panji Wirawan, Jinji Zhang, Joel Davis Osorio Manyari, Johannes Doerner, Jonathan Bock, Joop Konsten, Jorge Mario Castro, Jorge Pérez Grobas, José Pereira Pinto, Jovan Juloski, Juan Luis Blas Laina, Juan José Solórzano, Juan Ramón Gómez López, Jun Li, Jun Watanabe, Jung-Myun Kwak, Junichi Hasegawa, Junichiro Hiro, K Sergey, Kai Zhang, Kaoru Nagahori, Karla Martinez, Katsuji Tokuhara, Katsuki Danno, Kay Uehara, Kazuhiko Yoshimatsu, Kazuhisa Ehara, Kazuki Ueda, Kazuyoshi Suda, Kazuyuki Yamamoto, Kei Ishimaru, Kei Kimura, Keiji Hirata, Kemal Deen, Ken Imaizumi, Jenji Yamada, Kenta Tanakura, Khaled Rida, Kiichi Sugimoto, Kitani Kotaro, Kiwisure Shi, Koji Okabayashi, Koya Hida, Kozo Kataoka, Kumiko Hongo, Kunkun Xia, Larissa Tseng, Lars Reime, Laura Lorenzon, Laura Muiños Ruano, Lei Zhou, Lindsey De Nes, Lorena Brandariz, Lorenzo Morini, Lorenzo Petagna, Lorenzo Ripamonti, Lourdes Hernandez Martinez, Luca Pio, Luca Sacco, Lucia Carvalho, Luigi Zorcolo, Luis Eduardo Pérez-Sánchez, Luis Humberto Reyes Esparza, Luis Tallon Aguilar, Madeleine Garner, Maki Sugimoto, Makoto Nagashima, Manabu Shiozawa, Manfredelli Simone, Manuel Ferrer-Marquez, Marcia Carvalho, Marco Alifano, Marco Arganini, Marco Calussi, Marco Catarci, Marco Ettore Allaix, Marco Forlin, Marco Milone, Marco Paci, Margot Fodor, Maria Antipova, Maria Beltran Martos, Maria Carmela Giuffrida, María Diez Tabernilla, María José Alcaide Quirós, Maria Lemma, Maria Luisa Reyes Diaz Correo, Maria Małowiecka, Maria Paola Bellomo, Maria Ramos Fernandez, María Socias, Mariam Rizk, Mariani Aurora, Mariano Alvarez Antolinez, Marijana Ninkovic, Mario Giuffrida, Marjolein Mn Leeuwenburgh, Marnix Aj De Roos, Marta Cañón Lara, Marta Climent Agustin, Marta Cuadrado, Marta Pascual, Martina Lemmerer, R Carlos, Masa Okamoto, Masaaki Miyo, Masafumi Inomata, Masakazu Ikenaga, Masaki Tsujie, Masamichi Yasuno, Masanori Kotake, Masanori Sato, Masayoshi Yasui, Matteo Lavazza, Matteo Rottoli, Matteo Zuin, Mauricio Zuluaga, Maurizio Cervellera, Maurizio Cesari, Maurizio Zizzo, Mauro Garino, Mauro Ghirardi, Mauro Montuori, Mauro Podda, Mauro Santarelli, Mehmet Ali Koc, Melissa Baini, Michael De Cillia, Michele De Rosa, Michele Manigrasso, Michele Zuolo, Miguel F Cunha, Mihaela Misca, Mihail Slavchev, Mikhail Danilov, Mikhail Shigaev, Milou Martens, Minako Kobayashi, Mingyang Ren, Mitsuru Ishizuka, Mohammed Mustafa Hassan, Mohamad Siblini, Mohamed Sahloul, Mohammad Reza Keramati, Monish Karunakaran, Moritz Markel, Mudassar Majeed, Muhammad Umar Younis, Muhammed Ikbal Akin, Munazza Laraibe, Murat Derebey, Murat Kendirci, Mutsumi Fukunaga, Nagahide Matsubara, Narce Eunice Cruz Ordaz, Narimantas Evaldas Samalavicius, Nattawut Keeratibharat, Nicola de Angelis, Nicolae Gica, Nicoló Maria Mariani, Nicolò Ramino, Nicolò Falco, Neil Smart, Niels De Korte, Niels Fm Kok, Nigel B Jamieson, Nikolay Aberyasev, Nikolay Bruklich, Nobuki Ichikawa, Norikatsu Miyoshi, Norma De Palma, Nuno Figueiredo, Nuria Ortega Torrecilla, Oleg G Dybov, Oleg Yudin, Ollende Crepin, Oscar Gomez, Ozlem Zeliha Sert, Pablo Lozano Lominchar, Pablo Menéndez, Paola De Nardi, Patricia Tejedor, Patrick Jordan, Patrick Tan, Patrizia Marsanic, Pechnikova Natalya, Pedro Parra Baños, Pere Rebasa, Peter M Neary, Pieter Tanis, Piero Giustacchini, Pietro Anoldo, Pilar Concejo, Pin Cao, Pramodh Chandrasinghe, Prasad Abeyratne, Quan Wang, R J Klicks, R Mukai, Rafael Ferrer Riquelme, Raffaele De Luca, Raffaele Galli, Raffaele Gianesini, Rajesh Gianchandani Moorjani, Rajkiran K Deshpande, Ramon Gorter, Raquel Leon Ledesma, Rategov Ruslan, Raunaq Chhabra, Reena Talreja-Pelaez, Rei Suzuki, Riccardo Balestri, Riccardo Rosati, Rim Kiblawi, Rita Martins, Roberta Angelico, Roberta Tutino, Roberto Persiani, Roberto Pollastri, Rocío González López, Rodrigo Oliva Perez, Roel Hompes, Roman Lukanin, Sera R Roser Termes, Rossella Brunaccino, Ryota Nakanishi, Samuel Stefan, Sandra Paola Sánchez Hernández, Sara Di Carlo, Sara Ingallinella, Satoru Domoto, Satoshi Ikeda, Saulius Mikalauskas, Seon Hahn Kim, Serena Mantova, Severius Barbuta, Shaotang Li, Shigeki Yamaguchi, Shigeru Yamagishi, Shigenori Homma, Shingo Tsujinaka, Shinichi Yoshioka, Shinichiro Mori, Shirish Tewari, Shlomi Rayman, Sho Horiuchi, Shuichiro Matoba, Shunji Morita, Sibel Yaman, Silvia Vigna, Silvio Testa, Simon Ng, Simona Deidda, Simone Cicconi, Simone Di Maria, Simone Sibio, Siyar Ersoz, Sofija Pejkova, Soliman Altarifi, Songbing He, Songphol Malakorn, Sosef Meindert, Sosuke Sumikawa, Stavan Parmar, Stefan Uranitsch, Stefano D'ugo, Stefano Giuliani, Stéphanie Breukink, Suk-Hwan Lee, Taishi Hata, Takahisa Ishikawa, Takashi Akiyoshi, Takashi Azuma, Takaya Kobatake, Takayuki Fukuzaki, Takeshi Aiyama, Takeshi Yamada, Tatiana Garmanova, Tatiana Gómez-Sánchez, Tatsuro Yamaguchi, Teresa De Jesús Flores, Teruyuki Usub, Tetsuhiro Tsuruma, Tetsuichiro Shimizu, Tihomir Georgiev Hristov, Ting Van Loon, Tohru Funakoshi, Tommaso Maria Manzia, Tomomichi Kiyomatsu, Tomonari Katayama, Tomonori Akagi, Tsunekazu Mizushima, Uemura Kazuhito, Ugo Elmore, Ugo Grossi, Vadim A Truchalev, Valentina Sosa Rodríguez, Valentina Testa, Valeria Tonini, Valerio Celentano, Valery M Nekoval, Vanessa Bettencourt, Vasif Mammadov, Verónica Alejandra Galue Leyva, Veronica Georgina Ortega Mariscal, Victor Edmond Seid, Victor Klemann, Víctor Turrado-Rodriguez, Vincenzo Papagni, Vincenzo Vento, Vincent Frering, Vincenzo Vigorita, Vitaliva V Petrove, Vladimir Lyadov, Wei Fu, Wei Mi, Woon Kyung Jeong, Wouter Kg Leclercq, Xavier De Sousa, Xing Zhao, Xinxiang Li, Xinxin Wang, Xuanhua Yang, Xuelei Zhang, Ya'nan Zhen, Yan Dong, Yana Erushevich, Yasumasa Takii, Yasuo Sumi, Yeray Trujillo Loli, Yosef Lishtzinsky Yifat, Yoshifumi Shimada, Yoshihiro Nabeya, Yoshihito Ide, Yuan Wu, Yuichiro Tsukada, Yuji Miyamoto, Yuji Toiyama, Yujiro Fujie, Yuka Kaneko, Yukako Mokutani, Yuki Fujii, Yukihide Kanemitsu, Yulia Medkova, Yulong Chen, Yurema Gonzalez Ruiz, Yusuke Kinugasa, Zacaria Sow, Zeeshan Razzaq, Zejun Wang, Zheng Liu, Zhenguo Han, Zhihui Tai, Zhiyong Lai, Zi Qin Ng, Zilvinas Dambrauskas

Risultato della ricerca: Contributo in rivistaArticolo in rivista

Abstract

Background In a surgical setting, COVID-19 patients may trigger in-hospital outbreaks and have worse postoperative outcomes. Despite these risks, there have been no consistent statements on surgical guidelines regarding the perioperative screening or management of COVID-19 patients, and we do not have objective global data that describe the current conditions surrounding this issue. This study aimed to clarify the current global surgical practice including COVID-19 screening, preventive measures and in-hospital infection under the COVID-19 pandemic, and to clarify the international gaps on infection control policies among countries worldwide.Methods During April 2-8, 2020, a cross-sectional online survey on surgical practice was distributed to surgeons worldwide through international surgical societies, social media and personal contacts. Main outcome and measures included preventive measures and screening policies of COVID-19 in surgical practice and centers' experiences of in-hospital COVID-19 infection. Data were analyzed by country's cumulative deaths number by April 8, 2020 (high risk, >5000; intermediate risk, 100-5000; low risk, <100).Results A total of 936 centers in 71 countries responded to the survey (high risk, 330 centers; intermediate risk, 242 centers; low risk, 364 centers). In the majority (71.9%) of the centers, local guidelines recommended preoperative testing based on symptoms or suspicious radiologic findings. Universal testing for every surgical patient was recommended in only 18.4% of the centers. In-hospital COVID-19 infection was reported from 31.5% of the centers, with higher rates in higher risk countries (high risk, 53.6%; intermediate risk, 26.4%; low risk, 14.8%; P<0.001). Of the 295 centers that experienced in-hospital COVID-19 infection, 122 (41.4%) failed to trace it and 58 (19.7%) reported the infection originating from asymptomatic patients/staff members. Higher risk countries adopted more preventive measures including universal testing, routine testing of hospital staff and use of dedicated personal protective equipment in operation theatres, but there were remarkable discrepancies across the countries.Conclusions This large international survey captured the global surgical practice under the COVID-19 pandemic and highlighted the insufficient preoperative screening of COVID-19 in the current surgical practice. More intensive screening programs will be necessary particularly in severely affected countries/institutions.
Lingua originaleEnglish
pagine (da-a)1-15
Numero di pagine15
RivistaJournal of Global Health
Volume10
DOI
Stato di pubblicazionePubblicato - 2020

Keywords

  • COVID-19

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