Prevention of Surgical Site Infections in Neonates and Children: Non-Pharmacological Measures of Prevention

A surgical site infection (SSI) is an infection that occurs in the incision created by an invasive surgical procedure. Although most infections are treatable with antibiotics, SSIs remain a significant cause of morbidity and mortality after surgery and have a significant economic impact on health sy...

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Main Authors: Aniello Meoli, Lorenzo Ciavola, Sofia Rahman, Marco Masetti, Tommaso Toschetti, Riccardo Morini, Giulia Dal Canto, Cinzia Auriti, Caterina Caminiti, Elio Castagnola, Giorgio Conti, Daniele Donà, Luisa Galli, Stefania La Grutta, Laura Lancella, Mario Lima, Andrea Lo Vecchio, Gloria Pelizzo, Nicola Petrosillo, Alessandro Simonini, Elisabetta Venturini, Fabio Caramelli, Gaetano Domenico Gargiulo, Enrico Sesenna, Rossella Sgarzani, Claudio Vicini, Mino Zucchelli, Fabio Mosca, Annamaria Staiano, Nicola Principi, Susanna Esposito, on behalf of the Peri-Operative Prophylaxis in Neonatal and Paediatric Age (POP-NeoPed) Study Group
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Antibiotics
Subjects:
Online Access:https://www.mdpi.com/2079-6382/11/7/863
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author Aniello Meoli
Lorenzo Ciavola
Sofia Rahman
Marco Masetti
Tommaso Toschetti
Riccardo Morini
Giulia Dal Canto
Cinzia Auriti
Caterina Caminiti
Elio Castagnola
Giorgio Conti
Daniele Donà
Luisa Galli
Stefania La Grutta
Laura Lancella
Mario Lima
Andrea Lo Vecchio
Gloria Pelizzo
Nicola Petrosillo
Alessandro Simonini
Elisabetta Venturini
Fabio Caramelli
Gaetano Domenico Gargiulo
Enrico Sesenna
Rossella Sgarzani
Claudio Vicini
Mino Zucchelli
Fabio Mosca
Annamaria Staiano
Nicola Principi
Susanna Esposito
on behalf of the Peri-Operative Prophylaxis in Neonatal and Paediatric Age (POP-NeoPed) Study Group
author_facet Aniello Meoli
Lorenzo Ciavola
Sofia Rahman
Marco Masetti
Tommaso Toschetti
Riccardo Morini
Giulia Dal Canto
Cinzia Auriti
Caterina Caminiti
Elio Castagnola
Giorgio Conti
Daniele Donà
Luisa Galli
Stefania La Grutta
Laura Lancella
Mario Lima
Andrea Lo Vecchio
Gloria Pelizzo
Nicola Petrosillo
Alessandro Simonini
Elisabetta Venturini
Fabio Caramelli
Gaetano Domenico Gargiulo
Enrico Sesenna
Rossella Sgarzani
Claudio Vicini
Mino Zucchelli
Fabio Mosca
Annamaria Staiano
Nicola Principi
Susanna Esposito
on behalf of the Peri-Operative Prophylaxis in Neonatal and Paediatric Age (POP-NeoPed) Study Group
author_sort Aniello Meoli
collection DOAJ
description A surgical site infection (SSI) is an infection that occurs in the incision created by an invasive surgical procedure. Although most infections are treatable with antibiotics, SSIs remain a significant cause of morbidity and mortality after surgery and have a significant economic impact on health systems. Preventive measures are essential to decrease the incidence of SSIs and antibiotic abuse, but data in the literature regarding risk factors for SSIs in the pediatric age group are scarce, and current guidelines for the prevention of the risk of developing SSIs are mainly focused on the adult population. This document describes the current knowledge on risk factors for SSIs in neonates and children undergoing surgery and has the purpose of providing guidance to health care professionals for the prevention of SSIs in this population. Our aim is to consider the possible non-pharmacological measures that can be adopted to prevent SSIs. To our knowledge, this is the first study to provide recommendations based on a careful review of the available scientific evidence for the non-pharmacological prevention of SSIs in neonates and children. The specific scenarios developed are intended to guide the healthcare professional in practice to ensure standardized management of the neonatal and pediatric patients, decrease the incidence of SSIs and reduce antibiotic abuse.
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spelling doaj.art-6cc632af5ee04892b9691bb4d8a2f0b22023-11-30T22:40:53ZengMDPI AGAntibiotics2079-63822022-06-0111786310.3390/antibiotics11070863Prevention of Surgical Site Infections in Neonates and Children: Non-Pharmacological Measures of PreventionAniello Meoli0Lorenzo Ciavola1Sofia Rahman2Marco Masetti3Tommaso Toschetti4Riccardo Morini5Giulia Dal Canto6Cinzia Auriti7Caterina Caminiti8Elio Castagnola9Giorgio Conti10Daniele Donà11Luisa Galli12Stefania La Grutta13Laura Lancella14Mario Lima15Andrea Lo Vecchio16Gloria Pelizzo17Nicola Petrosillo18Alessandro Simonini19Elisabetta Venturini20Fabio Caramelli21Gaetano Domenico Gargiulo22Enrico Sesenna23Rossella Sgarzani24Claudio Vicini25Mino Zucchelli26Fabio Mosca27Annamaria Staiano28Nicola Principi29Susanna Esposito30on behalf of the Peri-Operative Prophylaxis in Neonatal and Paediatric Age (POP-NeoPed) Study GroupPediatric Clinic, University Hospital, Department of Medicine and Surgery, University of Parma, 43126 Parma, ItalyPediatric Clinic, University Hospital, Department of Medicine and Surgery, University of Parma, 43126 Parma, ItalyPediatric Clinic, University Hospital, Department of Medicine and Surgery, University of Parma, 43126 Parma, ItalyPediatric Clinic, University Hospital, Department of Medicine and Surgery, University of Parma, 43126 Parma, ItalyPediatric Clinic, University Hospital, Department of Medicine and Surgery, University of Parma, 43126 Parma, ItalyPediatric Clinic, University Hospital, Department of Medicine and Surgery, University of Parma, 43126 Parma, ItalyPediatric Clinic, University Hospital, Department of Medicine and Surgery, University of Parma, 43126 Parma, ItalyNeonatology and Neonatal Intensive Care Unit, IRCCS Bambino Gesù Children’s Hospital, 00165 Rome, ItalyResearch and Innovation Unit, University Hospital of Parma, 43126 Parma, ItalyInfectious Diseases Unit, IRCCS Giannina Gaslini, 16147 Genoa, ItalyPediatric ICU and Trauma Center, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00165 Rome, ItalyDivision of Paediatric Infectious Diseases, Department for Woman and Child Health, University of Padua, 35100 Padua, ItalyInfectious Disease Unit, Meyer Children’s Hospital, 50139 Florence, ItalyInstitute of Translational Pharmacology IFT, National Research Council, 90146 Palermo, ItalyPaediatric Infectious Disease Unit, Academic Department of Pediatrics, IRCCS Bambino Gesù Children’s Hospital, 00165 Rome, ItalyPediatric Surgery, IRCCS Azienda Ospedaliera-Universitaria di Bologna, 40138 Bologna, ItalyDepartment of Translational Medical Science, Section of Pediatrics, University of Naples “Federico II”, 80138 Naples, ItalyPediatric Surgery Department, “Vittore Buzzi” Children’s Hospital, 20154 Milano, ItalyInfection Prevention and Control—Infectious Disease Service, Foundation University Hospital Campus Bio-Medico, 00128 Rome, ItalyPediatric Anesthesia and Intensive Care Unit, Salesi Children’s Hospital, 60123 Ancona, ItalyInfectious Disease Unit, Meyer Children’s Hospital, 50139 Florence, ItalyPediatric Intensive Care Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, ItalyDepartment of Cardio-Thoracic and Vascular Medicine, Adult Cardiac Surgery, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, ItalyMaxillo-Facial Surgery Unit, Head and Neck Department, University Hospital of Parma, 43126 Parma, ItalyServizio di Chirurgia Plastica, Centro Grandi Ustionati, Ospedale M. Bufalini, AUSL Romagna, 47521 Cesena, ItalyHead-Neck and Oral Surgery Unit, Department of Head-Neck Surgery, Otolaryngology, Morgagni Piertoni Hospital, 47121 Forli, ItalyPediatric Neurosurgery, IRCCS Istituto delle Scienze Neurologiche di Bologna, 40138 Bologna, ItalyNeonatal Intensive Care Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Department of Mother, Child and Infant, 20122 Milan, ItalyDepartment of Translational Medical Science, Section of Pediatrics, University of Naples “Federico II”, 80138 Naples, ItalyUniversità degli Studi di Milano, 20122 Milan, ItalyPediatric Clinic, University Hospital, Department of Medicine and Surgery, University of Parma, 43126 Parma, ItalyA surgical site infection (SSI) is an infection that occurs in the incision created by an invasive surgical procedure. Although most infections are treatable with antibiotics, SSIs remain a significant cause of morbidity and mortality after surgery and have a significant economic impact on health systems. Preventive measures are essential to decrease the incidence of SSIs and antibiotic abuse, but data in the literature regarding risk factors for SSIs in the pediatric age group are scarce, and current guidelines for the prevention of the risk of developing SSIs are mainly focused on the adult population. This document describes the current knowledge on risk factors for SSIs in neonates and children undergoing surgery and has the purpose of providing guidance to health care professionals for the prevention of SSIs in this population. Our aim is to consider the possible non-pharmacological measures that can be adopted to prevent SSIs. To our knowledge, this is the first study to provide recommendations based on a careful review of the available scientific evidence for the non-pharmacological prevention of SSIs in neonates and children. The specific scenarios developed are intended to guide the healthcare professional in practice to ensure standardized management of the neonatal and pediatric patients, decrease the incidence of SSIs and reduce antibiotic abuse.https://www.mdpi.com/2079-6382/11/7/863neonatal infectionpediatric infectious diseasespediatric surgerypreventionsurgical site infection
spellingShingle Aniello Meoli
Lorenzo Ciavola
Sofia Rahman
Marco Masetti
Tommaso Toschetti
Riccardo Morini
Giulia Dal Canto
Cinzia Auriti
Caterina Caminiti
Elio Castagnola
Giorgio Conti
Daniele Donà
Luisa Galli
Stefania La Grutta
Laura Lancella
Mario Lima
Andrea Lo Vecchio
Gloria Pelizzo
Nicola Petrosillo
Alessandro Simonini
Elisabetta Venturini
Fabio Caramelli
Gaetano Domenico Gargiulo
Enrico Sesenna
Rossella Sgarzani
Claudio Vicini
Mino Zucchelli
Fabio Mosca
Annamaria Staiano
Nicola Principi
Susanna Esposito
on behalf of the Peri-Operative Prophylaxis in Neonatal and Paediatric Age (POP-NeoPed) Study Group
Prevention of Surgical Site Infections in Neonates and Children: Non-Pharmacological Measures of Prevention
Antibiotics
neonatal infection
pediatric infectious diseases
pediatric surgery
prevention
surgical site infection
title Prevention of Surgical Site Infections in Neonates and Children: Non-Pharmacological Measures of Prevention
title_full Prevention of Surgical Site Infections in Neonates and Children: Non-Pharmacological Measures of Prevention
title_fullStr Prevention of Surgical Site Infections in Neonates and Children: Non-Pharmacological Measures of Prevention
title_full_unstemmed Prevention of Surgical Site Infections in Neonates and Children: Non-Pharmacological Measures of Prevention
title_short Prevention of Surgical Site Infections in Neonates and Children: Non-Pharmacological Measures of Prevention
title_sort prevention of surgical site infections in neonates and children non pharmacological measures of prevention
topic neonatal infection
pediatric infectious diseases
pediatric surgery
prevention
surgical site infection
url https://www.mdpi.com/2079-6382/11/7/863
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