Dataset Information

Deadlock of proctologic practice in Italy during COVID-19 pandemic: a national report from ProctoLock2020.

ABSTRACT: Proctology is one of the surgical specialties that suffered the most during COVID-19 pandemic. Using data from a cross-sectional worldwide web survey, we aimed to snapshot the current status of proctologic practice in Italy with differences between three macro areas (North, Centre, South). Specialists affiliated to renowned scientific societies with an interest in coloproctology were invited to join a 27-item survey. Predictive power of respondents' and hospitals' demographics on the change of status of surgical activities was calculated. The study was registered at ClinicalTrials.gov (NCT04392245). Of 299 respondents from Italy, 94 (40%) practiced in the North, 60 (25%) in the Centrer and 82 (35%) in the South and Islands. The majority were men (79%), at consultant level (70%), with a mean age of 46.5 years, practicing in academic hospitals (39%), where a dedicated proctologist was readily available (68%). Southern respondents were more at risk of infection compared to those from the Center (OR, 3.30; 95%CI 1.46; 7.47, P = 0.004), as were males (OR, 2.64; 95%CI 1.09; 6.37, P = 0.031) and those who routinely tested patients prior to surgery (OR, 3.02; 95%CI 1.39; 6.53, P = 0.005). The likelihood of ongoing surgical practice was higher in the South (OR 1.36, 95%CI 0.75; 2.46, P = 0.304) and in centers that were not fully dedicated to COVID-19 care (OR 4.00, 95%CI 1.88; 8.50, P < 0.001). The results of this survey highlight important factors contributing to the deadlock of proctologic practice in Italy and may inform the development of future management strategies.

SUBMITTER: Gallo G

PROVIDER: S-EPMC7414270 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature

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Deadlock of proctologic practice in Italy during COVID-19 pandemic: a national report from ProctoLock2020.

Gallo Gaetano G Sturiale Alessandro A De Simone Veronica V Mancini Stefano S Di Tanna Gian Luca GL Milito Giovanni G Bianco Francesco F Perinotti Roberto R Giani Iacopo I Grossi Ugo U Aiello Domenico D Bianco Francesco F Bondurri Andrea A Gallo Gaetano G La Torre Marco M Milito Giovanni G Perinotti Roberto R Pietroletti Renato R Serventi Alberto A Fiorino Marina M De Simone Veronica V Grossi Ugo U Manigrasso Michele M Sturiale Alessandro A Zaffaroni Gloria G Boffi Ferruccio F Bellato Vittoria V Cantarella Francesco F Deidda Simona S Marino Fabio F Martellucci Jacopo J Milone Marco M Picciariello Arcangelo A Bravo Ana Minaya AM Vigorita Vincenzo V Cunha Miguel Fernandes MF Leventoglu Sezai S Garmanova Tatiana T Tsarkov Petr P El-Hussuna Alaa A Frontali Alice A Ioannidis Argyrios A Bislenghi Gabriele G Shalaby Mostafa M Porzio Felipe Celedon FC Wu Jiong J Zimmerman David D Elbetti Claudio C Mayol Julio J Naldini Gabriele G Trompetto Mario M Sammarco Giuseppe G Santoro Giulio Aniello GA

Updates in surgery 20200808 4

Proctology is one of the surgical specialties that suffered the most during COVID-19 pandemic. Using data from a cross-sectional worldwide web survey, we aimed to snapshot the current status of proctologic practice in Italy with differences between three macro areas (North, Centre, South). Specialists affiliated to renowned scientific societies with an interest in coloproctology were invited to join a 27-item survey. Predictive power of respondents' and hospitals' demographics on the change of s ...[more]

PMID: 32770466

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Project description:Antimicrobial resistance (AMR) represents a major issue in healthcare being correlated to global inappropriate use of antibiotics. The aim of this study was to compare the data on hospital antibiotic consumption in 2020-2021 with those related to 2019 in order to evaluate the impact of the COVID-19 pandemic on antibiotic prescriptions and appropriate use at national level and in the different geographical areas. To estimate the consumption of antibiotics, two indicators were calculated: "number of DDD per 1000 inhabitants per day" and "number of DDD per 100 hospitalisation days". Consumption data on antibiotics dispensed in public health facilities were based on the Italian "traceability of medicines" information flow. Data on hospitalisation days were extracted from the Italian "hospital discharge form" flow. Pearson correlation analysis was performed between the number of patients hospitalised for COVID-19 and the consumption of antibiotics in public healthcare facilities. During 2020, about 1.7 DDD/1000 inhabitants per day (12.3% of the overall consumption of reimbursed antibiotics) were dispensed exclusively in Italian hospitals (+0.8% compared to 2019). Considering the number of DDD per 100 hospitalisation days, consumption increased by 19.3% in 2020 compared to 2019. Comparing the first semester of 2020 and 2019, a decrease of DDD/1000 inhabitants per day was observed (-1.6%) at national level, with opposite trends in the different geographical areas; an increase in the use of azithromycin and carbapenems was also observed, with a stable consumption of third-generation cephalosporins. The use of antibiotics in the second semester of 2020 compared to the same period of 2019 showed a clear reduction at national level (-8.5%), appreciable to a similar extent in all geographic areas. In the first semester of 2021 compared to the same period of 2020, there was a huge reduction (-31.4%) in consumption at national level. However, the variations were heterogeneous between different geographical areas. To our knowledge, this study represents the most comprehensive analysis performed on antibiotic consumption data in hospital settings in Italy during the COVID-19 pandemic to date. Despite international and national guideline recommendations, a substantial overall increase in antibiotic prescriptions was observed during the COVID-19 pandemic, with variability in terms of geographical distribution and prescription strategies. These findings may be related to the dichotomy between perceived and real significance of guidelines, expert panels, or consensus. Therefore, new approaches or strategies to antimicrobial stewardship should be proposed.

Dataset Information

Deadlock of proctologic practice in Italy during COVID-19 pandemic: a national report from ProctoLock2020.

Publications

Deadlock of proctologic practice in Italy during COVID-19 pandemic: a national report from ProctoLock2020.

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