Publications by authors named "A Almendral"
Article Synopsis
- - A multicentre cohort study analyzed the effectiveness of two surgical site infection prevention protocols in elective colorectal surgery, finding a significant reduction in infection rates from 18.16% down to 8.19% after implementing the bundles consecutively.
- - Bundle-2 specifically led to a decrease in superficial and deep surgical site infections and improved compliance with the additional measures included, while the length of hospital stays and mortality rates also decreased significantly.
- - The study highlighted protective factors for organ/space surgical site infections in colonic procedures and noted a shift in bacterial isolates, showing an increase in Gram-positive bacteria and a decrease in Gram-negative bacteria.
Background: Lockdowns due to the COVID-19 pandemic was associated with changes in the pattern of use of antimicrobials, but persistence of changes after lockdowns has not been described. The objective was to describe the number of patients with dispensed antibiotic treatment and consumption of antibiotics in outpatients from primary care in Catalonia 18 months after the end of the emergency period.
Research Design And Methods: Data for the COVID-19 pandemic period was obtained from March 2020 to December 2021.
Response to the letter: Comment on "Care bundle for the prevention of peripheral venous catheter blood stream infections at a secondary care university hospital: Implementation and results".
Yolanda Lladó Maura Magdalena Lucía Berga Figuerola M José Rodríguez Moreno Verónica Lluch Garvi Elisabet E Soler Felsner Alexander Almendral
Infect Dis Health
November 2023
Background: Antimicrobial resistance killed 1.27 million people in 2019, so urgent actions are desperately needed. Antimicrobial stewardship programmes (ASPs) are essential to optimize antimicrobial use.
View Article and Find Full Text PDFArticle Synopsis
- Bundled interventions for colorectal surgery were analyzed in a nationwide study to determine their effectiveness in reducing surgical site infections (SSI) compared to a control group.
- The study involved 37,849 procedures, revealing that implementing the care bundle reduced overall SSI rates from 18.38% in the control group to 10.17% in the intervention group, showing a significant decrease in infection rates.
- Key components of the bundle, such as laparoscopy, oral antibiotic prophylaxis (OAP), and mechanical bowel preparation, were most effective in lowering both overall SSI and organ/space SSI, highlighting the importance of these practices for improving surgical outcomes.