Publications by authors named "A Daleno"
Article Synopsis
- The COVID-19 pandemic in Italy led to significant reductions in surgical procedures, with elective surgeries seeing a 43.7% decrease in 2020 compared to 2019, while emergency surgeries dropped by 15.5%.
- In 2021, although there was an overall increase in procedures, elective surgeries remained 12.4% lower than the pre-pandemic level, while urgency surgeries saw a slight increase of 3.5%.
- The study suggests the need for a new approach to hospital care post-pandemic to improve resource management and maintain healthcare quality for citizens in the Apulian region.
Objective: In 2021, the US Centers for Disease Control and Prevention reported increased cases of myocarditis and pericarditis in the United States after mRNA COVID-19 vaccines. Our study aims to estimate the incidence of myocarditis in Apulia (Southern Italy) and the cause-effect relationship between COVID-19 mRNA vaccines and the risk of myocarditis.
Methods: The Apulian regional archive of hospital discharge forms was used to define the cases of myocarditis in Apulia, considering data from 2017 to 2022.
Healthcare workers (HCWs) are among the at-risk groups for whom influenza vaccination is strongly recommended. To assess the proportion of Italian HCWs with positive attitudes toward influenza vaccination, we conducted a systematic review of relevant literature and a meta-analysis. Our focus was on the influenza seasons from 2017/18 to 2021/22.
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- The systematic review and meta-analysis examined how the COVID-19 pandemic influenced influenza vaccine uptake among healthcare workers (HCWs) from the 2020/21 season onwards.
- Studies indicated a strong link between increased influenza vaccination rates and factors related to COVID-19, like willingness to get vaccinated against COVID-19 and fear of the virus, leading to an increase in vaccination rates of 17% to 38% compared to the previous season.
- Despite the positive trend, vaccine hesitancy remains an issue among HCWs in Europe, suggesting the need for coordinated vaccine strategies across countries, with mandatory vaccination policies showing the most promise for improving coverage.
Background: Antimicrobial and diagnostic stewardship (AS/DS) principles are crucial for the management of multidrug-resistant organisms (MDROs) infections. We evaluated the impact of a pro-active Infectious Disease (ID) consultation on the mortality risk of patients during an MDROs outbreak in a COVID-19 hospital.
Methods: A quasi-experimental study was performed in a dedicated COVID-19 hospital, including patients with suspected/confirmed infection and/or colonization by MDROs, which were managed as follows: (i) according to the standard of care during the pre-phase and (ii) in collaboration with a dedicated ID team performing a pro-active bedside evaluation every 48-72 h in the post-phase.