Publications by authors named "Daleno A"

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.
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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.

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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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Article Synopsis
  • 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.
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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.

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Article Synopsis
  • Splenectomy or asplenia increases the risk of immune compromise, making specific vaccinations, including the COVID-19 vaccine, essential for these patients.
  • In Italy, a study assessed the COVID-19 infection rates and vaccination status among 1,219 splenectomized individuals, revealing a 15% infection rate and concerningly low booster vaccination coverage (15.4% for the first booster and only 0.6% for the second).
  • To improve health outcomes, a multifactorial strategy is necessary to enhance vaccine uptake and educate both patients and healthcare workers about the risks associated with asplenia.
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Background: Work environment characteristics have an important impact on organizational wellbeing in health care facilities. In the Apulia Region, a new COVID-19 hospital was planned, designated and built in a few weeks for the treatment of patients infected with SARS-CoV-2. To our knowledge, this hospital, together with "Fiera Hospital" in Milan, are two of the few buildings worldwide that have been converted into new health care facilities with intensive care center units to treat COVID-19 patients, and this is the first study assessing organizational wellbeing in a newly designated COVID-19 hospital.

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In Italy, at the beginning of the SARS-CoV-2 pandemic, the main organizational model of hospital care was represented by the physical or functional division of hospitals and wards into COVID and non-COVID areas, in order to separate SARS-CoV-2-infected patients from the others. Now that the emergency phase has reached its long-awaited end, it is necessary to develop a new hospital care paradigm that may deal with SARS-CoV-2-positive patients discriminating between those who are hospitalized because of COVID-19 and those who are diagnosed with SARS-CoV-2 infection immediately before or after the first access to healthcare facilities.

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Background: Coronavirus disease is a pandemic that has disrupted many human lives, threatening people's physical and mental health. Each pandemic wave struck in different ways, infectiveness-wise and mortality-wise. This investigation focuses on critically ill patients affected by the last two variants, Delta and Omicron, and aims to analyse if any difference exists between the two groups.

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Introduction: Healthcare workers on duty at the hospital are at high risk of COVID-19 infection. However, despite the introduction of risk-lowering practices in the hospital setting, there have been many cases of SARS-COV-2 infection among Health Care Workers. Fast and efficient contact tracing and Sars-CoV-2 PCR-based testing of the close contacts of Health Care Workers with confirmed infections are essential steps to limit nosocomial outbreaks.

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Hospitalized COVID-19 patients are vulnerable to different degrees of stress disorders as well as depression, anxiety and fear. The aim of this study was to evaluate the feasibility of introducing Music therapy on site with Covid-19 patients and investigating the immediate effects a single session has on anxiety, heart rate (HR), oxygen saturation (O2Sat) and satisfaction compared to standard care. A randomized controlled trial of 40 patients was conducted.

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Although the vaccination of healthcare workers (HCWs) is considered essential for preventing influenza circulation in the hospital setting, vaccination coverage (VC) in this group remains low. Among the reasons cited by HCWs is a lack of time to attend the vaccination clinic. For the 2018/2019 influenza season, active (on-site) influenza vaccination was offered directly in 44 operative units (OUs) of the Bari Policlinico hospital (50 OUs, 3,397 HCWs).

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