Igiene e sanita pubblica最新文献

{"title":"The prognostic value of lung ultrasound score (LUSS) in patients with COVID-19 admitted in Emergency Department: a prospective observational study.","authors":"Alessia Galli, Elisa Andreoli, Valentina Di Paola, Giulia Pierdomenico, Samantha Sisani, Silvia Del Prete, Luca Giuliani, Fabienne Yvonne Pallua, Susanna Contucci, Matteo Marcosignori, Vincenzo Giannicola Menditto","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The Lung Ultrasound (LUS) is routinely used as a point-of-care imaging tool in Emergency Department (ED) and its role in COVID-19 is being studied. The Lung UltraSound Score (LUSS) is a semi quantitative score of lung damage severity. Alongside instrumental diagnostic, the PaO2/FiO2 (P/F) ratio, obtained from arterial blood gas analysis, is the index used to assess the severity of the acute respiratory distress syndrome (ARDS), according to the Berlin definition.</p><p><strong>Objectives: </strong>The primary objective of the study was to evaluate a possible correlation between the LUSS score and the P/F Ratio, obtained from the arterial sampling in COVID-19 positive patients.</p><p><strong>Materials and methods: </strong>This was a cross-perspective monocentric observational study and it was carried out in the Emergency Department of the \"AOU delle Marche\" (Ancona, Italy), from 1 January 2023 to 28 February 2023. The study foresaw, once the patient was admitted to the ED, the execution of the LUS exam and the subsequent calculation of the LUSS score.</p><p><strong>Results: </strong>The sample selected for the study was of 158 patients. The proportion of LUSS ≤4 was statistically higher in those with a P/F >300 (76.2%), compared to those with a P/F ≤300 (13.2%). On the other end, the proportion of LUSS >4 was lower in those who have P/F >300 (23.8%), while it was higher in those who have P/F ≤300 (86.8%). Those patients with a LUSS >4 were 1.76 (95% CI: 1.57 - 1.99) times more likely to have a P/F ≤300, compared to those with LUSS ≤4. The Odds Ratio of having a P/F ≤300 value in those achieving a LUSS >4, compared to those achieving a LUSS ≤4, was 21.0 (95% CI: 8.4 - 52.4). The study identified pO2, Hb and dichotomous LUSS as predictors of the level of P/F ≤300 or P/F >300.</p><p><strong>Discussion: </strong>We found that the LUSS score defined by our study was closely related to the P/F ratio COVID-19 positive patients. Our study presented provides evidence on the potential rule of the LUSS for detecting the stage of lung impairment and the need for oxygen therapy in COVID-19 positive patients.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"80 1","pages":"19-29"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Potentially inappropriate prescriptions for poly-treated patients in long-term care facilities: retrospective pharmacoutilization analysis.","authors":"Roberta Giacometti, Antonella Barbieri, Maddalena Galante, Rossana Monciino, Alice Mastrogiacomo, Luca Rabbiosi, Fabiola Formica","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>BACKGROUND This study aimed to investigate, among elderly patients in long-term care (LTC) facilities, potentially inappropriate drug prescriptions, potentially interactions and verify whether they can be traced back to hospitalisations or accesses to the Emergency Department (ED). The study data were acquired by means of a case report form investigating the medication management process in LTCs. MATERIAL AND METHODS Analysis of pharmacutilisation in LTCFs patients aged ≥65 years on polypharmacy or excessive polypharmacy, January-July 2023. Data was extracted from a database (DB) containing the monthly prescriptions of medicines supplied by direct distribution (DD) to LTCs. The prevalence of PIMs was evaluated by applying the Beers and STOPP criteria to the medication profile of each patient. RESULTS The overall prevalence of polypharmacy and hyperpolypharmacy was 83% and 17%, respectively. PIMs were defined using Beers and STOPP criteria. The most frequent PIMs were proton pump inhibitors (19% e 15%), antiplatelets agent (17% e 13%) and non-associated sulfonamides (14% e 12%). Of the 1,921 PIMs, 121 were contraindicated or very serious (6%) and 1,800 were major (94%).The most common medicaments involved in drug-drug interaction are furosemide (21%), sertraline (19%), pantoprazole (16%) e trazodone (15%). LTCs participating in the study (56%) excluded polypharmacy as a cause of access to the ED and ADRs. Therefore no case was ever reported (100%). CONCLUSIONS Polypharmacy or excessive polypharmacy among elderly patients may increase PIMs and ADRs. A constant review of the therapeutic regimens and deprescribing decrease inappropriate use of medications and interactions, ADRs, and accesses to the ED with consequent reduction of pharmaceutical spending.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"80 1","pages":"1-18"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Monitoring of the territorial consumption of antibiotics in local health authority of Vercelli as a measure to contrast AMR.","authors":"Rossana Monciino, Antonella Barbieri, Maddalena Galante, Roberta Giacometti, Alice Mastrogiacomo, Luca Rabbiosi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 2022 the Italian Ministry of Health published the National Antibiotic Resistance Plan (PNCAR) 2022 - 2025 which provides the strategic guidelines and operational indications for dealing with the emergency of antimicrobial resistance (AMR). ESAC recorded, in the year 2021, an average consumption of 16.4 DDD/1000 inhab. res. die, with a statistically significant decrease in the period 2012 -2021 for class J01, on total territorial and hospital consumption. Italy is one of the countries with the highest consumption of antibiotics, it ranks 9th with a total hospital and territorial consumption of 17.53 DDD/1000 inhab. res. die. The present study aims to monitor the territorial consumption of antibiotics in ASL VC through the analysis of synthetic indicators and ESAC indicators, comparing them with regional and national values. Through the IQVIA database, a retrospective descriptive study was conducted on the consumption of antibiotics (ATC J01), for the period 2020 - 2022, measuring the synthetic indicators of consumption (DDD1,000 inhab. res. die) and costs (value1,000 inhab. res. die). Subsequently, a second analysis was carried out by measuring the ESAC indicators for the year 2022, comparing them with the previous year or period. With regard to consumption, while a reduction (average -7%) was observed for contracted pharmaceuticals (CONV) in 2021 compared to 2020, followed by an increase in 2022 (average +31%); for private purchase (PRIV), consumption remained constant in 2021 and then increased in 2022 (average +40%). The same trend was observed for the costs of the J01 class. The ESAC indicators show a mild improvement for ASL VC (variable for regional and national level), except for the use of 3rd and 4th generation cephalosporins which recorded an increase in 2022. The reduction in the consumption of antibiotics in 2021, followed by an increase in 2022 can be partly explained by the pandemic period that has just ended which led to the return to the community with the resumption of infectious agents in circulation. It therefore becomes essential to pay particular attention to antibiotic stewardship activities, both in the hospital and on the territory. (community).</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"80 6","pages":"118-127"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community-Based Surveillance: Knowledge and skills of Community Health Workers in epidemics setting in Ganjuwa LGA, Nigeria.","authors":"André Izacar Gaël Bita, Nyenty Agbor Agbornkwai, Dieudonné Kagaike Tcholai, Benjamin Gandi","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Community-based surveillance (CBS) is essential for early detection and prompt response to epidemic-prone diseases (EPD). Community Health Workers (CHWs), trained in basic healthcare services, can play a vital role in this process. Like many Local government Areas (LGA) in Nigeria, between January and September 2023, Ganjuwa LGA in Bauchi state was facing a simultaneous outbreak of measles, pertussis, Diphtheria, and Lassa Fever.</p><p><strong>Methods: </strong>Descriptive cross-sectional study among the CHWs in the Ganjuwa LGA to assess their knowledge and skills in CBS of EPD by using a questionnaire. Exhaustive sampling of CHWs implicated in CBS in Ganjuwa LGA and who gave verbal consent were included. Stata 16.0 software was used for analysis. The final score of knowledge of CHWs on CBS was calculated with the rate of the total best answers given by the CHWs based on five questions fixed.</p><p><strong>Results: </strong>The study enrolled 71 CHWs with a majority being male (61.97%) and an average age of 27 years. The education level of the CHWs varied, with 61.97% having completed secondary school, 29.58% having a university education, and 8.45% having completed primary school. In terms of experience, the majority of CHWs had 1 year of experience (73.24%), followed by 2 years (15.49%). The findings revealed that only a small percentage of CHWs (23.94%) recognized that Ganjuwa LGA was affected by four outbreaks, and 35.21% were aware that EPD could be transmitted through various means in communities. The overall knowledge score of the CHWs was relatively low, with a mean score of 0.4 (ranging from 0 to 1). Most CHWs had a score of 0.2, while only 5.63% achieved a score of 1. On the positive side, a significant majority of CHWs felt comfortable conducting home visits to identify suspected cases of EPD (76.06%) and expressed confidence in their ability to educate community members about disease surveillance and reporting (71.83%). Additionally, a majority of CHWs were familiar with the process of collecting and recording data related to EPD at the community level (64.79%). Most CHWs also expressed willingness to undergo additional training to improve their knowledge and skills in CBS (64.79%) and reported working well with local health facilities and authorities for information sharing and collaboration on disease surveillance efforts (73.24%).</p><p><strong>Conclusion: </strong>Overall, these findings highlight both strengths and areas for improvement in the knowledge, skills, and attitudes of CHWs regarding disease surveillance and reporting in the community. Targeted training interventions can help address the gaps identified and further enhance the effectiveness of CHWs in their roles.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"80 6","pages":"128-138"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Probable airborne transmission in a nosocomial Sars-CoV-2 outbreak with an high attack rate.","authors":"Paola Anello, Riccardo Boscolo Cegion, Andrea Basso, Chiara Cabbia, Francesca Azzolini, Luciano Crimi, Myriam Ruggiero, Mara Carraro, Stefano Mazzon, Milvia Marchiori","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Throughout the current COVID-19 pandemic, preventing nosocomial COVID-19 outbreaks has been a significant challenge for hospitals. It is essential to understand the ways in which SARS-CoV-2 spreads in healthcare settings to apply proper infection prevention and control (IPC) measures. The objectives of this study are to report on the hospital's response to a COVID-19 cluster and the transmission dynamics in a hospital ward of Geriatrics, Rehabilitation and Long term care. The study will focus specifically on how insufficient air replacement and directional airflow in indoor settings may have contributed to the transmission of the virus.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"80 5","pages":"110-117"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The ERM experience of the Lombardy Region as a tool for improving the safety of the regional health care system.","authors":"Enrico Burato, Liviana Scotti, Enrico Trombetta, Giacomo Taddei, Alessandro Audino, Enrico Malinverno, Davide Molteni, Giorgia Saporetti, Alessandra Rossodivita, Silvana Castaldi, Rossella Barni, Simona Amato","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Regional Center for Healthcare Risk Management and Patient Safety of the Lombardy Region, with the technical partnership of Aon, designed an innovative Healthcare Enterprise Risk Management Model (hereafter HERM) to meet the following objectives: 1) Improve the safety of the Regional Healthcare System through the implementation of methods and tools aimed to identify, analyze and mange in an integrated way all the risks to which are exposed the healthcare companies. 2) Preserve the creation of social value in the medium-long term and the sustainable achievement of strategic and operational objectives. 3) Optimize risk management costs. 4) Reduce/mitigate adverse events in all business processes. 5) Enable the ability to anticipate and react to changes. 6) Establish sound long-term and risk-based strategies. This paper describes the structuring of the overall HERM Model Framework, and the related information flows, the tools supporting the Healthcare Enterprise Risk Management Methodology (such as the Risk Model and the Assessment Metrics) and presents the preliminary result of first experience of Healthcare ERM in Italy.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"80 5","pages":"101-109"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient Safety and Surgery: the Experience of the Lombardy Region. A Project on External Evaluation of Best Practices Implementation.","authors":"Luciana Bevilacqua,&nbsp;Giulia Domeniconi,&nbsp;Chiara Picchetti,&nbsp;Davide Mozzanica,&nbsp;Elisabetta Brivio,&nbsp;Luca Merlino Luca Merlino,&nbsp;Liviana Scotti,&nbsp;Romina Colciago,&nbsp;Enrico Comberti,&nbsp;Anna D'Andrea,&nbsp;Paola Garancini,&nbsp;Maristella Moscheni,&nbsp;Chiara Oggioni,&nbsp;Cristina Oppezzo,&nbsp;Paolo Trucco,&nbsp;Antonio Vitello,&nbsp;Simona Amato,&nbsp;Enrico Burato","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Meta-analysis studies published over the past 20 years document that approximately 10 -14 % of hospitalised patients have an adverse event in Surgery and at least half of these adverse events are considered preventable using the current standards of care. In order to improve the safety of surgical patients and increasing adherence to current standard of care in surgery, including communication within the team and teamwork, in 2007 the WHO launched the campaign &quot;Safe Surgery Saves Lives&quot;. The WHO has also built a checklist for safety in the operating room containing 19 item in support of the operating team. The Ministry of Health in 2009 has taken the instruments produced by WHO in the \"Guide to Safety in the operating room: Recommendations and Checklist\". Studies conducted in industrialized countries report a strong heterogeneity in compliance to the check list for the surgical safety, with a range of between 38% and 96%. The aim of this project was to adopt the methodology of the external &quot;peer review&quot; to improve quality and patient safety applied to the surgical process and assess the degree of implementation of good practice in the operating room, both in public and private structures. Between 2015 and 2018 we have carried out 16 external evaluation visits. These visits included a first plenary session followed by the inspection of the operating theaters identified and a second plenary session. Several factors emerged during the visits; these factors represent both the strengths and criticalities of the organizations. The creation of a team of experts, coordinated by the Lombardy Region with the role of leadership, using the \"peer review\" methodology, is the leverage to promote among operators the growth of awareness of the usefulness of the tools.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"80 4","pages":"81-93"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41142092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Training and career opportunities for residencies in Hygiene and Preventive Medicine: results of a survey on 39 Italian schools.","authors":"F Pennisi, T Lo Presti, G E Ricciardi, Z Dalla Valle, M Minerva, G Privitera, C Signorelli","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>The Italian National Health Service (SSN) is currently grappling. with a complex situation, characterized by a persistent shortage of medical personnel and the divergent aspirations of young medical graduates. Additionally, recent regulatory developments concerning specialist training further contribute to the intricacies of the landscape, calling for a comprehensive analysis of the challenges and opportunities within the sector. This study aims to provide an updated overview of the current placement of medical graduates, residents and specialists in the specific hygiene and preventive medicine (Public Health) field.</p><p><strong>Methods: </strong>Data on admissions, withdrawals and resignations were obtained from the Ministries of Universities and Health and from the archives of the \"Associazione Liberi Specializzandi\" (ALS). Information regarding the professional prospects for specialists and residents in the field of Public Health was gathered through a tailored survey conducted by the \"Consulta dei Medici in Formazione Specialistica\" (Council of Medical Residents) of the Italian Society of Hygiene (SItI).</p><p><strong>Results: </strong>In 2022, a total of 483 specialization contracts were granted, indicating a decrease of 37% compared to the previous year. Notably, 85 positions (17.6%) remained unallocated or resulted in dropouts. Six months after completing their residency, 1.5% of hygiene residents were still actively seeking employment. On a positive note, 75.4% of fourth-year residents secured contracts under the \"Decreto Calabria\". Career opportunities within the Italian SSN have witnessed growth, with a significant proportion of placements in territorial services and hospital medical directorates.</p><p><strong>Discussion and conclusions: </strong>The updating of training programs provided by residency schools and the exploration of innovative approaches are of paramount importance to address the urgent need for high-quality training and to cater to the requirements of the national health system.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"80 4","pages":"94-100"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41164715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, attitudes, and practices of violence in hospitals: the case of users of the reception and emergency service of the Ebolowa Regional Hospital.","authors":"André Izacar Gaël Bita,&nbsp;Eddy Thomas Biwole Omgba,&nbsp;Hermine Ngo Mey Essi,&nbsp;Raquel Perdy Mbom,&nbsp;Agbor Agbornkwai Nyenty","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>The phenomena of incivility and violence are increasingly recurrent within health facilities in Cameroon. This study examines the knowledge, attitudes, and practices of violence by users in the reception and emergency departments of the Ebolowa Regional Hospital (ERH).</p><p><strong>Methods: </strong>This was a qualitative study of a non-random sample of users encountered in the reception and emergency department at the ERH in southern Cameroon. The principle of saturation was used to determine the sample size. An interview guide was used to collect the data. Demographic data were analyzed by EPI Info 7 and qualitative data by thematic analysis.</p><p><strong>Results: </strong>Acts of violence in hospitals are perceived as the use of intense and brutal force that affects the physical and/or moral integrity of others. The forms of violence cited include physical, moral, verbal, and psychological violence. The most frequently cited reasons for the violence were: negligence, the insolence of the nurse, abandonment of the patient without care or information, care not explained and not mentioned in the care booklet, lack of speed in care, insufficient communication about the illness of a relative and ineffective care despite the patient's fatigue. According to the participants, the circumstances that could lead individuals to do violence to nursing staff on duty include theft of medicines, contempt, rudeness, negligence in care, late care, abandonment of patients and poor hospital hygiene, refusal to answer questions, deception or professional incompetence, lack of welcome, attempts to extort or overcharge for prescriptions, and swindling and adultery. The consequences of violence mentioned in the responses mainly included: fighting, injuries, as well as staff reluctance, low hospital attendance, self-medication, and loss of life. Most respondents did not know or had no idea about legal sanctions after an act of violence, but one response mentioned the existence of sanctions such as police custody and blame.</p><p><strong>Conclusion: </strong>Violence in hospitals is a major problem that can have serious consequences for patients, health care staff, and the health care system. The reasons given for the violence highlight the importance of clear and effective communication between patients and healthcare staff, as well as prompt and quality medical care.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"80 3","pages":"60-72"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9879343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Renovation and creation of a Biocontainment Unit: the experience of Azienda Ospedaliero-Universitaria Pisana (Pisa, Italy).","authors":"Angelo Baggiani,&nbsp;Francesca Di Serafino,&nbsp;Michele Totaro,&nbsp;Sara Civitelli,&nbsp;Giulia Geminale,&nbsp;Alessandro Daole,&nbsp;Federico Vannini,&nbsp;David Rocchi,&nbsp;Nunzio Zotti,&nbsp;Alessia Civitelli,&nbsp;Monica Scateni,&nbsp;Stefano Gaffi,&nbsp;Stefano Colombini,&nbsp;Michele Cristofano,&nbsp;Grazia Luchini,&nbsp;Silvia Briani","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Infectious diseases are a major public health concern. In recent decades, there has been a succession of bacterial and viral diseases, which when added to the endemic diseases found in certain areas of the world, can become a global health problem. In emergency medicine we talk a lot about Mass Casualty Incident (MCI) preparedness, but the main focus today is bio-preparedness. Therefore, especially after the Ebola experience, much investment has been made in the development of Biocontainment Units (BCUs). At present, in Italy there are no national realities that have experimented the construction of a completely new biocontainment units detached from the Emergency Department (ED) RNPP-funded. Given this, the project of the Azienda Ospedaliero-Universitaria Pisana (AOUP) is to make renovations on existing ED structure and build an entire new facility for biocontainment.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"80 3","pages":"73-80"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9879344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}