Analysis of Detection and Registration of Infections Related to Medical Care in the Ural and Siberian Federal Districts in 2021

Smirnova, S. S.; Egorov, I. A.; Malkova, Elena V.; Zhuikov, Nikolai N.; Shelkova, Elena S.; Zainagabdinova, Yulia R.; Семенов, А В

doi:10.17816/eid109321

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…В РФ разработана и реализуется система эпидемиологического надзора за ИСМП 1 . В ряде регионов РФ активно ведутся научные исследования по изучению эпидемиологических особенностей ИСМП в отделениях хирургического и реанимационного профилей [1][2][3][16][17][18][19][20]. Эпидемиологические и микробиологические характеристики ИСМП в хирургических и специализированных реанимационных отделениях стационаров Республики Северная Осетия -Алания (РСО -Алания) и большинстве других регионов Северо-Кавказского федерального округа на основе современных методов мониторинга с системной оценкой мероприятий по профилактике инфекций и инфекционному контролю ранее не были изучены.…”

Section: Optimization Of Monitoring Of Nosocomial Infections In Hospi...unclassified

Optimization of Monitoring of Nosocomial Infections in Hospitals of the Republic of North Ossetia–Alania

Khabalova¹,

Lyalina²,

La³

et al. 2023

PH&LE

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Introduction: Optimization of epidemiological and microbiological monitoring of nosocomial infections at the regional level will contribute to limiting circulation and spread of pathogens and improving preventive measures on the territory of the Russian Federation. Objective: To determine directions of optimization of epidemiological and microbiological monitoring of healthcare-associated infections in surgery departments and intensive care units of hospitals of the Republic of North Ossetia – Alania. Materials and methods: We carried out a retrospective epidemiological analysis of the incidence of nosocomial infections and results of microbiological monitoring conducted in surgery departments and intensive care units of ten multidisciplinary hospitals of the Republic of North Ossetia – Alania in 2015–2019. We also examined data on evaluation of preventive measures, infection control, and compliance with criteria of internal quality control and safety in health care. Results: According to the results of routine surveillance and specially organized epidemiological and microbiological monitoring, the incidence rates of healthcare-associated infections were 0.85 and 26.4 per 1,000 inpatients in surgery departments and intensive care units of hospitals of the Republic of North Ossetia – Alania, respectively. The incidence rates of certain types of nosocomial infections were statistically different (p ≤ 0.05) depending on the type of monitoring (routine/optimized): surgical site infections – 15.9/132.8 per 1,000 surgeries, catheter-associated urinary tract infections – 8.5/69.4 per 1,000 catheter days, central line-associated bloodstream infections – 7.74/89.12 per 1,000 catheter days, and ventilator-associated pneumonia – 8.12/39.74 per 1,000 ventilator days. K. pneumoniae strains isolated from surgery and intensive care patients and exhibiting extreme resistance to antimicrobial drugs belong to sequence type 1082, possess a high pandemic potential, and are widespread in many countries. According to the results of assessing compliance with the criteria of internal quality control and safety of health care, only three of ten hospitals in the Republic of North Ossetia – Alania had the compliance rate ≥ 70 %. As for the readiness for infection prevention and control in surgery departments and intensive care units, 60 % of the hospitals demonstrated a basic level and 40 % – an intermediate level of measures taken. Conclusions: Optimization of approaches to tracing healthcare-associated infections in the hospitals of the Republic of North Ossetia – Alania helped establish that actual incidence rates of nosocomial infections were on the average 26.4 times higher than those officially registered based on the results of routine surveillance.

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Section: Optimization Of Monitoring Of Nosocomial Infections In Hospi...unclassified

Optimization of Monitoring of Nosocomial Infections in Hospitals of the Republic of North Ossetia–Alania

Khabalova¹,

Lyalina²,

La³

et al. 2023

PH&LE

View full text Add to dashboard Cite

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“…в субъектах уральского и сибирского федеральных округов в 2021 г. доля работников мо в структуре пострадавших от внутрибольничного инфицирования SARS-CoV-2 составила 84,9 % (в 2020 г. -68,6 %), а интенсивность эпидемического процесса среди персонала превышала таковую среди пациентов в 180 раз (26,6 на 1000 работающих) [1,[3][4][5][6].…”

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COVID‑19 Pandemic: Effect of Specific and Non-Specific Prevention Measures on the Risk of SARS‑CoV‑2 Infection in Employees of Healthcare Organizations

Egorov,

Smirnova,

Mishchenko

et al. 2023

Problemy Osobo Opasnykh Infektsii

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From the very onset of SARS‑CoV‑2 spreading, active involvement in the COVID‑19 epidemic process made the healthcare professionals (HCPs) a vulnerable group with higher risks of contracting the disease, severe course and fatal outcome.The aim. We aimed at studying the impact of specific and non-specific preventive measures on the risk of SARS‑CoV‑2 infection among the HCPs in a large industrial region settings during the COVID‑19 pandemic.Materials and methods. We analyzed the data obtained using 1 905 questionnaires for the personnel of infectious hospitals for treatment of COVID‑19 patients and non-core healthcare facilities in a large industrial region during the COVID‑19 pandemic, 100 questionnaires on adherence of the employees to hand hygiene and antiseptics, the results of the tests for specific IgG to the SARS‑CoV‑2 nucleocapsid (2 200 samples), as well as the results of assessment of viral and bacterial contamination of the outer surface of the personal protective equipment for infectious hospital staff (108 specimens).Results and discussion. In the course of the study, an effect of failure in the implementation of some specific and non-specific preventive measures on an increase in the incidence of COVID‑19 in various healthcare professionals has been identified. The COVID‑19 pandemic once again emphasized the need to save lives and health of the HCPs as socially significant category of citizens under the spread of pathogens with high epidemic potential, applying a complex of specific and non-specific measures that are not mutually exclusive.

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Analysis of Detection and Registration of Infections Related to Medical Care in the Ural and Siberian Federal Districts in 2021

Cited by 2 publications

References 5 publications

Optimization of Monitoring of Nosocomial Infections in Hospitals of the Republic of North Ossetia–Alania

Optimization of Monitoring of Nosocomial Infections in Hospitals of the Republic of North Ossetia–Alania

COVID‑19 Pandemic: Effect of Specific and Non-Specific Prevention Measures on the Risk of SARS‑CoV‑2 Infection in Employees of Healthcare Organizations

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