EPIDEMIOLOGY ASPECTS OF HOSPITAL-ACQUIRED INFECTION MORBIDITY IN HEALTH SURGERY HOSPITALS IN PRIMORSKY REGION

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Abstract

The problem of prophylaxis and treatment of the hospital-acquired infections caused remains actual and urgent and stubborn in modern medicine. Appearance of antimicrobial agents resistant and high virulent strains adapting also to desinfectants. Development of innovative hi-tech diagnostic methods and treatment at wide circulation of microorganisms with multiple antimicrobial agents resistance defines need of continuous improvement of epidemiological surveillance and microbiological monitoring of this group of infections. Aim of project: to carry out the epidemiological analysis of a case rate of hospital-acquired infections in Primorsky Krai and to determine the specific role of hospital-acquired infections which arose in surgical hospitals and units. Material and methods: In work there were used statistical forms, e.g. No. 2 «The information on infectious and parasitic diseases» in Primorsky Krai. A research method — the retrospective epidemiological analysis. Results of a research: In 2015 in Primorsky Krai there were registered 159 cases of hospitalacquired infections, the indicator of a case rate made 0.05 per 1000 treated patients. In comparison with 2014 the case rate decreased, rate of depression made — 28%. According to the statistical reporting the greatest number of cases of hospital-acquired infections was registered in obstetrical institutions — 60 cases (38% of all hospital-acquired infections), in children’s hospitals — 46 (29%) and in surgical hospitals and units — 33 (21%). Other hospital-acquired infections are registered in out-patient and polyclinic institutions and in institutions of a therapeutic profile. In structure of hospitalacquired infections in the territory of Primorsky Krai in 2015, as well as in previous years, acute intestinal infections dominated (35 cases — 22%) and it is purulent — septic infections at newborns (34 cases — 21%). Conclusions: In the territory of Primorsky Krai the hospital-acquired infections are often registered in obstetrical institutions, in children’s and surgical hospitals and units. The tendency to hospital-acquired infections morbidity growthin surgical hospitals and units, most likely, not owing to augmentation of cases of postoperative complications, and at the expense of other nosologies.

 

About the authors

A. V. Martynova

Far Eastern Federal University, Vladivostok;
Pacific State Medical University, Vladivostok

Author for correspondence.
Email: clinmicro@yandex.ru
PhD, MD (Medicine), Professor, Professor of Natural Science School, Far Eastern Federal University, Vladivostok, Russian Federation; Professor of the Department of Epidemiology and Military Epidemiology, Pacific State Medical University Russian Federation

A. Yu. Gorkavaya

Far Eastern Federal University, Vladivostok

Email: clinmicro@yandex.ru
PhD (Medicine), Associate Professor, Biomedical School Russian Federation

V. L. Abashina

Center of Hygiene and Epidemiology, Vladivostok

Email: clinmicro@yandex.ru
Epidemiologist, Department of Epidemiology Russian Federation

L. M. Semeikina

Center of Hygiene and Epidemiology, Vladivostok

Email: clinmicro@yandex.ru
Deputy Head of the Department of Epidemiology Russian Federation

References

  1. Афонина И.А., Краева Л.А., Ценева Г.Я. Характеристика чувствительности Staphylococcus aureus и Candida albicans к противомикробным препаратам и коллоидному серебру // Инфекция и иммунитет. 2011, Т. 1, № 2. С. 177–180. [Afonina I.A., Kraeva L.A., Tseneva G.Ya. Characteristic of sensitivity of staphylococcus aureus and candida albicans to antibacterial preparations and colloidal silver. Infektsiya i immunitet = Russian Journal of Infection and Immunity, 2011, vol. 1, no. 2, pp. 177–180. doi: 10.15789/2220-7619-2011-2-177-180 (In. Russ.)]
  2. Жильцов И.В., Веремей И.С., Семенов В.М., Логвиненко С.М. Клинико-патогенетическое значение бета-лактамазной активности сыворотки больных и здоровых лиц // Военная медицина. 2011. Т. 21, № 4. С. 40–44. [Zhiltsov I.V., Veremey I.S., Semenov V.M., Logvinenko S.M. Clinical and pathogenicity beta-lactamase activity of serum from patients and health. Voennaya meditsina = Military Medicine, 2011, vol. 21, no. 4, pp. 40–44. (In Russ.)]
  3. Марченко А.Н., Мефодьев В.В. Многолетняя динамика заболеваемости внутрибольничными инфекциями в Тюменской области // Медицинская наука и образование Урала. 2012, Т. 13, № 4. С. 119–121. [Marchenko A.N., Mefodyev V.V. Longstanding dynamics of morbidity of nosocomial infections in Tyumen State. Meditsinskaya nauka i obrazovanie Urala = Medical Science and Education of Ural, 2012, vol. 13, no. 4, pp. 119–121. (In Russ.)]
  4. О состоянии санитарно-эпидемиологического благополучия населения в Российской Федерации в 2014 году: Государственный доклад Федеральной службы по надзору в сфере защиты прав потребителей и благополучия человека [On the state of sanitary and epidemiological welfare of the population in the Russian Federation in 2014: State report]. URL: http://rospotrebnadzor.ru/upload/iblock/22c/gd_2014_seb_dlya-sayta.pdf (28.09.2017).
  5. Омарова С.М., Моллаева А.М., Алиева А.И., Саидова П.С., Алиева С.Ф., Касумова А.М. Спектр и антибиотико-резистентность возбудителей внутрибольничного инфицирования операционных ран и органов мочевыделительной системы у хирургических больных // Клиническая лабораторная диагностика. 2015, Т. 60, № 5. С. 45–48. [Omarova S.M., Mollaeva A.M., Alieva A.I., Saidova P.S., Alieva S.F., Kasumova A.M. Spectrum and antimicrobial agents resistance of pathogens contaminating operation wounds and organs of urinary tract in surgery patients. Klinicheskaya laboratornaya diagnostika = Clinical Laboratory Diagnostics, 2015, vol. 60, no. 5, pp. 45–48. (In Russ.)]
  6. Свистунов С.А., Кузин А.А., Суборова Т.Н., Жарков Д.А. Опыт применения микробиологических исследований при инфекционных осложнениях тяжелых травм // Инфекция и иммунитет. 2016. Т. 6, № 4. С. 373–378. [Svistunov S.A., Kuzin A.A., Suborova T.N., Zharkov D.A. Microbiological methods application experience in the severe injuries infectious complications. Infektsiya i immunitet = Russian Journal of Infection and Immunity, 2016, vol. 6, no. 4, pp. 373–378. doi: 10.15789/2220-7619-2016-4-373-378 (In Russ.)]
  7. Чарушина И.П. Сравнительный анализ микобиоты стационаров различного профиля // Проблемы медицинской микологии. 2015. Т. 17, № 1. С. 47–51. [Charushina I.P. Comparative analysis of the mycobiota of various profile hospitals. Problemy meditsinskoi mikologii = Problems of Medical Mycology, 2015, vol. 17, no. 1, pp. 47–51. (In Russ.)]
  8. Ягодина А.Ю., Пегушина О.Г., Маслов Ю.Н., Серова И.А., Наумов С.А. Антибиотикорезистентность изолятов, выделенных в кардиохирургическом стационаре от пациентов с сахарным диабетом и ВИЧ-инфекцией // Инфекция и иммунитет. 2013. Т. 3, № 1. С. 37–43. [Yagodina A.Y., Pegushina O.G., Maslov Y.N., Serova I.A., Naumov S.A. Antibiotic resistance of the bacteria isolates obtained from the patients with diabetes and HIV-infected patients in cardiosurgical hospital. Infektsiya i immunitet = Russian Journal of Infection and Immunity, 2013, vol. 3, no. 1, pp. 37–42. doi: 10.15789/2220-7619-2013-1-37-42 (In Russ.)]
  9. Gade S.S., Nørskov-Lauritsen N., Ridderberg W. Prevalence and species distribution of Achromobacter sp. cultured from cystic fibrosis patients attending the Aarhus centre in Denmark. J. Med. Microbiol., 2017, vol. 66, no. 5, pp. 686–689. doi: 10.1099/ jmm.0.000499
  10. Karlowsky J.A., Hoban D.J., Hackel M.A., Lob S.H., Sahm D.F. Antimicrobial susceptibility of Gram-negative ESKAPE pathogens isolated from hospitalized patients with intra-abdominal and urinary tract infections in Asia-Pacific countries: SMART 2013–2015. J. Med. Microbiol., 2017, vol. 66, no. 1, pp. 61–69. doi: 10.1099/jmm.0.000421
  11. Mohamed E.R., Aly S.A., Halby H.M., Ahmed S.H., Zakaria A.M., El-Asheer O.M. Epidemiological typing of multidrug-resistant Klebsiella pneumoniae, which causes paediatric ventilator-associated pneumonia in Egypt. J. Med. Microbiol., 2017, vol. 66, no. 5, pp. 628–634. doi: 10.1099/jmm.0.000473

Copyright (c) 2018 Martynova A.V., Gorkavaya A.Y., Abashina V.L., Semeikina L.M.

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