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About the possibility of spreading intrahospital infection

DOI: https://doi.org/ 10.29296/25879979-2022-01-02
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1
Year: 
2022

A.M. Morozov, N.S. Novikova, D.R. Martikainen, K.I. Khorak Tver State Medical University’ of Russian Health Ministry, Tver

The problem of infections associated with the provision of medical care or nosocomial infections does not lose its relevance. The formation of hospital strains of microorganisms has their own characteristics, namely, the adaptation of pathogens to hospital conditions, the struggle for nutritional niches, homogenization, clonal distribution, and the formation of an artificial ecological system. A stable trend towards a decrease in species diversity and the displacement of unstable bacterial strains under the influence of disinfectants and the unjustified use of antimicrobial drugs leads to multidrug resistance of microorganisms, which increases the hospitalization period of patients, complicates the treatment of the underlying disease, and increases the risk of mortality among persons with immunodeficiency. This article discusses the ways of spreading infection associated with the provision of medical care in a surgical hospital, risk factors and a modern strategy for the prevention of nosocomial infections. This article discusses the routes of infection associated with the provision of medical care in a surgical hospital, risk factors, and the current strategy for the prevention of nosocomial infections

Keywords: 
routing
surgical hospital
nosocomial infection
surgical interventions
nursing
nursing practice



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References: 
  1. Popova A.YU., Ezhlova E.B., Igonina E.P., Mel’nikova A.A., Frolova N.V. Nadzor za soblyudeniem sanitarno-epidemicheskogo zakonodatel’stva pri okazanii medicinskoj pomoshchi v celyah obespecheniya ee kachestva i bezopasnosti //Vesti Roszdravnadzora. 2016.№1. S. 74-78. DOI: 10.24411/2411-8621-2018-00002
  2. Brusina E.B., Kovalishena O.V., Cigel’nik A.M. Infekcii, svyazannye s okazaniem medicinskoj pomoshchi v hirurgii: tendencii i perspektivy profilaktiki. Epidemiologiya i vakcinoprofilaktika. 2017. №4 (95).
  3. Orlova O. A., Akimkin V.G. Organizaciya epidemiologicheskogo nadzora za infekciyami v oblasti hirurgicheskogo vmeshatel’stva. ZNiSO. 2018. №6 (303).
  4. Gabrielyan N.I., SHarapchenko S.O., Kisil’ O.V. i dr. Problema global’nogo razvitiya antibiotikoustojchivosti vozbuditelej nozokomial’nyh infekcij //Terapevticheskij arhiv. 2020; 92 (11): 110–116. DOI: 10.26442/00403660.2020.11.000783
  5. Tutel’yan A.V., Pisarev V.M., Minaeva N.Z., Gaponov A.M., Gracheva A.N., Solopova G.G. Generaciya antibiotikotolerantnyh bakterij pri gematologicheskih i onkologicheskih zabolevaniyah, soprovozhdayushchihsya immunokomprometaciej: novaya problema infekcij, svyazannyh s okazaniem medicinskoj pomoshchi. Vest. Ros. akad. med. nauk. 2016. T. 71, № 3. S. 183–189. DOI: 10.15690/vramn687
  6. Morozov A. M., Sergeev A. N., Sergeev N. A. Diagnostika i profilaktika infekcionnyh oslozhnenij oblasti hirurgicheskogo vmeshatel’stva. Vestnik Ivanovskoj medicinskoj akademii. 2021. T. 26. № 1. S. 54-58. – DOI 10.52246/1606-8157_2021_26_1_54.
  7. Morozov A. M., Sergeev A. N., Askerov E. M. Ob ekonomicheskoj sostavlyayushchej provedeniya predoperacionnoj antibiotikoprofilaktiki. Vrach. 2021. – T. 32. –  № 7. – S. 74-78. – DOI 10.29296/25877305-2021-07-12.
  8. ZHilina S.V. Arhitektonika mikrobnoj ekologii v otdelenii gnojnoj hirurgii gorodskoj klinicheskoj bol’nicy. Avtoreferat dissertacii na soiskanie uchenoj stepeni kandidata medicinskih nauk. Pervyj moskovskij medicinskij universitet im. I.M. Sechenova. Moskva, 2011. S 53-58.
  9. Kotiv B.N., Gumilevskij B.YU., Kolosovskaya E.Net al Harakteristika etiologicheskoj struktury infekcii, svyazannoj s okazaniem medicinskoj pomoshchi v mnogoprofil’nom stacionare. Vestnik Rossijskoj Voenno-medicinskoj akademii.2020.№ 1 (69).S. 7-11. doi.org/10.26787/nydha-2686-6846-2020-22-8-9-13
  10. Bondarenko A.P., SHmylenko V.A., Trocenko O.E., Zajceva T.A. Nekotorye aspekty razvitiya epidemicheskogo processa infekcij, svyazannyh s okazaniem medicinskoj pomoshchi (obzor literatury). Dal’nevostochnyj zhurnal infekcionnoj patologii.2019.№ 36 (36).S. 92-97.
  11. Saks A.A. Organizaciya profilaktiki gospital’noj gnojno-septicheskoj infekcii v specializirovannyh hirurgicheskih stacionarah. V sbornike: Effektivnyj menedzhment zdravoohraneniya: strategii innovacij. sbornik materialov.2018.S. 173-176.
  12. Smetanin V.N. Osobennosti epidemicheskogo processa infekcij, svyazannyh s okazaniem medicinskoj pomoshchi. V sbornike: Nauka i innovaciisovremennye koncepcii. Sbornik nauchnyh statej po itogam raboty Mezhdunarodnogo nauchnogo foruma. Otv. redaktor D.R. Hismatullin.2020.S. 135-141.
  13. Rimashevskij D.V., Ahtyamov I.F., Fedulichev P.N. Mezhdisciplinarnyj podhod k diagnostike i lecheniyu osteomielita. Prakticheskaya medicina.2021.T. 19.№ 1.S. 54-61. DOI: 10.32000/2072-1757-2021-1-54-61
  14. Najgovzina N. B., Popova A. YU., Biryukova E. E., i dr. Optimizaciya sistemy mer bor’by i profilaktiki infekcij, svyazannyh s okazaniem medicinskoj pomoshchi v Rossijskoj Federacii. ORGZDRAV: Novosti. Mneniya. Obuchenie. Vestnik VSHOUZ. 2018. №1 (11).
  15. Rizoev H. H., Rahimov D. A., Talabzoda M. S. Faktory, sposobstvuyushchie rasprostraneniyu vnutribol’nichnoj infekcii mochevyvodyashchih putej. Vestnik Avicenny.2019.№4. doi: 10.25005/2074-0581-2019-21-4-638-642
  16. Kozlov V.A., Tikhonova E.P., Savchenko A.A. etc. Clinical Immunology. A practical guide for infectious disease specialists. Krasnoyarsk: Polikor, 2021.563 p.
  17. CHezganova E.A., Efimova O.S., Saharova V.M., Efimova A.R., Sozinov S.A., Ismagilov Z.R., Brusina E.B. Dopolnitel’nyj rezervuar gospital’nyh mikroorganizmov v medicinskih organizaciyah. ZHurnal mikrobiologii, epidemiologii i immunobiologii.2021.№3. doi.org/10.31631/2073-3046-2019-18-4-82-92
  18. CHezganova E.A., Efimova O.S., Saharova V.M., Efimova A.R., Sozinov S.A., Ismagilov Z.R., Brusina E.B. Ocenka roli pyli v formirovanii rezervuara mul’tirezistentnyh gospital’nyh shtammov mikroorganizmov v otdeleniyah hirurgicheskogo profilya. Fundamental’naya i klinicheskaya medicina. 2020. №1. doi.org/10.23946/2500-0764-2020-5-1-15-25
  19. Tursunbaev A.K., SHarapov O.N., Yusupova D.Yu. Profilaktika vnutribol’nichnyh infekcijtrebovanie vremeni. Molodoj uchenyj. 2015. № 19 (99). S. 306-311.
  20. Zakatova L.V., Antipova N.N. Startovaya terapiya v lechenii infekcionnoj patologii. Vrach skoroj pomoshchi.2019. -№ 9. S. 20-30. eLIBRARY ID: 41327550
  21. Fyodorov P. G., Arshakyan V. A., Gyunter V. E., SHtofin S. G., Samarcev V. A. Sovremennye shovnye materialy (obzor literatury). Acta Biomedica Scientifica. 2017. №6 (118). DOI: 10.12737/article_5a0a8e626adf33.46655939
  22. Brusina E. B., Zueva L. P., Kovalishena O. V., Stasenko V. L., Fel’dblyum I. V., Briko N. I., Akimkin V.G. Infekcii, svyazannye s okazaniem medicinskoj pomoshchi: sovremennaya doktrina profilaktiki chast’ 2. Osnovnye polozheniya. Epidemiologiya i vakcinoprofilaktika. 2018. №6 (103). doi.org/10.31631/2073-3046-2018-17-4-10