About the possibility of spreading intrahospital infection

Cover Page

Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

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.

Full Text

Restricted Access

About the authors

Artem M. Morozov

Tver State Medical University’ of Russian Health Ministry

Email: ammorozovv@gmail.com
ORCID iD: 0000-0003-4213-5379

Candidate of Medical Sciences, Associate Professor of the Department of General Surgery

Russian Federation

Nadezhda S. Novikova

Tver State Medical University’ of Russian Health Ministry

Email: ammorozovv@gmail.com
ORCID iD: 0000-0003-4564-4777

student

Russian Federation,

Darya R Martikainen

Tver State Medical University’ of Russian Health Ministry

Email: ammorozovv@gmail.com
ORCID iD: 0000-0002-9262-3197

student

Russian Federation,

Konstantin I. Khorak

National Medical Research Center for Traumatology and Orthopedics named after R.R. Vredena

Author for correspondence.
Email: ammorozovv@gmail.com
ORCID iD: 0000-0003-4043-4164

Resident in Traumatology and Orthopedics

Russian Federation,

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

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig. 1.

Download (19KB)

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies