HOSPITAL EVALUATING METHODOLOGY FOR ACTIVE DETECTION OF SURGICAL SITE INFECTION AND CAUSES OF ITS EMERGENCE

The paper deals with improving a sanitary-and-epidemiological surgical site infection surveillance system. The author outlines methodological approaches to evaluating a surgical hospital in the light of the national concept of prevention of healthcare-related infections (HAI) and in terms of the current trends for the increased proportion of panresistant microorganisms causing postoperative pyoseptic complications. The paper presents an algorithm for a sequence of actions during epidemiological evaluation of the surgical hospital. It stresses the importance of the activity of a nosocomial infection control commission and its organizational and methodological significance in coordinating all subdivisions to make a sanitary-and epidemiological HAI surveillance at the institutional level. The author calls attention to a comprehensive approach that should be applied to elaborate preventive and anti-epidemic measures, by taking into account microbiological monitoring data, as well as nonspecific sanitary measures against surgical site infection.

pyoseptic complications, microbiological monitoring, nosocomial infection, antibiotic resistance, surgery, antibiotic therapy, hospital microflora, clinical pharmacologist, test strains, microbial associations