Optimization of the system of measures for control and prevention of healthcare-associated infections, in the Russian Federation

  • Authors: Naygovzina N.B1, Popova A.Y.2, Biryukova E.E3, Ezhlova E.B2, Igonina E.P2, Pokrovsky V.I4, Akimkin V.G4, Tutelyan A.V4, Shestopalov N.V5, Krayevoy S.A6, Kostenko N.A6, Briko N.I7, Brusina E.B8, Zuyeva L.P9, Feldblum I.V10, Shkarin V.V11, Kozlov R.S12, Stasenko V.L13, Golubkova A.A14, Sukhikh G.T15, Priputnevich T.V15, Shmakov R.G15, Zubkov V.V15, Shkoda A.S16, Shumilov V.I16, Mitrokhin S.D16, Ershova O.N17, Selkova E.E18, Grenkova T.A18, Ivanov I.V19, Shvabsky O.R19
  • Affiliations:
    1. A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia
    2. Federal Service for Supervision of Consumer Rights Protection and Human Well-Being
    3. Federation Council of the Federal Assembly of the Russian Federation
    4. Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being
    5. Research Institute of Disinfectology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being
    6. Ministry of Health of the Russian Federation
    7. I.M. Sechenov First Moscow State Medial University, Ministry of Health of Russia (Sechenov University)
    8. Kemerovo State Medial University, Ministry of Health of Russia
    9. I.I. Mechnikov North-Western State Medial University, Ministry of Health of Russia
    10. Academician E.A. Vagner Perm State Medial University, Ministry of Health of Russia
    11. Nizhny Novgorod State Medial Academy, Ministry of Health of Russia
    12. Smolensk State Medial University, Ministry of Health of Russia
    13. Omsk State Medial University, Ministry of Health of Russia
    14. Ural State Medical University, Ministry of Health of Russia
    15. Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia
    16. L.A. Vorokhobov City Clinical Hospital Sixty-Seven Moscow Healthcare Department
    17. Academician N.N. Burdenko National Research and Practical Center of Neurosurgery, Ministry of Health of Russia
    18. G.N. Gabrichevsky Moscow Research Institute of Epidemiology and Microbiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being
    19. Center for Monitoring and Clinical and Economic Expertise, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being
  • Issue: No 1 (2018)
  • Pages: 6-14
  • Section: Articles
  • URL: https://journals.eco-vector.com/2226-6976/article/view/278725
  • ID: 278725

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Abstract

Taking into account the considerable underreporting of healthcare-associated infection (HCAI) cases, the steady spread of pathogens resistant to antimicrobial agents (AMA), such as antibiotics, disinfectants, and antiseptics, as well as the substantial financial burden of the problem (a rise in direct costs by at least 60-85 billion rubles), work has been intensified to ensure the epidemiological safety of health care to the population of the Russian Federation and to reduce socioeconomic damage related to HCAI. There are main areas to improve the HCAI epidemiological surveillance and prevention system in the Russian Federation, which involve the assessment of: 1) stratified morbidity rates and their dynamics; 2) the structure and AMA susceptibility of the leading pathogens of pyoseptic infections; 3) the pattern and volume of antibiotic consumption; 4) socioeconomic damage due to the main nosological entities of HCAI; 5) existing regulatory and methodological documents on the prevention of HCAI; 6) resource support, including logistics support and the use of up-to-date information technologies and special programs for specialist training in HCAI prevention.

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About the authors

N. B Naygovzina

A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia

Email: mail@msmsu.ru
MD, Honored Doctor of the Russian Federation, Head, Department of Public Health and Healthcare Moscow, Russia

A. Yu Popova

Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: depart@gsen.ru
MD, Head, Federal Service for Supervision of Consumer Rights Protection and Human Well-Being Moscow, Russia

E. E Biryukova

Federation Council of the Federal Assembly of the Russian Federation

Assistant to the Vice-Chairman Moscow, Russia

E. B Ezhlova

Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: ezhlova_eb@gsen.ru
Moscow, Russia

E. P Igonina

Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: igonina_ep@gsen.ru
Cand. Med. Sci, Deputy Head, Department of Organization of Control over Infectious and Parasitic Diseases Moscow, Russia

V. I Pokrovsky

Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: crie@pcr.ru
MD, Academician of the Russian Academy of Sciences and the Russian Academy of Education; Director Moscow, Russia

V. G Akimkin

Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: vgakimkin@yandex.ru
MD, Academician of the Russian Academy of Sciences, Deputy Director of Epidemiology Moscow, Russia

A. V Tutelyan

Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: bio-tav@yandex.ru
MD, Corresponding Member of the Russian Academy of Sciences; Head, Laboratory of Healthcare-Associated Infections 3a, Novogireevskaya St., Moscow 111123, Russia Telephone: +7(495) 672-11-90

N. V Shestopalov

Research Institute of Disinfectology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: shestopalovnv@niid.ru
MD, Director Moscow, Russia

S. A Krayevoy

Ministry of Health of the Russian Federation

Email: info@rosminzdrav.ru
Deputy Ministry of Health of the Russian Federation Moscow, Russia

N. A Kostenko

Ministry of Health of the Russian Federation

Email: info@rosminzdrav.ru
Deputy Director, Department of Science, Innovation Development and Management of Biomedical Risks to Health Moscow, Russia

N. I Briko

I.M. Sechenov First Moscow State Medial University, Ministry of Health of Russia (Sechenov University)

Email: nbrico@mail.ru
MD; Academician of the Russian Academy of Sciences; Honored Scientist of the Russian Federation; Head, Department of Epidemiology and Evidence-Based Medicine, Faculty of Preventive Medicine Moscow, Russia

E. B Brusina

Kemerovo State Medial University, Ministry of Health of Russia

Email: brusina@mail.m
MD, Head, Department of Epidemiology Kemerovo, Russia

L. P Zuyeva

I.I. Mechnikov North-Western State Medial University, Ministry of Health of Russia

Email: uzueva@mail.ru
Honored Scientist of Russian Federation, Head, Department of Epidemiology, Parasitology and Disinfectology Saint Petersburg, Russia

I. V Feldblum

Academician E.A. Vagner Perm State Medial University, Ministry of Health of Russia

Email: irinablum@mail.ru
MD, Head, Department of Epidemiology with Course of Hygiene and Epidemiology, Faculty for Postgraduate Training and Professional Retraining of Specialists Perm, Russia

V. V Shkarin

Nizhny Novgorod State Medial Academy, Ministry of Health of Russia

Email: nnsma@sandy.ru
MD, Corresponding Member of the Russian Academy of Sciences; President Nizhny Novgorod, Russia

R. S Kozlov

Smolensk State Medial University, Ministry of Health of Russia

Email: roman.kozlov@antibiotic.ru
Corresponding Member of the Russian Academy of Sciences, Acting Rector Smolensk, Russia

V. L Stasenko

Omsk State Medial University, Ministry of Health of Russia

Email: vlstasenko@yandex.ru
MD, Head, Department of Epidemiology Omsk, Russia

A. A Golubkova

Ural State Medical University, Ministry of Health of Russia

Email: allagolubkova@yandex.ru
MD, Head, Department of Epidemiology Yekaterinburg, Russia

G. T Sukhikh

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: secretariat@oparina4.ru
MD; Аcademician of the Russian Academy of Sciences; Director Moscow, Russia

T. V Priputnevich

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: priput1@gmail.com
MD, Head, Department of Microbiology and Clinical Pharmacology Moscow, Russia

R. G Shmakov

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: r_shmakov@oparina4.ru
MD, Chief Physician Moscow, Russia

V. V Zubkov

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: victor.zubkov@mail.ru
MD, Head, Department of Neonatology and Pediatrics Moscow, Russia

A. S Shkoda

L.A. Vorokhobov City Clinical Hospital Sixty-Seven Moscow Healthcare Department

Email: gkb67@zdrav.mos.ru
MD, Chief Physician Moscow, Russia

V. I Shumilov

L.A. Vorokhobov City Clinical Hospital Sixty-Seven Moscow Healthcare Department

Email: gkb67@zdrav.mos.ru
MD, Honored Doctor of the Russian Federation, Deputy Chief Physician for Sanitary and Epidemiological Issues Moscow, Russia

S. D Mitrokhin

L.A. Vorokhobov City Clinical Hospital Sixty-Seven Moscow Healthcare Department

Email: gkb67@zdrav.mos.ru
MD, Head, Department of Clinical Pharmacology Moscow, Russia

O. N Ershova

Academician N.N. Burdenko National Research and Practical Center of Neurosurgery, Ministry of Health of Russia

Email: oershova@nsi.ru
MD, Deputy Chief Physician on Epidemiological Work Moscow, Russia

E. E Selkova

G.N. Gabrichevsky Moscow Research Institute of Epidemiology and Microbiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: selkova.e@mail.ru
MD, Deputy Director Moscow, Russia

T. A Grenkova

G.N. Gabrichevsky Moscow Research Institute of Epidemiology and Microbiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: g4209761@bk.ru
Cand. Med. Sci, Leading Researcher, Laboratory for Diagnosis and Prophylaxis of Infectious Diseases Moscow, Russia

I. V Ivanov

Center for Monitoring and Clinical and Economic Expertise, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: info@sudexpa.ru
Head, Inspection Authority Moscow, Russia

O. R Shvabsky

Center for Monitoring and Clinical and Economic Expertise, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being

Email: info@sudexpa.ru
Quality Manager, Inspection Authority Moscow, Russia

References

  1. Попова АЮ., Ежлова Е.Б., Игонина Е.П., Мельникова А.А., Фролова Н.В. Надзор за соблюдением санитарно-эпидемиологического законодательства при оказании медицинской помощи в целях обеспечения ее качества и безопасности. Вестник Росздравнадзора 2016; (1): 74-8.
  2. Акимкин В.Г., Тутельян А.В., Брусина Е.Б. Актуальные направления научных исследований в области неспецифической профилактики инфекций, связанных с оказанием медицинской помощи. Эпидемиол. инфекц. болезни. Актуал. вопр. 2014; (2): 40-4.
  3. WHO/HSE/EPR/2009.1 Основные компоненты для программ профилактики инфекций и инфекционного контроля. Второе совещание Неформальной сети по профилактике инфекций и инфекционному контролю в здравоохранении. 26-27 июня 2008 г., Женева, Швейцария. http://www.who.int/csr/resources/publications/ WHO_HSE_EPR_2009_1/ru/
  4. Государственный доклад «О состоянии санитарно-эпидемиологического благополучия населения в Российской Федерации в 2016 году». М.: Федеральная служба по надзору в сфере защиты прав потребителей и благополучия человека, 2017. http://rospotrebnadzor.ru/ documents/ details.php?ELEMENT_ID=8345
  5. Акимкин В.Г., Семененко Т.А., Никитина Г.Ю., Годков М.А., Скворцов С.В. Эпидемиология гепатитов В и С в лечебно-профилактических учреждениях. М.: ООО «Издательский дом «Бионика», 2013. 216 с.
  6. Шилова М.В. Туберкулез в России в 2014 году. М.: Перо, 2015. 236 с.
  7. Klevens R.M., Edwards J.R., Richards C.L. Jr., Horan T.C., Gaynes R.P., Pollock D.A., Cardo D.M. Estimating healthcare-associated infections and deaths in U.S. hospitals 2002. Public Health Rep. 2007; 122: 160-6.
  8. Тутельян А.В., Писарев В.М., Минаева Н.З., Гапонов А.М., Грачева А.Н., Солопова Г.Г. Генерация антибиотикотолерантных бактерий при гематологических и онкологических заболеваниях, сопровождающихся иммунокомпрометацией: новая проблема инфекций, связанных с оказанием медицинской помощи. Вестник Российской академии медицинских наук 2016; 71(3): 183-9. doi: 10.15690/vramn687.
  9. Medscape/CDC Expert Commentaries, 2013. https://www. hhs.gov/sites/default/ files/advcomcfs/meetings/presentations/belay- 052213.pdf
  10. Roberts R.R., Hota B., Ahmad I., Scott R.D. 2nd, Foster S.D., Abbasi F., Schabowski S., Kampe L.M., Ciavarella G.G., Supino M., Naples J., Cordell R., Levy S.B., Weinstein R.A. Hospital and societal costs of antimicrobial-resistant infections in a Chicago teaching hospital: implications for antibiotic stewardship. Clin. Infect. Dis. 2009; 49(8): 1175-84.
  11. Lebeaux D., Ghigo J.M., Lucet J.C. Implanted medical device-related infections: pathophysiology and prevention. Rev. Prat. 2014; 64(5): 620-5.
  12. Орлова О.А., Акимкин В.Г. Не специфическая профилактика внутрибольничных вентилятор-ассоциированных инфекций дыхательных путей. Дезинфекционное дело 2017; № 1(99): 56-7.
  13. Карпун Н.А., Мороз В.В., Климова Г.М., Акимкин В.Г., Журавлев А.Г., Колесник А.В. Профилактика нозокомиальных инфекций дыхательных путей. Общая реаниматология 2007; 3(3): 100-4.
  14. Blot S., Koulenti D., Dimopoulos G., Martin C., Komnos A., Krueger W.A., Spina G., Armaganidis A., Rello J.; EU-VAP Study Investigators. Prevalence, risk factors, and mortality for ventilator-associated pneumonia in middle-aged, old, and very old critically ill patients.Crit. Care Med. 2014; 42(3): 601-9.
  15. WHO: Antimicrobial Resistans Global Report on surveillance 2014. http://www.who.int/drugresistance/en.
  16. Покровский В.И., Акимкин В.Г., Брико Н.И., Брусина Е.Б., Зуева Л.П., Ковалишена О.В., Стасенко В.Л., Тутельян А.В., Фельдблюм И.В., Шкарин В.В. Внутрибольничные инфек ции: новые горизонты профилактики. Эпидемиол.и инфекц. бол. 2011; (1): 4-7.
  17. Попова А.Ю., Брагина И.В., Зайцева Н.В., Май И.В., Шур П.З., Митрохин О.В., Горяев Д.В. О научно-методическом обеспечении оценки результативности и эффективности контрольно-надзорной деятельности Федеральной службы в сфере защиты прав потребителей и благополучия человека. Гигиена и санитария 2017; 96(1): 5-9.
  18. Стратегия предупреждения распространения антимикробной резистентности в Российской Федерации на период до 2030 года. Утв. распоряжением Правительства Российской Федерации от 25 сентября 2017 г. № 2045-р. http://www.garant.ru/products/ipo/prime/doc/71677266/

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