Role of active epidemiological surveillance in the detection of healthcare-associated infections
- Authors: Yarovoy S.K.1,2, Voskanian S.L.1,3, Tutelyan A.V.3,4,5, Gladkova L.S.1
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Affiliations:
- D.D. Pletnev City Clinical Hospital, Moscow Healthcare Department
- N.A. Lopatkin Research Institute of Urology and Interventional Radiology, Branch, National Medical Research Center of Radiology, Ministry of Health of Russia
- Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being
- Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology, and Immunology, Ministry of Health of Russia
- I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
- Issue: Vol 9, No 3 (2019)
- Pages: 32-38
- Section: Articles
- URL: https://journals.eco-vector.com/2226-6976/article/view/323290
- DOI: https://doi.org/10.18565/epidem.2019.9.3.32-8
- ID: 323290
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Abstract
Healthcare-associated infections (HAIs) are customary to be analyzed from registered disease cases, which cannot always reflect real values. In accordance with the sanitary and epidemiological rules in force in the Russian Federation, each case of HAIs is to be considered and registered in the established procedure. However, this registration arrangement is not always effective against nosocomial infections, since the attending physician is not interested in publicly reporting complications, even if his actions are perfectly correct. Therefore, the incidence of all HAIs in a number of healthcare facilities does not exceed 0.1-0.5%. On the other hand, due to staff shortage, the hospital epidemiologist is unable to analyze all medical records in order to identify nosocomial infections and to provide their epidemiological characteristics. As a result, it seems to be difficult, time-consuming, and almost impossible to assess the conformity of the incidence of HAs in the registered cases to its actual values in a healthcare facility. The authors have proposed an alternative procedure to estimate the incidence of surgical site infections from the use of reserve antibacterial drugs, which will be able to assess the adequacy of registration of complications with the specification of a specific unit and without attending physicians’ participation.
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About the authors
Sergey K. Yarovoy
D.D. Pletnev City Clinical Hospital, Moscow Healthcare Department; N.A. Lopatkin Research Institute of Urology and Interventional Radiology, Branch, National Medical Research Center of Radiology, Ministry of Health of Russia
Email: yarovoy.sk@yandex.ru
Shushanik L. Voskanian
D.D. Pletnev City Clinical Hospital, Moscow Healthcare Department; Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being
Email: shoushanna@gmail.com
Aleksey V. Tutelyan
Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being; Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology, and Immunology, Ministry of Health of Russia; I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Email: bio-tav@yandex.ru
Lilia S. Gladkova
D.D. Pletnev City Clinical Hospital, Moscow Healthcare Department
Email: liliyagladkova@mail.ru
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