DEVELOPMENT OF EPIDEMIOLOGICAL STANDARD DEFINITIONS OF CASES OF MASTITIS AND INFECTION AT THE SITE OF EPISIOTOMY FOR A PROSPECTIVE EPIDEMIOLOGICAL OBSERVATION IN THE OBSTETRIC DEPARTMENTS

Objective. To develop and scientifically substantiate the epidemiological standard definitions of cases of mastitis and infection at the site of episiotomy in puerperas. Materials and methods. The signs characterizing the clinical manifestations of infections and determining patient management tactics were investigated in the epidemiological analytical case-control study. 128 puerperas were followed up. Results. It was found that during active detection of mastitis in puerperas, there must be its signs, such as unilateral breast involvement, a body temperature of 37.5 °C or higher, a physician should prescribe antibiotics for its treatment. The criteria for infection identification at the site of episiotomy are prolonged edema at the site of suturing or active suture treatment with an antiseptic, by applying physiotherapeutic procedures to the suture site. Conclusion. The introduction of the developed standards into the activity of hospital epidemiologists allows one to optimize a system of epidemiological surveillance of pyoseptic infections.

obstetric hospital, mastitis, infection at the site of episiotomy, epidemiological standard identification of a case