Клинико-эпидемиологические особенности заболеваемости инфекциями, связанными с оказанием хирургической и онкологической помощи

Introduction. In the Russian Federation there is a constantly updated register of infections associated with surgery and the treatment of oncological diseases reporting which is mandatory. Massive expenses and detriment to patients’ health caused by these infections prompted the authors to run a retrospective epidemiological analysis of the morbidity registered in the population of the city of Kazan during the period under review. This paper presents a study of patterns of the emergence and spread of nosocomial infections.This study aims to examine the clinical and epidemiological characteristics of infections associated with surgery and the treatment of oncological diseases registered in the population of the city of Kazan.Materials and methods. Authors analysed the Emergency Notifications for an Infectious Disease (form 058/u) as well as the data from the Rospotrebnadzor Federal Statistical Record Form №2. The paper presents the morbidity annual dynamics, structure and spatial characteristics and describes key pathogens of HAIs.Results and discussion. On the basis of the data obtained the authors give clinical and epidemiological characteristics of the annual dynamics of the morbidity characterised by recurrent rises during the year with the top incidence in the autumn. Neonatal PSI infections dominate the HAIs incidence structure (52.8%). St. aureus is the priority HAI pathogen (26.5% of cases) in the city of Kazan.Conclusion. Microbiological monitoring of emerging HAIs is an efficient tool for managerial decision making and the development of an algorithm for anti-epidemic measures in the departments and the hospital as a whole for the reduction of risk of infection.Введение. В связи с постоянной регистрацией на территории Российской Федерации инфекций, связанных с оказанием хирургической и онкологической помощи, и с высоким экономическим ущербом и ущербом для здоровья пациентов проведен ретроспективный эпидемиологический анализ заболеваемости, регистрируемой у населения города Казани в течение отчетного периода, изучены закономерности возникновения и распространения внутрибольничных инфекций.Целью данного исследования явилось изучение клинико-эпидемиологических особенностей инфекций, связанных с оказанием медицинской хирургической и онкологической помощи, зарегистрированных у населения города Казани.Материалы и методы. Анализу были подвергнуты экстренные извещения об инфекционном заболевании (форма 058/у), а также данные формы федерального статистического учета № 2 Роспотребнадзора. Определены внутригодовая динамика, структура заболеваемости, пространственная характеристика, обозначены основные возбудители ИСМП.Результаты и обсуждение. На основе полученных материалов дана клинико-эпидемиологическая характеристика внутригодовой динамики заболеваемости, которая характеризовалась периодическими подъемами в течение года с максимальной регистрацией заболеваемости в осенний период. В структуре заболеваемости ИСМП преобладали ГСИ инфекции новорожденных (52,8  %). Приоритетным возбудителем ИСМП в г. Казани являлся St. аureus (26,5 % случаев).Заключение. Микробиологический мониторинг за возникновением ИСМП является действенным инструментом для принятия управленческих решений и разработки алгоритма противоэпидемических мер в отделениях и стационарах в целом по снижению риска заболеваний

Clinical and Epidemiological Characteristics of Infections Associated with Surgery and Treatment of Oncological Diseases

Introduction. In the Russian Federation there is a constantly updated register of infections associated with surgery and the treatment of oncological diseases reporting which is mandatory. Massive expenses and detriment to patients’ health caused by these infections prompted the authors to run a retrospective epidemiological analysis of the morbidity registered in the population of the city of Kazan during the period under review. This paper presents a study of patterns of the emergence and spread of nosocomial infections.This study aims to examine the clinical and epidemiological characteristics of infections associated with surgery and the treatment of oncological diseases registered in the population of the city of Kazan.Materials and methods. Authors analysed the Emergency Notifications for an Infectious Disease (form 058/u) as well as the data from the Rospotrebnadzor Federal Statistical Record Form №2. The paper presents the morbidity annual dynamics, structure and spatial characteristics and describes key pathogens of HAIs.Results and discussion. On the basis of the data obtained the authors give clinical and epidemiological characteristics of the annual dynamics of the morbidity characterised by recurrent rises during the year with the top incidence in the autumn. Neonatal PSI infections dominate the HAIs incidence structure (52.8%). St. aureus is the priority HAI pathogen (26.5% of cases) in the city of Kazan.Conclusion. Microbiological monitoring of emerging HAIs is an efficient tool for managerial decision making and the development of an algorithm for anti-epidemic measures in the departments and the hospital as a whole for the reduction of risk of infection