Abstract
Relevance Epidemiological safety in maternity houses is an essential component of ensuring the quality of medical care. Epidemiological monitoring is a modern technology to identify the potential risk of healthcare-associated infections. Aims The effectiveness of epidemiological monitoring in the system of healthcare-associated infections (HAIs) prevention was performed. Materials & Methods , 1188 newborns in maternity house were under epidemiological observation. The effectiveness of epidemiological monitoring was assessed according to the criteria: 1) identification of the risk of developing HAIs at the time of its occurrence; 2) identification and removal of the source of risk before the development of cases HAIs; 3) the absence HAIs associated with the identified risk; 4) the absence of the pathogen in the hospital environment. A total of 25 suspected factors of transmission were studied. A total of 1234 swab from hospital environment objects, 267 sterility samples of materials, and 27 samples infant formula feeding were studied. Results , During the period of prospective epidemiological observation, colonization Pseudomonas aeruginosa of intestine without any clinical signs of infection was detected in 14 newborns for 14 days, the colonization rate was 22.73 per 1000 infants [95% CI 14.26-31.20]. As a factor, liquid soap for hand hygiene was found contaminated during the manufacturing process. The elimination of the transmission factor prevented infection and the development of cases of HAIs. Conclusions. Epidemiological monitoring allowed identification of the risk of HAIs, removal of the source of the risk, to prevent of formation and distribution of a hospital clone of bacteria.
Highlights
Epidemiological monitoring is a modern technology to identify the potential risk of healthcare-associated infections
Materials & Methods, 1188 newborns in maternity house were under epidemiological observation
The effectiveness of epidemiological monitoring was assessed according to the criteria: 1) identification of the risk of developing HAIs at the time of its occurrence; 2) identification and removal of the source of risk before the development of cases HAIs; 3) the absence HAIs associated with the identified risk; 4) the absence of the pathogen in the hospital environment
Summary
Эффективность эпидемиологического мониторинга в профилактике инфекций, связанных с оказанием медицинской помощи. Эпидемиологический мониторинг является современной технологией выявления потенциального риска внутрибольничного инфицирования и снижения частоты инфекций, связанных с оказанием медицинской помощи (ИСМП). Цель – оценка эффективности эпидемиологического мониторинга в системе профилактике ИСМП. Эффективность эпидемиологического мониторинга оценивалась по критериям: 1) идентификация риска развития ИСМП в момент его появления; 2) идентификация и удаление источника риска до развития случаев ИСМП; 3) отсутствие случаев ИСМП, ассоциированных с выявленным риском; 4) отсутствие возбудителя в больничной среде. Исключение фактора передачи предотвратило инфицирование и развитие случаев ИСМП. Эпидемиологический мониторинг позволил своевременно идентифицировать риск ИСМП, удалить источник риска, предупредить развитие и распространение во внешней среде, формирование госпитального клона. Ключевые слова: инфекции, связанные с оказанием медицинской помощи, эпидемиологический мониторинг, эффективность, Pseudomonas aeruginosa, профилактика. Б. Эффективность эпидемиологического мониторинга в профилактике инфекций, связанных с оказанием медицинской помощи.
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