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


Naygovzina N.B., Popova A.Yu., Biryukova E.E., Ezhlova E.B., Igonina E.P., Pokrovsky V.I., Akimkin V.G., Tutelyan A.V., Shestopalov N.V., Krayevoy S.A., Kostenko N.A., Briko N.I., Brusina E.B., Zuyeva L.P., Feldblum I.V., Shkarin V.V., Kozlov R.S., Stasenko V.L., Golubkova A.A., Sukhikh G.T., Priputnevich T.V., Shmakov R.G., Zubkov V.V., Shkoda A.S., Shumilov V.I., Mitrokhin S.D., Ershova O.N., Selkova Е.P., Grenkova T.A., Ivanov I.V., Shvabsky O.R.

1 A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia, Moscow, Russia; 2 Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; 3 Federation Council of the Federal Assembly of the Russian Federation, Moscow, Russia; 4 Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; 5 Research Institute of Disinfectology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; 6 Ministry of Health of the Russian Federation, Moscow, Russia; 7 I.M. Sechenov First Moscow State Medial University, Ministry of Health of Russia (Sechenov University), Moscow, Russia; 8 Kemerovo State Medial University, Ministry of Health of Russia, Kemerovo, Russia; 9 I.I. Mechnikov North-Western State Medial University, Ministry of Health of Russia, Saint Petersburg, Russia; 10 Academician E.A. Vagner Perm State Medial University, Ministry of Health of Russia, Perm, Russia; 11 Nizhny Novgorod State Medial Academy, Ministry of Health of Russia, Nizhny Novgorod, Russia; 12 Smolensk State Medial University, Ministry of Health of Russia, Smolensk, Russia; 13 Omsk State Medial University, Ministry of Health of Russia, Omsk, Russia; 14 Ural State Medical University, Ministry of Health of Russia, Yekaterinburg, Russia; 15 Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, Moscow, Russia; 16 L.A. Vorokhobov City Clinical Hospital Sixty-Seven Moscow Healthcare Department, Moscow, Russia; 17 Academician N.N. Burdenko National Research and Practical Center of Neurosurgery, Ministry of Health of Russia, Moscow, 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, Moscow, Russia; 19 Center for Monitoring and Clinical and Economic Expertise, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia
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.
Keywords: epidemiological safety, registration, microbiological monitoring, healthcare-associated infections, antibiotic resistance
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About the Autors

For correspondence:
Prof. Aleksey V. Tutelyan, MD, Corresponding Member of the Russian Academy of Sciences; Head, Laboratory of Healthcare-Associated Infections, Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being
Address: 3a, Novogireevskaya St., Moscow 111123, Russia
Telephone: +7(495) 672-11-90
Е-mail: bio-tav@yandex.ru
Information about the authors:
Prof. Nelli B. Naygovzina, MD, Honored Doctor of the Russian Federation, Head, Department of Public Health and Healthcare, A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia, Moscow, Russia; e-mail: mail@msmsu.ru
Prof. Anna Yu. Popova, MD, Head, Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; e-mail: depart@gsen.ru
Ekaterina E. Biryukova, Assistant to the Vice-Chairman, Federation Council of the Federal Assembly of Russian Federation, Moscow, Russia
Elena B. Ezhlova, Head, Department Of Epidemiological Surveillance, Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; е-mail: ezhlova_eb@gsen.ru
Elena P. Igonina, Cand. Med. Sci, Deputy Head, Department of Organization of Control over Infectious and Parasitic Diseases, Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia;
e-mail: igonina_ep@gsen.ru
Prof. Valentin I. Pokrovsky, MD, Аcademician of the Russian Academy of Sciences and the Russian Academy of Education; Director, Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia;
e-mail: crie@pcr.ru
Prof. Vasiliy G. Akimkin, MD, Аcademician of the Russian Academy of Sciences, Deputy Director of Epidemiology, Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia;
e-mail: vgakimkin@yandex.ru
Prof. Nikolay V. Shestopalov, MD, Director, Research Institute of Disinfectology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; e-mail: shestopalovnv@niid.ru
Sergey A. Krayevoy, Deputy Ministry of Health of the Russian Federation, Moscow, Russia; e-mail: info@rosminzdrav.ru
Natalya A. Kostenko, Deputy Director, Department of Science, Innovation Development and Management of Biomedical Risks to Health, Ministry of Health of Russia, Moscow, Russia; e-mail: info@rosminzdrav.ru
Prof. Nikolay I. Briko, MD; Аcademician of the Russian Academy of Sciences; Honored Scientist of the Russian Federation; Head, Department of Epidemiology and Evidence-Based Medicine, Faculty of Preventive Medicine, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenovskiy University), Moscow, Russia;
е-mail: briko@mma.ru
Prof. Elena B. Brusina, MD, Head, Department of Epidemiology, Kemerovo State Medial University, Ministry of Health of Russia, Kemerovo, Russia; e-mail: brusina@mail.ru
Prof. Ludmila P. Zuyeva, MD, Honored Scientist of Russian Federation, Head, Department of Epidemiology, Parasitology and Disinfectology, I.I. Mechnikov North-Western State Medial University, Ministry of Health of Russia, Saint Petersburg, Russia; e-mail:uzueva@mail.ru
Prof. Irina V. Feldblum, MD, Head, Department of Epidemiology with Course of Hygiene and Epidemiology, Faculty for Postgraduate Training and Professional Retraining of Specialists, Academician E.A. Wagner Perm State Medical Academy, Ministry of Health of Russia, Perm, Russia;
е-mail: irinablum@mail.ru
Prof. Vyacheslav V. Shkarin, MD, Corresponding Member of the Russian Academy of Sciences; President, Nizhny Novgorod State Medical Academy, Ministry of Health of Russia; Head, Department of Epidemiology, Nizhny Novgorod, Russia; е-mail: nnsma@sandy.ru
Prof. Roman S. Kozlov, MD, Corresponding Member of the Russian Academy of Sciences, Acting Rector, Smolensk State Medical University, Ministry of Health of Russia, Smolensk, Russia; e-mail: roman.kozlov@antibiotic.ru
Prof. Vladimir L. Stasenko, MD, Head, Department of Epidemiology, Omsk State Medical University, Ministry of Health of Russia, Omsk, Russia; e-mail: vlstasenko@yandex.ru
Prof. Alla A. Golubkova, MD, Head, Department of Epidemiology, Ural State Medical University, Ministry of Health of Russia, Yekaterinburg, Russia; e-mail: allagolubkova@yandex.ru
Prof. Gennadiy T. Sukhikh, MD; Аcademician of the Russian Academy of Sciences; Director, Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, Moscow, Russia;
e-mail: secretariat@oparina4.ru
Tatyana V. Priputnevich, MD, Head, Department of Microbiology and Clinical Pharmacology, Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, Moscow, Russia;
e-mail: priput1@gmail.com
Roman G. Shmakov, MD, Chief Physician, Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, Moscow, Russia; e-mail: r_shmakov@oparina4.ru
Prof. Viktor V. Zubkov, MD, Head, Department of Neonatology and Pediatrics, Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia, Moscow, Russia;
e-mail: victor.zubkov@mail.ru
Prof. Andrey S. Shkoda, MD, Chief Physician, L.A. Vorokhobov City Clinical Hospital Sixty-Seven Moscow Healthcare Department, Moscow, Russia; e-mail: gkb67@zdrav.mos.ru
Prof. Vladimir I. Shumilov, MD, Honored Doctor of the Russian Federation, Deputy Chief Physician for Sanitary and Epidemiological Issues, L.A. Vorokhobov City Clinical Hospital Sixty-Seven Moscow Healthcare Department, Moscow, Russia; e-mail: gkb67@zdrav.mos.ru
Prof. Sergey D. Mitrokhin, MD, Head, Department of Clinical Pharmacology, L.A. Vorokhobov City Clinical Hospital Sixty-Seven, Moscow Healthcare Department, Moscow, Russia; e-mail: gkb67@zdrav.mos.ru
Olga N. Ershova, MD, Deputy Chief Physician on Epidemiological Work, Academician N.N. Burdenko National Research and Practical Center of Neurosurgery, Ministry of Health of Russia, Moscow, Russia; e-mail: oershova@nsi.ru
Prof. Еvgeniya P. Selkova, MD, Deputy Director, G.N. Gabrichevsky Moscow Research Institute of Epidemiology and Microbiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; е-mail: selkova.e@mail.ru
Tatyana A. Grenkova, Cand. Med. Sci, Leading Researcher, Laboratory for Diagnosis and Prophylaxis of Infectious Diseases, G.N. Gabrichevsky Moscow Research Institute of Epidemiology and Microbiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; e-mail: g4209761@bk.ru
Igor V. Ivanov, Head, Inspection Authority, Center for Monitoring and Clinical and Economic Expertise, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; e-mail: info@sudexpa.ru
Oleg R. Shvabskiy, Quality Manager, Inspection Authority, Center for Monitoring and Clinical and Economic Expertise, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia;
e-mail: info@sudexpa.ru


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