Experience of epidemiological surveillance of ventilator-associated respiratory tract infections


Orlova O.A., Akimkin V.G.

1 City Clinical Hospital Sixty-Eight, Moscow Healthcare Department, Moscow, Russia; 2 Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia
According to different researchers, the rate of nosocomial respiratory tract infections, the most common infectious complications in intensive care units, amounts to 9 to 65%. A weak epidemiological surveillance system, including the incompleteness of accounting and registration is one of the significant and important factors leading to the ineffective prevention of respiratory tract infections. Full-fledged epidemiological surveillance of ventilator-associated respiratory tract infections (VA RTI) requires the application of a package of measures, which includes prospective surveillance; effective microbiological monitoring for the pathogens of VA RTI; proper calculation of morbidity rates using stratified indicators; organizational and methodological support of epidemiological surveillance; joint work of different specialists (a clinician, an epidemiologist, a microbiologist). Using the developed package of measures, an attempt was made to optimize the epidemiological surveillance system of VA RTI, the results of which were a real reflection of the incidence of VA IDP registered since 2007, as well as a decrease in morbidity and mortality by 2016 by 4.5 and 3.8 times, respectively.
Keywords: ventilator-associated respiratory tract infections, Chelyabinsk Region, epidemiological surveillance
Read entire article

Literature

  1. Pokrovsky V.I., Akimkin V.G., Briko N.I., Brusina E.B., Zueva L.P., Kovalishena O.V., Stasenko V.L., Tutelian V.A., Feldblum I.V., Shkarin V.V. [The national concept of prevention of infections associated with health care, and information material on its provisions]. N. Novgorod: Remedium Povolzh’e, 2012. 84 p. (In Russ.).
  2. Pokrovsky V.I., Semina N.A., Kovaleva E.P. [National surveillance system for nosocomial infections]. Epidemiologiyа i infekcionnye bolezni 2001; (3): 4–5. (In Russ.).
  3. Pokrovsky V.I., Akimkin V.G., Briko N.I., Brusina E.B., Zueva L.P., Kovalishena O.V., Stasenko V.L., Tutelian V.A., Feldblum I.V., Shkarin V.V. [Nosocomial infections: new horizons of prophylaxis]. Еpidemiologiуа i infekcionnye bolezni 2011; (1): 4–7. (In Russ.).
  4. Orlova O.A., Akimkin V.G., CHistova A.V., Efremova N.P. [The incidence of infections associated with health care, outpatient surgery, Chelyabinsk]. Zdorov’e naseleniуа i sreda obitaniуа 2014; (9): 41–5. (In Russ.).
  5. American Thoracic Society. Guidelines for the management of adults with hospital-acquired, ventilator-associated, and health-care associated pneumonia. Am. J. Respir. Crit. Care Med. 2005; 171(4): 388–416.
  6. Coffin S., Klompas M., Classen D., Arias K.M., Podgorny K., Anderson D.J. et al. Strategies to prevent ventilator-associated pneumonia in acute care hospitals. Infect. Control. Hosp. Epidemiol. 2008; 29(1): 31–40. DOI: 10.1086/591062
  7. Gelfand B.R., Belotserkovsky B.Z., Milyukova I.A., Gelfand Ye.B., Popov T.V., Protsenko D.N., Churadze B.T. [Epidemiologic monitoring of nosocomial infections. Part II. The study of epidemiology of nosocomial infections in intensive care units and intensive care]. Infekcii v hirurgii 2013, (2); 2013; (2): 44–50. (In Russ.).
  8. Kovalishena O.V. [Ecological and epidemiological characteristics of nosocomial infections and multi-level system of epidemiological surveillance]. Dr. Med. Diss. Nizhniy Novgorod, 2009. http://www.dissercat.com/ content/ekologo-epidemiologicheskie-osobennosti-gospitalnykh-infektsii-i-mnogourovnevaya-sistema-epi (In Russ.).
  9. Orlova O.A., Akimkin V.G. [Clinical and epidemiological characteristics of nosocomial respiratory tract infections among the patients of surgical intensive care unit]. Epidemiologiyа i Vakcinoprofilaktika 2013; (2): 73–9. (In Russ.).
  10. Report on HCAI Surveillance Priorities – Recommendations for HCAI surveillance in England. Advisory Committee on Antimicrobial Resistance and Healthcare Associated Infection. ARHAI, 2010.
  11. Aslanov B.I., Zueva L.P., Lyubimova A.V., Kolosovskayа E.N., Dolgy A.A., Os’mirko T.V. [Epidemiological surveillance of infections associated with health care. Federal clinical (methodological) recommendations]. Moscow, 2014. http://www.nasci.ru (In Russ.).


About the Autors

For correspondence:
Oksana A. Orlova, MD; Chief, Sanitary and Epidemiological Department, City Clinical Hospital Sixty-Eight, Moscow Healthcare Department; Leading Researcher, 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
Е-mail: oksana_orlova@bk.ru
Information about the authors
Prof. Vasiliy G. Akimkin, MD, Acad. 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


Similar Articles

Back to Content

Бионика Медиа