Role of active epidemiological surveillance in the detection of healthcare-associated infections


DOI: https://dx.doi.org/10.18565/epidem.2019.9.3.32-8

Yarovoy S.K., Voskanian Sh.L., Tutelyan А.V., Gladkova L.S.

1) D.D. Pletnev City Clinical Hospital, Moscow Healthcare Department, Moscow, Russia; 2) N.A. Lopatkin Research Institute of Urology and Interventional Radiology, Branch, National Medical Research Center of Radiology, Ministry of Health of Russia, Moscow, Russia; 3) Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; 4) Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology, and Immunology, Ministry of Health of Russia, Moscow, Russia; 5) I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia, Moscow, Russia
Healthcare-associated infections (HAIs) are customary to be analyzed from registered disease cases, which cannot always reflect real values. In accordance with the sanitary and epidemiological rules in force in the Russian Federation, each case of HAIs is to be considered and registered in the established procedure. However, this registration arrangement is not always effective against nosocomial infections, since the attending physician is not interested in publicly reporting complications, even if his actions are perfectly correct. Therefore, the incidence of all HAIs in a number of healthcare facilities does not exceed 0.1-0.5%. On the other hand, due to staff shortage, the hospital epidemiologist is unable to analyze all medical records in order to identify nosocomial infections and to provide their epidemiological characteristics. As a result, it seems to be difficult, time-consuming, and almost impossible to assess the conformity of the incidence of HAs in the registered cases to its actual values in a healthcare facility. The authors have proposed an alternative procedure to estimate the incidence of surgical site infections from the use of reserve antibacterial drugs, which will be able to assess the adequacy of registration of complications with the specification of a specific unit and without attending physicians’ participation.
Keywords: surgical site infections, reserve antibacterial drugs, healthcare-associated infections
Read entire article

Literature

  1. Akimkin V.G., Tutelyan A.V., Brusina E.B. [Topical areas of researches in the nonspecific prevention of health care-associated infections]. Èpidemiologiâ i infekcionnye bolezni. Аktual’nye voprosy 2014; (2): 40–4. (In Russ.).
  2. Manian F.A. The role of postoperative factors in surgical site infections: time to take notice. Clin. Infect. Dis. 2014; 59(9): 1272–6.
  3. Ortega G., Rhee D.S., Papandria D.J. et al. An evaluation of surgical site infections by wound classification system using the ACS-NSQIP. J. Surg. Res. 2012; 174(1): 33–8.
  4. Communicable disease threats to public health in the European Union – Annual Epidemiological Report for 2016. https://ecdc.europa.eu/en/publications-data/communicable-disease-threats-public-health-european-union-annual-epidemiological
  5. Brusina E.B., Kovalishena O.V., Tsigelnik A.M. [Healthcare-Associated Infections: Trends and Prevention Prospectives]. Epidemiologiya i vaktsinoprofilaktika 2017; (4): 73–9. (In Russ.).
  6. Pokrovsky V.I., Akimkin V.G., Briko N.I., Brusina E.B., Zuyeva L.P., Kovalishena O.V., Stasenko V.L., Tutelyan A., Feldblyum I.V., Shkarin V.V. [Nosocomial infections: New vistas in their prevention]. Epidemiologiya i infektzionniye bolezni 2011; (1): 4–7. (In Russ.).
  7. Orlova O.A., Akimkin V.G., Chistova A.V., Efremova N.P. [Epidemiological characteristics of infections associated with delivery of health care in surgical departmens]. Epidemiologiya i infektzionniye bolezni 2014 19(6): 20–7. (In Russ.).
  8. Zuyeva L.P., Eremin S.R., Aslanov B.I. [Epidemiological diagnosis]. Saint Petersburg, Foliant, 2009; 312 p. (In Russ.).
  9. Yakovlev S.V., Zhuravleva M.V., Protsenko D.N. et al. [Antibiotic stewardship program for inpatient care. Clinical guidelines for Moscow hospitals]. Consilium Medicum 2017; 19 (7.1. Surgery): 15–51. https://con-med.ru/magazines/surgery/surgery-7.1-2017/ (In Russ.).


About the Autors

Sergey K. Yarovoy, MD, Clinical Pharmacologist, D.D. Pletnev City Clinical Hospital, Moscow Healthcare Department; Leading Researcher, N.A. Lopatkin Research Institute of Urology and Interventional Radiology, Branch, National Medical Research Center of Radiology, Ministry of Health of Russia, Moscow, Russia; e-mail: yarovoy.sk@yandex.ru; Scopus Author ID: 8302421600; ORCID: http://orcid.org/0000-0003-4543-1480
Shushanik L. Voskanian, Epidemiologist, D.D. Pletnev City Clinical Hospital, Moscow Healthcare Department; Junior Researcher, Laboratory of Healthcare-Associated Infections, Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Moscow, Russia; e-mail: shoushanna@gmail.com; ORCID: http://orcid. org/0000-0003-3815-7153
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; Head, Department of Molecular Immunology, Infectiology and Pharmacotherapy, Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Ministry of Health of Russia; Professor, Department of Epidemiology, Institute of Professional Education, I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia, Moscow, Russia; е-mail: bio-tav@yandex.ru; ORCID: http://orcid.org/0000-0002-2706-6689
Lilia S. Gladkova, Cand. Med. Sci., Deputy Head Physician for Sanitary and Epidemiological Issues, D.D. Pletnev City Clinical Hospital, Moscow Healthcare Department; Moscow, Russia; е-mail: liliyagladkova@mail.ru


Similar Articles

Back to Content

Бионика Медиа