scholarly journals Activities of the National Association of Specialists for the Control of Healthcare-Associated Infections

2017 ◽  
Vol 16 (6) ◽  
pp. 79-83
Author(s):  
N. I. Briko ◽  
O. V. Kovalishena ◽  
R. V. Polibin
Keyword(s):  
Medical Care ◽  
Medical Staff ◽  
National Association ◽  
Epidemiological Surveillance ◽  
Healthcare Associated Infections ◽  
Quality And Safety ◽  
Immunization Programs ◽  
Healthcare Settings ◽  
Prevention Of Infections ◽  
Healthcare Associated

The article presents the results of the activities of the National Association of Specialists for the Control of Healthcare -Associated Infections of ensuring epidemiological safety of medical care. Educational projects, development and the statement of federal clinical guidelines, participation in development of criteria of an assessment of epidemiological safety and audit of the healthcare settings for system of ensuring quality and safety of medical care are discussed. Priority tasks to safety of patients and the medical staff, assistance in improving immunization programs and the National Schedule of preventive vaccinations, transition to new risk-to the focused strategy of an epidemiological surveillance and prevention of infections in the healthcare settings are defined.

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

2019 ◽  
Vol 3_2019 ◽  
pp. 32-38
Author(s):  
Yarovoy S.K. Yarovoy ◽  
Voskanian Sh.L. Voskanian ◽  
Tutelyan А.V. Tutelyan ◽  
Gladkova L.S. Gladkova L ◽  
◽  
...  
Keyword(s):  
Epidemiological Surveillance ◽  
Healthcare Associated Infections ◽  
Healthcare Associated

Persisting intrahospital transmission of multidrug-resistant Klebsiella pneumoniae and challenges for infection control

2019 ◽  
Vol 40 (8) ◽  
pp. 904-909 ◽  
Author(s):  
Isabelle Vock ◽  
Sarah Tschudin-Sutter
Keyword(s):  
Klebsiella Pneumoniae ◽  
Infection Control ◽  
Multidrug Resistant ◽  
Global Scale ◽  
Resistance Mechanisms ◽  
Healthcare Associated Infections ◽  
The Past ◽  
Healthcare Settings ◽  
Healthcare Associated ◽  
Antibiotic Agents

AbstractIn the past several decades, the incidence of Klebsiella pneumoniae harboring resistance mechanisms against multiple antibiotic agents has increased on a global scale. We discuss reasons for ongoing transmission of multidrug-resistant K. pneumoniae in healthcare settings, which has resulted in the successful spread and establishment of this pathogen. It is now one of the most important causes of healthcare-associated infections worldwide.

scholarly journals Role of pulsed-xenon ultraviolet light in reducing healthcare-associated infections: a systematic review and meta-analysis

2020 ◽  
Vol 148 ◽  
Author(s):  
Zhenhong Dong ◽  
Na Zhou ◽  
Guijuan Liu ◽  
Li Zhao
Keyword(s):  
Systematic Review ◽  
Ultraviolet Light ◽  
Meta Analysis ◽  
Pooled Analysis ◽  
Current Evidence ◽  
Healthcare Associated Infections ◽  
Infection Rates ◽  
Healthcare Settings ◽  
Meta Regression Analysis ◽  
Healthcare Associated

Abstract Pulsed-xenon-ultraviolet light (PX-UVL) is increasingly used as a supplemental disinfection method in healthcare settings. We undertook a systematic search of the literature through several databases and conducted a meta-analysis to evaluate the efficacy of PX-UVL in reducing healthcare-associated infections. Eleven studies were included in the systematic review and nine in the meta-analysis. Pooled analysis of seven studies with before-after data indicated a statistically significant reduction of Clostridium difficile infection (CDI) rates with the use of the PX-UVL (incidence rate ratio (IRR): 0.73, 95% CI 0.57–0.94, I2 = 72%, P = 0.01), and four studies reported a reduction of risk of methicillin-resistant Staphylococcus aureus (MRSA) infections (IRR: 0.79, 95% CI 0.64–0.98, I2 = 35%, P = 0.03). However, a further four trials found no significant reduction in vancomycin-resistant enterococci (VRE) infection rates (IRR: 0.80, 95% CI 0.63–1.01, I2 = 60%, P = 0.06). The results for CDI and MRSA proved unstable on sensitivity analysis. Meta-regression analysis did not demonstrate any influence of study duration or intervention duration on CDI rates. We conclude that the use of PX-UVL, in addition to standard disinfection protocols, may help to reduce the incidence of CDI and MRSA but not VRE infection rates. However, the quality of evidence is not high, with unstable results and wide confidence intervals, and further high-quality studies are required to supplement the current evidence.

scholarly journals Epidemiological Diagnostics - Basis of Risk-Oriented Technologies for the Prevention Healthcare-Associated Infections

2017 ◽  
Vol 16 (5) ◽  
pp. 69-74
Author(s):  
L. P. Zueva ◽  
B. I. Aslanov ◽  
K. D. Vasiliev ◽  
T. G. Ivanova ◽  
V. S. Vysotsky
Keyword(s):  
Epidemiological Surveillance ◽  
Healthcare Associated Infections ◽  
Analytical Studies ◽  
Healthcare Associated ◽  
Oriented Approach

The article discusses the methodological foundations of epidemiological diagnostics - the basis for risk-oriented approach to the prevention of healthcare-associated infections (HAI). It outlines goals, objectives, basic terms and sequence of steps in the organization and conduct of epidemiological diagnostics. The importance of epidemiological surveillance of HAI is underlined. The article describes the main principles of descriptive and analytical studies in the structure of epidemiological diagnostics of HAI.

Understanding ultraviolet light surface decontamination in hospital rooms: A primer

2019 ◽  
Vol 40 (9) ◽  
pp. 1030-1035 ◽  
Author(s):  
John M. Boyce ◽  
Curtis J. Donskey
Keyword(s):  
Mobile Devices ◽  
Ultraviolet Light ◽  
Surface Contamination ◽  
Healthcare Associated Infections ◽  
Healthcare Settings ◽  
Light Surface ◽  
Few Data ◽  
Healthcare Associated ◽  
Cleaning And Disinfection ◽  
Uv C

AbstractOngoing challenges in maintaining optimum manual cleaning and disinfection of hospital rooms have created increased interest in “no-touch” decontamination technologies including the use of ultraviolet light (UV). Trials have shown that some UV devices can decrease surface contamination and reduce healthcare-associated infections. Despite substantial marketing of these devices for use in healthcare settings, few data are available regarding the doses of UV-C necessary to yield desired reductions in healthcare pathogens and the ability of mobile devices to deliver adequate doses to various surfaces in patient rooms. This review summarizes the physical aspects of UV that affect the doses delivered to surfaces, the UV-C doses needed to yield 3 log10reductions of several important healthcare-associated pathogens, the doses of UV-C that can be achieved in various locations in patient rooms using mobile UV-C devices, and methods for measuring UV doses delivered to surfaces.

Device-Associated Infections in the Neonatal Intensive Care Unit (NICU)

2019 ◽  
pp. 59-84
Author(s):  
Caroline Quach
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Central Line ◽  
Healthcare Associated Infections ◽  
Infant Outcomes ◽  
Risk Of Death ◽  
Prevention Of Infections ◽  
Healthcare Associated

Infants, especially preterm, in neonatal intensive care units (NICU) are especially susceptible to healthcare-associated infections (HAI), given their immature immune system, the acuity of care that they need, and the frequency of invasive procedures performed. Moreover, HAIs have major impacts on premature infant outcomes. HAIs in the NICU have been associated with a twofold increase in the risk of death. This chapter reviews several strategies to prevent healthcare-associated infections, including central line–associated bloodstream infection, ventilator-associated pneumonia, and catheter-associated urinary tract infection, in the neonatal intensive care unit setting. The importance of the neonatal microbiome in the prevention of infections is emphasized.

scholarly journals Epidemiological diagnosis of infections associated with provision of medical care at current state

2020 ◽  
Vol 3 (32) ◽  
pp. 5-10
Author(s):  
O. A. Orlova ◽  
A. V. Tutelyan ◽  
M. N. Zamyatin ◽  
V. G. Akimkin
Keyword(s):  
Risk Factors ◽  
Medical Care ◽  
General System ◽  
Risk Groups ◽  
Risk Identification ◽  
Epidemiological Surveillance ◽  
Medical Organization ◽  
Head Nurse ◽  
Prevention Of Infections ◽  
Definition Of

The risk-based approach to the prevention of healthcare-associated infections (HAIs) is entirely based on the results of a well-organized epidemiological diagnosis, which is aimed primarily at identifying risk factors. The structure of the risk-based approach includes risk identification, risk identification and risk analysis. One of the important points of epidemiological diagnosis is epidemiological observation. For the organization of epidemiological surveillance, both passive and active methods are used. The active method is the most effective, since it is an active search and identification of cases of HAIs using the standard definition of cases and the results of laboratory examination of patients from risk groups. To organize such work, a commission is formed in each medical organization, which should include an epidemiologist, clinical pharmacologist, expert doctor, laboratory assistant, head nurse, and a pharmacy employee. The functions of each participant depend on the organization of the general system for identifying HAIs in this organization. The proposed model of a risk-based approach to the epidemiological diagnosis of HAIs allows timely identification of groups and risk factors both in the context of individual departments and the medical organization as a whole, and, accordingly, to develop effective measures for the prevention of infections associated with the provision of medical care.

Medical Records Quality as Prevention Tool for Healthcare-Associated Infections (HAIs) Related Litigation: a Case Series

2019 ◽  
Vol 20 (8) ◽  
pp. 653-657 ◽  
Author(s):  
Giuseppe D. Albano ◽  
Giuseppe Bertozzi ◽  
Francesca Maglietta ◽  
Angelo Montana ◽  
Giulio Di Mizio ◽  
...  
Keyword(s):  
Risk Management ◽  
Medical Care ◽  
Medical Records ◽  
Case Series ◽  
Health Concern ◽  
Care Process ◽  
Healthcare Associated Infections ◽  
Healthcare Associated

Background: Healthcare-associated infections are one of the most serious Public Health concern, as they prolong the length of hospitalization, reduce the quality of life, and increase morbidity and mortality. Despite they are not completely avoidable, the number of healthcare-associated infections related to negligence claims has risen over the last years, contributing to remarkable economic and reputation losses of Healthcare System. Methods: In this regard, several studies suggested a key role of medical records quality in determining medical care process, risk management and preventing liability. Clinical documentation should be able to demonstrate that clinicians met their duty of care and did not compromise patient’s safety. Results: Therefore, it has a key role in assessing healthcare workers’ liability in malpractice litigation. Our risk management experience has confirmed the role of medical records accuracy in preventing hospital liability and improving the quality of medical care. Conclusion: In the presented healthcare-associated infections cases, evidence-based and guidelinesbased practice, as well as a complete/incomplete medical record, have shown to significantly affect the verdict of the judicial court and inclusion/exclusion of hospital liability in healthcare-associated infections related claims.

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