The Actual Epidemiological Effectiveness of Assessing and Improving the System for Ensuring the Epidemiological Safety of Medical Care for Catheterized Patients
https://doi.org/10.23934/2223-9022-2020-9-3-427-433
Abstract
The basis of optimized conventional system of surveillance and control for catheter-related bloodstream infections (CRBI) was priority in detection and risk assessment an infectious complication of puncture catheterization that substantially justified with inclusion of two main components as an addition to the existing system: monitoring of puncture catheterization, which allows to obtain and analyze data on risk factors for infections associated with the catheterization procedure and subsequent manipulations of the device, standardize approaches to working with a venous catheter and improve the diagnosis of CRBI; assessment of ensuring the epidemiological safety of medical care for catheterized patients. Epidemiological efficiency risk-based surveillance, primarily determined to reduce the incidence of CRBI by 1.8 times compared to initially defined real incidence: 12.5‰ (95% CI — CI 11,8–13 2) vs 22.8‰ (95% CI 21,1–24,5) catheterized patients, p=0.0001.
About the Authors
D. V. Kvashnina
Privolzhsky Research Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Daria V. Kvashnina Candidate of Medical Sciences, Senior Lecturer at the Department of Epidemiology, Microbiology and Evidence-Based Medicine
10/1 Minin and Pozharsky Sq., Nizhny Novgorod 603950
O. V. Kovalishena
Privolzhsky Research Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Olga V. Kovalishena Doctor of Medical Sciences, Head of the Department of Epidemiology, Microbiology and Evidence-Based Medicine, Privolzhsky Research Medical University, Director of the Research Institute of Preventive Medicine of the University Clinic of the Privolzhsky Research Medical University; chief extern epidemiologist of the Ministry of Health of Russian Federation in the Volga Federal District
10/1 Minin and Pozharsky Sq., Nizhny Novgorod 603950
O. M. Sutyrina
Privolzhsky Research Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Oksana M. Sutyrina Candidate of Medical Sciences, Assistant of the Department of Epidemiology, Microbiology and Evidence-Based Medicine
10/1 Minin and Pozharsky Sq., Nizhny Novgorod 603950
I. V. Ivanov
National Institute of Quality of the Federal Service for Surveillance in Healthcare
Russian Federation
Russian Federation
Igor V. Ivanov Candidate of Medical Sciences, General Director
4, b. 1 Slavyanskaya Sq., Moscow 109074
E. L. Nikonov
N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Evgeny L. Nikonov Doctor of Medical Sciences, Head of the Department of Gastroenterology, Faculty of Additional Professional Education
1 Ostrovityanova St., Moscow 117997
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Review
For citations:
Kvashnina D.V., Kovalishena O.V., Sutyrina O.M., Ivanov I.V., Nikonov E.L. The Actual Epidemiological Effectiveness of Assessing and Improving the System for Ensuring the Epidemiological Safety of Medical Care for Catheterized Patients. Russian Sklifosovsky Journal "Emergency Medical Care". 2020;9(3):427-433. https://doi.org/10.23934/2223-9022-2020-9-3-427-433
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