Organization of disinfection and sterilization measures in medical organizations of the Ural and Siberian federal districts in 2021

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Abstract

Prevention of infections associated with the provision of medical care, there is a set of measures for epidemiological and microbiological monitoring, disinfection, and sterilization procedures in medical organizations, which allows you to monitor the circulation of microorganisms and determine markers of resistance to antimicrobial drugs and disinfectants used.

The article presents an analysis of data on the organization of disinfection and sterilization measures in medical organizations of the Ural and Siberian Federal districts based on data from the Federal Statistical Observation Form No. 27 “Information on disinfection activities” for 2021. A number of indicators are presented in dynamics over 7 years and compared with indicators of the Russian Federation. Statistical data for 2015–2021 were provided by the Departments of Rospotrebnadzor for Irkutsk, Kemerovo, Kurgan, Novosibirsk, Omsk, Sverdlovsk, Tomsk, Tyumen, Chelyabinsk regions; Altai, Transbaikal, Krasnoyarsk Territory; the republics of Altai, Buryatia, Tyva, Khakassia; Khanty-Mansi Autonomous Okrug–Yugra, and Yamalo-Nenets Autonomous Okrug. Data for the Russian Federation were provided by the Federal Center for Hygiene and Epidemiology of Rospotrebnadzor as part of the implementation of the functionality of the Ural-Siberian Scientific and Methodological Center for the Prevention of Infections Associated with the provision of medical Care.

Information provided in the article is intended for employees of Rospotrebnadzor bodies and organizations, medical organizations, educational organizations, executive authorities in the field of healthcare, and other interested persons.

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About the authors

Svetlana S. Smirnova

Yekaterinburg Research Institute of Viral Infections; Ural State Medical University

Email: smirnova_ss69@mail.ru
ORCID iD: 0000-0002-9749-4611
SPIN-code: 3127-4296
Scopus Author ID: 243366074500
ResearcherId: ABZ-4859-2022
https://www.facebook.com/profile.php?id=100006558874957

MD, Cand. Sci. (Med.), Associate Professor

Russian Federation, 23 Letnyaya st., Ekaterinburg, 620030; Ekaterinburg

Elena V. Malkova

Yekaterinburg Research Institute of Viral Infections

Email: malkova_ev@eniivi.ru
ORCID iD: 0000-0002-6647-9531

MD

Russian Federation, 23 Letnyaya st., Ekaterinburg, 620030

Nikolai N. Zhuikov

Yekaterinburg Research Institute of Viral Infections

Email: zhuykov_nn@eniivi.ru
ORCID iD: 0000-0002-7018-7582
SPIN-code: 2218-5795

Research Associate

Russian Federation, 23 Letnyaya st., Ekaterinburg, 620030

Dmitry A. Suvorin

Yekaterinburg Research Institute of Viral Infections

Email: suvorin_da@eniivi.ru
ORCID iD: 0000-0001-9575-8444
SPIN-code: 7407-5920

Research Associate

Russian Federation, 23 Letnyaya st., Ekaterinburg, 620030

Elena S. Shelkova

Yekaterinburg Research Institute of Viral Infections

Email: shelkova_es@eniivi.ru
ORCID iD: 0000-0003-2837-375X
SPIN-code: 4387-0173

Research Associate

Russian Federation, 23 Letnyaya st., Ekaterinburg 620030

Ivan A. Egorov

Yekaterinburg Research Institute of Viral Infections

Email: egorov_ia@eniivi.ru
ORCID iD: 0000-0002-7153-2827
SPIN-code: 6465-0182

Junior Research Associate

Russian Federation, 23 Letnyaya st., Ekaterinburg 620030

Ylia R. Zainagabdinova

Yekaterinburg Research Institute of Viral Infections

Email: zainagabdinova_ur@eniivi.ru
ORCID iD: 0000-0002-1496-0200
SPIN-code: 2274-2834

MD

Russian Federation, 23 Letnyaya st., Ekaterinburg, 620030

Aleksandr V. Semenov

Yekaterinburg Research Institute of Viral Infections; Institute of Natural Sciences and Mathematics, Ural Federal University

Author for correspondence.
Email: alexvsemenov@gmail.com
ORCID iD: 0000-0003-3223-8219
SPIN-code: 2372-5134

Dr. Sci. (Biol.), Professor

Russian Federation, 23 Letnyaya st., Ekaterinburg, 620030; Ekaterinburg

References

  1. Goloverova YuA, Maryin GG, Golubkova AA, et al. The relevance of the risk of the prevalence of infections associated with the provision of medical care among medical workers at the present stage. Infect Dis. 2020;18(1):60–66. (In Russ). doi: 10.20953/1729-9225-2020-1-60-66
  2. Golubkova AA, Kulaeva YuYu, Bagin VA. Specific and non-specific prevention of purulent septic infections and their place in the multimodal control system of ISMP in the ICU of the burn center. Medical Alphabet. 2020;(18):33–37. (In Russ). doi: 10.33667/2078-5631-2020-18-33-37
  3. Smetanin VN. Questions of the effectiveness of sterilization means in the system of preventive measures of ISMP. Infection and Immunity. 2017;(S):341. (In Russ).
  4. Vikulov GH. Antiseptic agents: possibilities of use in respiratory infections in the conditions of the COVID-19 pandemic. Infect Dis. 2020;18(2):58–67. (In Russ). doi: 10.20953/1729-9225-2020-2-58-66
  5. Viana Martins CP, Xavier CS, Cobrado L. Disinfection methods against SARS-CoV-2: a systematic review. J Hosp Infect. 2022; 119:84–117. doi: 10.1016/j.jhin.2021.07.014

Supplementary files

Supplementary Files
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1. JATS XML
2. Table 6. Rating assessment of the quality of disinfection measures in medical organizations of the Ural and Siberian Federal Districts in 2021, %

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3. Table 7. Final quality rating of disinfection measures in medical organizations of the Ural and Siberian Federal Districts, 2018–2021

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4. Fig. 1. Frequency of application of laboratory methods of research during supervision activities in relation to medical organizations of the Ural and Siberian Federal Districts in 2015–2021, %.

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5. Fig. 2. The structure of sanitary and bacteriological studies during surveillance activities in medical organizations of the Ural and Siberian Federal Districts in 2015–2021, %.

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6. Fig. 3. The structure of sanitary and bacteriological studies during surveillance activities in medical organizations of the Ural and Siberian Federal Districts in 2021.

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7. Fig. 4. Results of the study of environmental objects flushes in medical organizations of the Ural and Siberian Federal Districts, 2015–2021.

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8. Fig. 5. The share of non-standard samples of flushes from environmental objects in medical organizations of various profiles of the Ural and Siberian Federal Districts, 2015–2021, %.

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9. Fig. 6. Results of microbiological control of air samples in medical organizations of the Ural and Siberian Federal Districts, 2015–2021.

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10. Fig. 7. The share of non-standard air samples in medical organizations of the Ural and Siberian Federal Districts, 2015–2021, %.

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11. Fig. 8. Volumes of applied disinfectants in a large industrial region in the pre-pandemic and pandemic periods, abs.

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12. Fig. 9. Structure of applied disinfectants in the medical organizations of a large industrial region in the pre-pandemic and pandemic periods, %.

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13. Fig. 10. Results of control of disinfectants and solutions for the content of the active substance in medical organizations of the Ural and Siberian Federal Districts, 2015–2021.

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14. Fig. 11. The share of non-standard samples of working solutions of disinfectants in medical organizations of the Ural and Siberian Federal Districts, 2015–2021, %.

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15. Fig. 12. Equipment of disinfection chambers of medical organizations of the Ural and Siberian Federal districts in 2021, %.

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16. Fig. 13. The share of non-standard samples detected during the control of disinfection chambers in the Ural and Siberian Federal Districts, 2015–2021, %.

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17. Fig. 14. Survey coverage of disinfection chambers in medical organizations of the Ural and Siberian Federal Districts, 2020–2021, %.

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18. Fig. 15. Results of quality control of pre-sterilization cleaning of medical devices for the presence of blood residues in medical organizations of the Ural and Siberian Federal Districts, 2015–2021.

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19. Fig. 16. Results of quality control of pre-sterilization cleaning of medical devices for the presence of alkaline components in medical organizations of the Ural and Siberian Federal Districts, 2015–2021.

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20. Fig. 17. Results of quality control of sterilization of medical devices in medical organizations of the Ural and Siberian Federal Districts, 2015–2021.

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21. Fig. 18. The share of non-standard sterility samples of medical devices in medical organizations of the Ural and Siberian Federal Districts, 2015–2021, %.

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22. Fig. 19. Equipment of centralized sterilization departments of medical organizations of the Ural and Siberian Federal districts in 2021, %.

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23. Fig. 20. Equipment of centralized sterilization departments of medical organizations of the Ural and Siberian Federal Districts, 2015–2021, %.

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24. Fig. 21. Control coverage of sterilizers during supervisory activities in medical organizations of the Ural and Siberian Federal Districts in 2015–2021, %.

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25. Fig. 22. Results of monitoring the operation of sterilizers in medical organizations of the Ural and Siberian Federal Districts, 2015–2021, %.

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26. Fig. 23. Results of monitoring the operation of various types of sterilizers in medical organizations of the Ural and Siberian Federal Districts in 2021, %.

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