Nosocomial infections: New vistas in their prevention



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Abstract

Nosocomial infections (NIs) are the most important components of problems to assure medical care quality and to create a safe hospital environment. Today there has been a need for revision of the 1999 program document "The nosocomial infections prevention concept" that is determined by the following factors: objective processes of public health care and sanitary epidemiologic service reformation in the country; new research data on the specific features of the epidemiology and epidemic process of NIs in health care facilities (HCFs) of different profile; revaluation of the importance of a biological factor in the formation of health losses in medical personnel; new approaches to organizing and conducting epidemiological surveillance of NIs at the institutional and regional levels; introduction of new medical technologies for the diagnosis and treatment of NIs; development and introduction of new technologies to protect from infections; extensive practical introduction of molecular genetic studies and up-to-date laboratory complexes; considerable changes in the hardware provision of epidemiological diagnosis; realization of many provisions laid down in the early concept: implementation of a mass immunization program; introduction of new indoor air purification technologies, architectural designs in the construction of HCFs, etc.
The aim of new concept wording is to define a strategy for the prevention of NIs for the reduction of morbidity, disability, mortality, and economic damage, by developing the theoretical foundations for morbidity control, and to introduce a scientifically sound epidemiological surveillance system and a package of effective organizational, prophylactic, antiepidemic and therapeutic-and-diagnostic measures into practice.

About the authors

Valentin Ivanovich Pokrovskiy

Email: crie@pcr.ru

V G Akimkin

N I Briko

E B Brusina

L P Zueva

O V Kovalishena

V L Stasenko

A V Tutel'yan

I V Fel'dblyum

V V Shkarin

V I Pokrovsky

1Central Research Institute of Epidemiology, Russian Inspectorate for the Protection of Consumer Rights and Human Welfare; 2I. M. Sechenov First Moscow State Medical University

1Central Research Institute of Epidemiology, Russian Inspectorate for the Protection of Consumer Rights and Human Welfare; 2I. M. Sechenov First Moscow State Medical University

V G Akimkin

1Central Research Institute of Epidemiology, Russian Inspectorate for the Protection of Consumer Rights and Human Welfare; 2I. M. Sechenov First Moscow State Medical University

1Central Research Institute of Epidemiology, Russian Inspectorate for the Protection of Consumer Rights and Human Welfare; 2I. M. Sechenov First Moscow State Medical University

N I Briko

1Central Research Institute of Epidemiology, Russian Inspectorate for the Protection of Consumer Rights and Human Welfare; 2I. M. Sechenov First Moscow State Medical University

1Central Research Institute of Epidemiology, Russian Inspectorate for the Protection of Consumer Rights and Human Welfare; 2I. M. Sechenov First Moscow State Medical University

E B Brusina

Kemerovo State Medical Academy

Kemerovo State Medical Academy

L P Zuyeva

I. I. Mechnikov Saint Petersburg State Medical Academy

I. I. Mechnikov Saint Petersburg State Medical Academy

O V Kovalishena

Nizhni Novgorod State Medical Academy

Nizhni Novgorod State Medical Academy

V L Stasenko

Omsk State Medical Academy

Omsk State Medical Academy

A V Tutelyan

Central Research Institute of Epidemiology, Russian Inspectorate for the Protection of Consumer Rights and Human Welfare

Central Research Institute of Epidemiology, Russian Inspectorate for the Protection of Consumer Rights and Human Welfare

I V Feldblyum

E. A. Vagner Perm State Medical Academy

E. A. Vagner Perm State Medical Academy

V V Shkarin

Nizhni Novgorod State Medical Academy

Nizhni Novgorod State Medical Academy

References

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