Authors
Muzaffarova M. Sh.
Specialist-expert, Epidemiological Surveillance Department1, Resident, Chair for Epidemiology and Disinfectology2
Patyashina M. A.
Doctor of Medicine, Republic of Tatarstan Chief State Sanitary Doctor, Head of the Office1, Head, Chair for Epidemiology and Disinfectology2
1 - Department of Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing for the Republic of Tatarstan, Kazan, Russian Federation
2 - Kazan State Medical Academy of the Ministry of Health of Russia, Kazan, Russian Federation
Corresponding Author
Muzaffarova Milyausha; e-mail: Shamilevnamed@mail.ru
Funding
The study had no sponsorship.
Conflict of interest
None declared.
Abstract
Background. Healthcare-associated infections are an urgent problem that has a global spread, negative consequences for patients and medical workers, as well as for the state as a whole. The purpose of the study. To identify long-term trends in healthcare-associated infections in the Republic of Tatarstan. Materials and methods. A retrospective analysis of the epidemiological process of ISMP in the Republic of Tatarstan from 2000 to 2023 was carried out. Cases of intrauterine infections were not taken into account when calculating the morbidity rates of ISMP. Statistical processing was performed using the Statistica program version 10.0.1011.0 (StatSoft). The significance of the differences was calculated using the Student's t-criterion with the calculation of a 95% confidence interval by the Wald method. Differences were considered significant at p ≤ 0.05. Trend and approximation coefficient were calculated in Microsoft Excel. Results. There is a downward trend in the registration of ISMP in the Republic of Tatarstan. For many years, the most affected ISMS in the Republic of Tatarstan have been obstetric institutions, the average proportion is 61 ± 0.1%, while surgical hospitals account for only 9.9 ± 0.06%. The annually low incidence of ISMP in the Republic of Tatarstan is due to the underreporting of some nosologic forms: surgical site infections, urinary tract infections, pneumonia, etc. Analysis of Form No. 2 «Information on infectious and parasitic diseases» from 2005 to 2023 revealed that the list of names of nosological forms of ISMP increased by 86%. At the same time, 62.9 ± 16.8%, 95% CI [52.1 – 69.2] of the list of nosological forms according to Form No2 are registered annually in the Republic of Tatarstan. In the Republic of Tatarstan in 2023, the list of prevalent pathogens of ISMP includes bacteria of the genus Klebsiella spp. and Acinetobacter spp. Conclusion. The results of the analysis of the epidemiological situation of ISMP in the Republic of Tatarstan indicate the need for a risk-oriented approach to preventive and anti-epidemic measures. Further work is required to improve the system of epidemiological surveillance and measures to prevent infections associated with the provision of medical care.
Key words
infections related to medical care, Republic of Tatarstan
DOI
References
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