PECULIARITIES OF NOSOCOMIAL INFECTION INCIDENCE IN HEALTH CARE INSTITUTIONS OF PEDIATRIC PROFILE (ON THE EXAMPLE OF THE ODESA REGIONAL CHILDREN'S CLINICAL HOSPITAL)
DOI:
https://doi.org/10.11603/bmbr.2706-6290.2019.1.10498Keywords:
nosocomial infection, surgical infections, prevalenceAbstract
The aim of the work. To analyze the prevalence and structure of nosocomical infection (NI) in pediatric health care settings.
Materials and Methods. The morbidity of the children’s population was analyzed by analyzing the accounting and medical records of the Odesa Regional Children's Clinical Hospital for the 6 months of 2018 and the 6 months of 2019 treatment. The incidence and prevalence of NI among inpatient children and the structure of NI were analyzed.
Results and Discussion. In the first half of 2019, 32 cases of NI were registered in the departments of the Odesa Regional Children's Clinical Hospital, of which 78.1 % of patients were predominant for infections that occurred after surgery or therapeutic intervention. Compared to the same period in 2018, there were 4 cases of respiratory infections recorded in the first half of 2019. In the first half of 2019, compared to the same period of 2018, there is an increase in the registration of infections in the area of surgery (IAS) in the departments: emergency traumatology and surgical care, urology, otorhinolaryngology, cardiovascular surgery; decrease – in the Department of General Surgery; the number of cases of IAS in the purulent-septic unit did not change; there is no registration of IAS in the departments of orthopedics and neurosurgery.
Conclusions. In healthcare settings, pediatric profiles are dominated by infections resulting from surgical and therapeutic interventions. At the same time in the structure of IAS detection the departments of emergency traumatological and surgical help, urological, otorhinolaryngological and cardiovascular surgery predominate. In order to improve anti-epidemic and prophylactic measures for hospital-acquired infection, the role of the senior staff nurse in the area of training and control over the professional knowledge of staff is increasing.
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