Healthcare-associated infections (HAI) in maternity hospitals of Russian Federation (the state of the problem at the beginning of the XXI century)
- Authors: Priputnevich T.V.1, Lyubasovskaya L.A.1, Shuvalova M.P.1, Baibarina E.N.1,2, Sukhikh G.T.1
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Affiliations:
- National Medical Research Center for Obstetrics, Gynecology and Perinatology Named after Academician V.I. Kulakov
- Ministry of Healthcare of Russian Federation
- Issue: Vol 76, No 2 (2021)
- Pages: 133-141
- Section: OBSTETRICS AND GYNAECOLOGY: CURRENT ISSUES
- URL: https://ogarev-online.ru/vramn/article/view/125653
- DOI: https://doi.org/10.15690/vramn1523
- ID: 125653
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Abstract
Over the past decade, the healthcare system of the Russian Federation has undergone progressive changes in the system of maternity care, which relate to the development of infrastructure and the introduction of new organizational models. In particular, a three-level system of providing medical care to mothers and children has been created, including a network of perinatal centers for patients at high perinatal and obstetric risk. Field events of specialists of National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov of Ministry of Healthcare of Russian Federation to the medical organizations of maternity care in various regions of Russia revealed “hot spots” that require primary attention: acute shortage of staff for the implementation of diagnostic and therapeutic measures at the modern methodological level, as well as for ensuring epidemiological safety in the medical organizations (medical microbiologists (bacteriologists), clinical pharmacologists and epidemiologists); the lack of registration of healthcare-associated infections, which is associated with the prevailing in the country mainly “punitive” methods of combating hospital infections. In modern conditions of nursing preterm babies, newborns with various severe somatic and surgical pathologies, it is necessary to know the real indicators of morbidity in order to reasonably and promptly carry out therapeutic and preventive measures; the need to organize modern microbiological laboratories in the perinatal centers with the availability of “fast” methods (proteomic and molecular-genetic) diagnostics, allowing for microbiological monitoring in specialized departments of newborns and promptly respond to the changes in the epidemiological situation in the hospital, to prevent the development of clinically pronounced cases of healthcare-associated infections.
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##article.viewOnOriginalSite##About the authors
Tatiana V. Priputnevich
National Medical Research Center for Obstetrics, Gynecology and Perinatology Named after Academician V.I. Kulakov
Author for correspondence.
Email: priput1@gmail.com
ORCID iD: 0000-0002-4126-9730
SPIN-code: 8383-7023
PhD, Doctor of Science, Director of the Institute of Microbiology, Antimicrobial Therapy and Epidemiology
Russian Federation, 4, Oparina street, Moscow, 117997Lyudmila A. Lyubasovskaya
National Medical Research Center for Obstetrics, Gynecology and Perinatology Named after Academician V.I. Kulakov
Email: labmik@yandex.ru
ORCID iD: 0000-0002-7456-9940
SPIN-code: 5558-8826
PhD, Head of the Unit of Clinical Pharmacology and Antimicrobial Drugs
Russian Federation, 4, Oparina street, Moscow, 117997Marina P. Shuvalova
National Medical Research Center for Obstetrics, Gynecology and Perinatology Named after Academician V.I. Kulakov
Email: m_shuvalova@oparina4.ru
ORCID iD: 0000-0002-6361-9383
SPIN-code: 2338-6512
Deputy Director-Head of the Department of Regional Cooperation and Integration, Assistant Professor
Russian Federation, 4, Oparina street, Moscow, 117997Elena N. Baibarina
National Medical Research Center for Obstetrics, Gynecology and Perinatology Named after Academician V.I. Kulakov; Ministry of Healthcare of Russian Federation
Email: baibarina@mail.ru
ORCID iD: 0000-0002-6262-3559
SPIN-code: 1989-0140
MD, PhD, Professor
Russian Federation, 4, Oparina street, Moscow, 117997; 3/25, Rakhmanovskii side street, Moscow, 127994Gennady T. Sukhikh
National Medical Research Center for Obstetrics, Gynecology and Perinatology Named after Academician V.I. Kulakov
Email: g_sukhikh@oparina4.ru
ORCID iD: 0000-0002-7712-1260
SPIN-code: 9374-5710
MD, PhD, Professor, academician of the RAS, Director
Russian Federation, 4, Oparina street, Moscow, 117997References
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