New technologies in complex of measures of nonspecific prophylaxis of healthcareassociated infection

Oksana A. Orlova; Орлова Оксана Анатольевна; Natalia A. Yumtsunova; Юмцунова Н. А.; Tatyana A. Semenenko; Семененко Т. А.; Oleg E. Karpov; Карпов О. Э.; Ekaterina V. Rusakova; Русакова Е. В.; Alena A. Zotova; Зотова А. А.; Nikolay V. Rusakov; Русаков Н. В.; Stanislav N. Kuzin; Кузин С. Н.

doi:10.47470/0016-9900-2020-99-10-1055-1060

New technologies in complex of measures of nonspecific prophylaxis of healthcareassociated infection

Authors: Orlova O.A.¹^,2^,3, Yumtsunova N.A.¹, Semenenko T.A.³^,4, Karpov O.E.¹, Rusakova E.V.³, Zotova A.A.¹, Rusakov N.V.⁵, Kuzin S.N.³^,6
Affiliations:
1. N.I. Pirogov National Medical Surgical Center
2. N.F. Gamaleya National Research Centre of Epidemiology and Microbiology
3. Central Research Institute of Epidemiology of the Federal Service on Customers’ Rights Protection and Human Well-being Surveillance
4. I.M. Sechenov First Moscow State Medical University (Sechenov University)
5. Center for Strategic Planning and Management of Biomedical Health Risks
6. M.F. Vladimirsky Moscow Regional Research Clinical Institute
Issue: Vol 99, No 10 (2020)
Pages: 1055-1060
Section: ENVIRONMENTAL HYGIENE
Published: 01.12.2020
URL: https://rjpbr.com/0016-9900/article/view/638489
DOI: https://doi.org/10.47470/0016-9900-2020-99-10-1055-1060
ID: 638489

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Abstract

Introduction. Preventive maintenance is of great importance for the prophylaxis of healthcare-associated infection (HAI).

Material and methods. An assessment of the interventional cleaning program of the epidemiologically significant units of a large medical organization was based on the data of marks erasure control, microbiological studies, a survey of employees of the insourcing department.

Results. In 2017, the Center began implementing an intervention program for outsourcing, which began with the creation of the Department of sanitary services (DSS), which took over the functions of cleaning the premises, as well as providing departments with the necessary disinfectants, detergents, and cleaning products. Before the implementation of this intervention program, the staff was trained in the form of theoretical classes (lectures with the display of training videos, presentations). Practical skills were developed directly in the workplace. The interventional insourcing program showed a 1.28-fold decrease in microbial contamination of surfaces in high-epidemiological risk departments. As a result, the consumption of disinfectant was reduced by more than 5 times. The satisfaction of the sanitary service Department operators with the introduction of the new method was more than 90%.

Conclusion. The implemented intervention program allowed not only to improve the quality of cleaning, but also to change the attitude of patients, medical personnel, and the administration to the institution of cleaning by the forces of the medical organization itself.

Keywords

insourcing, intervention program, quality of cleaning, microbial colonization, nonspecific prevention of HAIs

About the authors

Oksana A. Orlova

N.I. Pirogov National Medical Surgical Center; N.F. Gamaleya National Research Centre of Epidemiology and Microbiology; Central Research Institute of Epidemiology of the Federal Service on Customers’ Rights Protection and Human Well-being Surveillance

Author for correspondence.
Email: oksana_orlova@bk.ru
ORCID iD: 0000-0002-0556-1822

MD, Ph.D., DSci., head of the Department - of the epidemiology Department of the N.I. Pirogov National Medical Surgical Center, Russian Federation, Moscow, 111123, Russian Federation.

e-mail: oksana_orlova@bk.ru

Russian Federation

References

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