Email this article Assessment of the intensity of the epidemic process of ventilator-associated respiratory tract infections in patients of surgical intensive care unit
- Authors: Orlova O.A1,2, Akimkin V.G3,4,5
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Affiliations:
- City Clinical Hospital № 8
- South-Ural State Medical University Russian
- Research Institute of Desinfectology of Federal Service on Customers' Rights Protection and Human Well-Being Surveillance
- I.M. Sechenov First Moscow State Medical University
- Central Research Institute of Epidemiology of Federal Service on Customers' Rights Protection and Human Well-Being Surveillance
- Issue: Vol 20, No 2 (2015)
- Pages: 37-42
- Section: Articles
- URL: https://bakhtiniada.ru/1560-9529/article/view/40868
- DOI: https://doi.org/10.17816/EID40868
- ID: 40868
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Abstract
The urgency of the problem of ventilator-associated respiratory tract infections is stipulated by the ever-increasing number of diseases caused by nosocomial polyantibiotic-resistant strains and high mortality rate. Purpose - to give an assessment of the intensity of the epidemic process of ventilator-associated respiratory tract infections in patients of the surgical intensive care unit. In the base of the analysis there were put the results of a comprehensive epidemiological, clinical, and instrumental study of 137 patients (100 patients with severe injuries and 37 patients with diseases of the abdomen and thorax) with ventilator - associated respiratory tract infections received medical treatment in the surgical intensive care unit. The proportion of respiratory tract infections in the structure of nosocomial infections in these patients varies from 34.6 to 58.9 %, in that there was revealed the prevalence of nosocomial pneumonias (63.5 %). When using a ventilator with viral-bacterial filters signs of nosocomial respiratory tract infections were manifested on the 10th day and later in 50.8 % of patients. In cases with the duration of artificial ventilation more than 10 days the risk of the development of these infections in patients with diseases of the abdominal cavity and thorax was 2.1 times higher than in patients with injuries. There was shown the necessity of the development of a set of measures for the prevention of nosocomial infections of the respiratory tract.
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##article.viewOnOriginalSite##About the authors
O. A Orlova
City Clinical Hospital № 8; South-Ural State Medical University Russian
Email: oksana_orlova@bk.ru
к.м.н., зав. эпидемиологическим отделом МБУЗ «Городская клиническая больница № 8»; доц. каф. гигиены и эпидемиологии ГБОУ ВПО «Южно-Уральский государственный медицинский университет» Минздрава России Chelyabinsk, Russian Federation
V. G Akimkin
Research Institute of Desinfectology of Federal Service on Customers' Rights Protection and Human Well-Being Surveillance; I.M. Sechenov First Moscow State Medical University; Central Research Institute of Epidemiology of Federal Service on Customers' Rights Protection and Human Well-Being Surveillanceчлен-корр. РАН, доктор мед. наук, проф., зам. директора ФБУН «НИИ дезинфектологии» Роспотребнадзора, зав. каф. дезинфектологии ГОУ ВПО «Первый МГМУ им. И.М. Сеченова», вед. науч. сотр. ФБУН «Центральный НИИ эпидемиологии» Роспотребнадзора Moscow, Russian Federation
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