Healthcare-associated infections (HAI) in maternity hospitals of Russian Federation (the state of the problem at the beginning of the XXI century)

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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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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, 117997

Lyudmila 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, 117997

Marina 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, 117997

Elena 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, 127994

Gennady 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, 117997

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Supplementary files

Supplementary Files
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1. Fig. 1. Morbidity of full-term and premature newborns per 1000 live births, Russia, 2019

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2. Fig. 2. Mortality rate of full-term and premature newborns per 1000 live births, Russia, 2019

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3. Fig. 3. Distribution of deaths of newborns by hospital levels, 2019

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4. Fig. 4. Incidence of health care-associated infections among term infants (results of the Pilot project 2018–2019)

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5. Fig. 5. Incidence of health care-related infections among preterm infants (results of the Pilot project 2018–2019)

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6. Fig. 7. The incidence of infections associated with the provision of health care among women in puerperas after spontaneous childbirth (results of the Pilot project for 2018–2019)

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7. Fig. 7. The incidence of infections associated with the provision of health care among women in puerperas after spontaneous childbirth (results of the Pilot project for 2018–2019)

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8. Fig. 7. The incidence of infections associated with the provision of health care among women in puerperas after spontaneous childbirth (results of the Pilot project for 2018–2019)

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9. Fig. 9. Sensitivity to antimicrobial drugs of strains of Gardnerella vaginalis (n = 117) (data of the Federal State Budgetary Institution "NMITs AGP named after V.I. Kulakov" of the Ministry of Health of Russia, 2019)

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