Epidemiological diagnosis of infections associated with provision of medical care at current state

Abstract

The risk-based approach to the prevention of healthcare-associated infections (HAIs) is entirely based on the results of a well-organized epidemiological diagnosis, which is aimed primarily at identifying risk factors. The structure of the risk-based approach includes risk identification, risk identification and risk analysis. One of the important points of epidemiological diagnosis is epidemiological observation. For the organization of epidemiological surveillance, both passive and active methods are used. The active method is the most effective, since it is an active search and identification of cases of HAIs using the standard definition of cases and the results of laboratory examination of patients from risk groups. To organize such work, a commission is formed in each medical organization, which should include an epidemiologist, clinical pharmacologist, expert doctor, laboratory assistant, head nurse, and a pharmacy employee. The functions of each participant depend on the organization of the general system for identifying HAIs in this organization. The proposed model of a risk-based approach to the epidemiological diagnosis of HAIs allows timely identification of groups and risk factors both in the context of individual departments and the medical organization as a whole, and, accordingly, to develop effective measures for the prevention of infections associated with the provision of medical care.