MEDICAL TECHNOLOGIES AFFECTING INFECTION OF CHILDREN WITH BACTERIA OF THE GENUS KLEBSIELLA, PREVENTION OF INFECTION

Abstract

Relevance. The bacteria of the genus Klebsiella are among the leading pathogens of health care-related infections (HAI). Newborn children are a special risk group for HAI and Klebsiella etiology. It is necessary to look for new approaches to the prevention of HAI of Klebsiella etiology. Purpose. To identify medical technologies that have a high risk of nosocomial infection in children, to develop a risk-oriented methodology for the prevention of Klebsiella infections. Materials and methods. In order to identify possible risk factors, an analytical epidemiological study of the "case-control" type was performed. The observation group consisted of 52 people, the comparison group - 744 people. Results and discussion. Out of 18 studied risk factors for 9 (catheterization of peripheral and central veins, intravenous infusion, catheterization of the bladder, lumbar puncture, oxygen inhalation, hygienic treatment of the oral cavity, drinking regimen and the use of drugs by mouth), the effect on the frequency of infection of patients was not established. Effective 3 preventive measures are not possible without risk identification. To solve this problem, the Ishikawa diagram was applied. The medical technologies that determine the risk in this group of patients are the technologies of respiratory support and nutrition of the newborn baby. To a large extent, the risk of Klebsiella spp. depends on how widely antibiotics of the carbapenem group are used, which determine the colonization of the intestine of a newborn child by carbapenemase-producing Klebsiella. Conclusions. The chances of infection in children with Klebsiella pneumoniae are 3.07 times higher with antibiotics and depends on the group. 9 risk factors influencing the infection of children were identified. The risk-oriented approach to the prevention of HAI is based on identifying risk factors that contribute to infection and monitoring the properties of the hospital population of Klebsiella spp