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Identification of the activation of the epidemic process of nosocomial purulentseptic infections based on the results of comparing the current incidence rate with the ordinary
https://doi.org/10.33667/2078-5631-2025-16-60-63
Abstract
Purpose of the study. Using the example of a cardiac surgical hospital, to study the possibility of detecting the activation of the epidemic process of purulent septic infections (GSI) based on the results of comparing the current incidence rate with the ordinary.
Materials and methods. Cases of GSI in operated adult patients of a cardiac surgery hospital were actively identified based on examination of medical histories using standard case definitions. The control (ordinary) level was considered to be the incidence rate not exceeding the upper limit of the median monthly indicators for 2018–2022. The current monthly incidence in 2023 was compared with the resident.
Results. The average monthly median incidence of GSI in adult patients of a cardiac surgical hospital for 2018–2022 was 16,1, the upper confidence limit of the median was 23,2 per 1000 operated patients. In the analyzed 2023, the excess of the actual incidence of GSI over the ordinary was detected in July. The increase in morbidity occurred due to an increase in the number of cases of infection of the surgical intervention area due to a violation of the standard procedure for dressing the surgical wound of operated patients.
Conclusion. The identification of the activation of the epidemic process of nosocomial GSI during operational monitoring is possible based on the results of comparing the current incidence rate with the ordinary, calculated on the basis of the median monthly indicators of the previous multi-year period.
About the Authors
L. G. Kudryavtseva
Federal Centre for Cardiovascular Surgery n.a. S.G. Sukhanov
Russian Federation
Russian Federation
Kudryavtseva Larisa G., PhD Med, epidemiologist, head of Epidemiological Dept
Perm
M. Yu. Devyatkov
Perm State Medical University n.a. Аcademician E.A. Wagner
Russian Federation
Russian Federation
Devyatkov Mikhail Yu., PhD Med, associate professor at Dept of Epidemiology
Perm
V. I. Sergevnin
Perm State Medical University n.a. Аcademician E.A. Wagner
Russian Federation
Russian Federation
Sergevnin Viktor I., DM Sci (habil.), professor at Dept of Epidemiology
Perm
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Review
For citations:
Kudryavtseva L.G., Devyatkov M.Yu., Sergevnin V.I. Identification of the activation of the epidemic process of nosocomial purulentseptic infections based on the results of comparing the current incidence rate with the ordinary. Medical alphabet. 2025;(16):60-63. (In Russ.) https://doi.org/10.33667/2078-5631-2025-16-60-63
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