Kuzenkov R., Kovalova O., Goncharova U.

CONTENTS

Scentific article

Hospital infection (HI) is an infection gained in the process of getting medical aid and other health protection system services. They involve hundreds millions people in the whole world every year and are the serious global problem for patients’ safety. So HI prevention by putting into oparation of infection control (IC) system at the intensive care department (ICD) is an obligatory function for all medical care participants in the medical institution. The main purpose of implementation of IC system is to decrease the infection rate dealing with providing med- ical aid. IC is related to unfavorable medical events caused by medical mistakes. So the principles of patients’ safety were chosen as the methodology for determining of basic primers of IC system. The IC model at the ICD was grounded and designed. Risks which can promote the development of HI may be divided into several groups: pa- tient-related, patient-non-related, which in their turn are subdivided into risks caused by human factors and those which caused by defects in the medical aid providing system. The second element of closed cycle of the IC system is monitoring, recording of HI and analyzing the reasons of their emergency. So the IC system should define valid safety indicators, monitoring implementation according the HI frequency, permanent analysis of epidemiological situation at the ICD. The implementation of mentioned items into the functioning of hospital needs an adequate provision of the ICD with the relative computer programs and trained motivated medical personnel. The application of compute electronic WHO program “WHONET” gives an opportunity for detailed examination of the nature of microorganisms detected according to any criterion. But, as our work experience showed, men- tioned computer program has a number of shortcomings, particularly, it’s not adapted to the methods of bacte- riological research, which are put into practice at hospital of Ukraine, it doesn’t ivnolve other aspects of IC in full, it doesn’t fill automatically medical documentation according to the WHO orders. For the highest possible degree of approximation of electronic records to Ukrainian normative legal basis of 2010 the program complex of automation and management of medical institutions “DORADO” was designed, to which “WHONET” was included. World experience in organizing of the IC system at the ICD was examined and analized, main primers were de- fined with their further adaptation to national conditions and incorporation into program complex of automation and administration of the medical institution “DORADO”. The IC and antibiotic resistance of microorganisms registers were included to Complex “DORADO” along with electronic medical forms (“The sheet of a newborn development”), electronic registers (diurnal movement of pa- tients, ets.). The documentation which must be done according to the WHO order №234 is filled automatically. IC system at the ICD should include the following main primers as: introduction of WHO standards of hygienic and antiseptic hands processing; training and monitoring of medical personal hands eubiotics; designing and imple- mentation of standards of manipulation; sterilization and keeping of artificial pulmonary ventilation units according to the standards of evidens-based medicine; monitoring of infection rate that deals with medical aid providing; permanent analysis of epidemiological situation at ICD. Using of computer programs makes it possible to analyze of epidemiological situation and trends of its development in the department; set optimal antibacterial therapy quickly and grounded; provide with all complex of modern measures for HI prevention in time.

hospital infection, infection control, patients’ safety, intensive care department, medical computer programs.

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