Короткий опис (реферат):
Healthcare-associated Infections (HAIs) are a major threat to patient safety and the
quality of healthcare globally. Despite this, Ukraine does not have a nationally
coordinated program for the surveillance and reporting of HAIs. Epidemiology of
Healthcare-associated Infections in Obstetrics, Gynecology and Perinatal Centers is
Ukrainian first evidence-based assessment of the epidemiology of HAIs based results
of multicentre prospective HAI surveillance study data and peer-reviewed literature
sources.
The increasing emergence and spread of multi-drug-resistant organisms (MDROs) in
hospitals is a public health problem and continues to challenge infection control and
hospital epidemiology practice worldwide.
Our studies found a high prevalence of HAI caused by MDROs, varying widely
depending on the bacterial species, antimicrobial group, and geographical region of
Ukraine. The majority of MDRO isolates carried b-lactamase genes. Also, MDROs
were a major contributor to HAI-caused deaths. These data underscore the importance
of tracking antimicrobial resistance in hospitals. To reduce antimicrobial resistance, it
is necessary to develop and implement advanced infection control measures based on
HAI surveillance data. Surveillance of HAIs may help to delineate the requirements
for infection prevention and control. Microbiological monitoring of the prevalence of
aetiologic agents of HAIs and antimicrobial resistance is necessary to enhance our
knowledge of its epidemiology and treatment.
This work is the first to focus on characterizing the epidemiology of MDROs
transmission via the HCW and the environment in Ukrainian hospital wards/patient
rooms. Our study focused on overall patient-to-patient transmission regardless of the
transmission pathway.
