IMPROVING THE ACTIVE DETECTION OF INFECTIONS IN THE FIELD OF SURGICAL INTERVENTION
Abstract
This article discusses aspects of the epidemiology of surgical site infection (SSI), their frequency and methods of detection in surgical institutions in St. Petersburg. According to various studies, acute respiratory viral infections account for 15 to 25% of nosocomial infections, but official statistics in Russia show significantly lower rates, which may indicate the lack of an effective monitoring system. The article presents a retrospective analysis for the period from 2009 to 2018, during which the frequency of SSI was revealed to be no more than 0.3 per 100 operations in hospitals in St. Petersburg. In 2016, in order to improve the situation, a prospective analysis of the frequency of SSI was conducted. For this purpose, special forms and data collection methods were developed, which made it possible to systematically record cases of SSI. In the period from 2016 to 2018, 468 cases of SSI were detected in 71289 operated patients, with an overall incidence of 0.66 per 100 operations. The highest rates were recorded in cardiac surgery (4.4 per 100 operations) and vascular surgery (7.3 per 100 operations), while in trauma and orthopedic practice the frequency was the lowest (2.0 per 100 operations). The article also includes a detailed analysis of the frequency of SSI depending on the type of surgery and diagnosis. Despite the revealed differences in the frequency of SSI in various surgical areas, statistically significant differences in the types of surgical services and their indications have not been established. This highlights the need to standardize approaches to monitoring and determining SSI in surgical departments.
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