Healthcare-Associated Infections: Modern Doctrine of Prophylaxis. Part II. Basic Concept
E. B. Brusina,
L. P. Zuyeva,
O. V. Kovalishena, 
V. L. Stasenko,
I. V. Feldblium,
N. I. Briko,
V. G. Akimkin
V. L. Stasenko,
I. V. Feldblium,
N. I. Briko,
V. G. Akimkin https://doi.org/10.31631/2073-3046-2018-17-4-10
Abstract
The Doctrine for the prevention of healthсare-associated Infections (HAIs) is a declaration of the state policy in the field of epidemiological safety of medical care. This is a system of views and provisions that establishes the direction of prevention of HAIs, the ways and forms of their implementation. The presence of a deeply developed doctrine makes it possible to have a basis for decision-making. According to the conclusion of experts from the World Health Organization, no type of healthcare settings in any country can claim to be free from the risk of HAIs. Four key provisions underpin the risk-based approach: 1. The risk of HAIs in a healthcare settings always exists; 2. The risk of HAIs is determined by the degree of aggression and invasion, the epidemiological safety of the medical technologies used, the properties of pathogens and the conditions of the hospital environment; 3. The need to move from assessing and managing the epidemiological situation by morbidity to assessing the potential risk, risk management and risk-oriented prevention technologies; 4. Epidemiological safety is an integral part of ensuring the quality and safety of medical care.
About the Authors
E. B. Brusina
Kemerovo State Medical University
Russian Federation
Russian Federation
Elena B. Brusina – Dr. Sci. (Med), professor, head of the department of epidemiology.
L. P. Zuyeva
Noth-Western State Medical University named after I. I. Mechnikov
Russian Federation
Lyudmila P. Zueva – Dr. Sci. (Med), professor, Honored Scientist of Russia, Head of the Department of Epidemiology, Parasitology and Disinfectology.
Russian Federation
Lyudmila P. Zueva – Dr. Sci. (Med), professor, Honored Scientist of Russia, Head of the Department of Epidemiology, Parasitology and Disinfectology.
O. V. Kovalishena
Privolzhskiy Research Medical University
Russian Federation
Olga V. Kovalyshena – Dr. Sci. (Med), professor, Head of the Department of Epidemiology, Microbiology and Evidence Medicine and Deputy Director for Science of the Research Institute of Preventive Medicine NizhGMA, Executive Director of NP «NASKI».
Russian Federation
Olga V. Kovalyshena – Dr. Sci. (Med), professor, Head of the Department of Epidemiology, Microbiology and Evidence Medicine and Deputy Director for Science of the Research Institute of Preventive Medicine NizhGMA, Executive Director of NP «NASKI».
V. L. Stasenko
Omsk State MedicaUniversity
Russian Federation
Vladimir L. Stasenko – head of the department of epidemiology.
Russian Federation
Vladimir L. Stasenko – head of the department of epidemiology.
I. V. Feldblium
Perm State Medical Academy named after E. A. Vagner
Russian Federation
Russian Federation
Irina V. Feldblum – Dr. Sci. (Med), professor, head of the Department of Epidemiology.
Author ID – 6602091527.
N. I. Briko
Sechenov University
Russian Federation
Russian Federation
Nikolaj I. Briko – academician of the Russian Academy of Sciences, Dr. Sci. (Med), professor, head of the Department of Epidemiology and Evidence- Based Medicine.
119435, Moscow, B. Pirogovskaya, 2, 2.
Author ID-7004344976.
V. G. Akimkin
Central Research Institute of Epidemiology of the Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing
Russian Federation
Russian Federation
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Review
For citations:
Brusina E.B., Zuyeva L.P., Kovalishena O.V., Stasenko V.L., Feldblium I.V., Briko N.I., Akimkin V.G. Healthcare-Associated Infections: Modern Doctrine of Prophylaxis. Part II. Basic Concept. Epidemiology and Vaccinal Prevention. 2018;17(6):4-10. (In Russ.) https://doi.org/10.31631/2073-3046-2018-17-4-10
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