Group Incidence by Purulent-Septic Infections of Clebsiellous Etiology in Cardiosurgical Patients
https://doi.org/10.31631/2073-3046-2020-19-1-90-98
Abstract
Relevance. In surgical hospitals, outbreaks of purulent-septic infections (GSI) caused by Klebsiella pneumonia do often occur. The causes of such outbreaks generally remain insufficiently clear. The purpose of the work is an epidemiological diagnostics of group incidence by GSI clebsiellous etiology, which arose in cardiosurgical hospital.
Materials and methods. The analysis K. pneumonia eduction frequency and detection of purulent-septic infection Klebsiella etiology among patients of anaesthesiology and reanimation department and treatment departments of a cardiosurgical hospital in 10 months 2019 was carried out. Against the background of increased frequency of a bacteria carrying 13 strains of K. pneumonia were genotyped, their adhesive activity, ensitivity to 29 antibiotics and to three disinfectants (D) were studied.
Results. According to the results of agent genotyping, 5 epidemic centers of clebsiellous purulent-septic infection etiology with 11 cases of infection were detected. All K. rheumoniae strains found in epidemic focus were polyresistant to antibiotics and in 46.1% of cases resistant to Q.A.C. containing disinfectant. The circumstance of formation of related cases of purulent septic infection in certain epidemic centers was simultaneous stay of sick in anaesthesiology and reanimation department with the presence of common personnel.
Conclusion. The spread of infection in the conditions of anaesthesiology and reanimation department of the cardiac hospital most likely occurred because of a contact-household path involving intermediate factor of the transmission of the pathogen.
About the Authors
V. I. Sergevnin
Perm State Medical University named after Academician E.A. Wagner
Russian Federation
Russian Federation
Viktor I. Sergevnin - Dr. Sci. (Med.), professor of the department of Epidemiology and Hygiene.
Petropavlovskaya str., 26, Perm 614990,. +7 (342)233-40-15, +7 (912)5929140
L. G. Kudryavtseva
Cardiovascular surgery federal center named after S.G. Sukhanov
Russian Federation
Russian Federation
Larisa G. Kudryavtseva - Cand. Sci. (Med.), head of the epidemiological department, epidemiologist.
Borchaninov str., 50-30 Perm, 614064 +7 (342) 239-87-83, + 7 9194423428
O. G. Pegyshina
Cardiovascular surgery federal center named after S.G. Sukhanov
Russian Federation
Russian Federation
О. G. Pegyshina – bacteriologist.
Karpinskiy str., 69-13, Perm, 614064 +7 (342) 2398712, +79197029301
E. O. Volkova
Perm Regional Clinical Hospital for War Veterans
Russian Federation
Russian Federation
Elvira О. Volkova - head of the clinical and diagnostic laboratory-bacteriologist.
Revolutions str., 6-173, Perm, 614007, +7 (342) 207-29-36, +7 912-780-81-37
N. I. Reshetnikova
Perm Regional Clinical Hospital for War Veterans
Russian Federation
Russian Federation
Natalia I. Reshetnikova – bacteriologist.
Neftyanicov str., 9-9, Perm, 614036, +7 (342) 207-2936,+7 912-498-92-06
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Review
For citations:
Sergevnin V.I., Kudryavtseva L.G., Pegyshina O.G., Volkova E.O., Reshetnikova N.I. Group Incidence by Purulent-Septic Infections of Clebsiellous Etiology in Cardiosurgical Patients. Epidemiology and Vaccinal Prevention. 2020;19(1):90-98. (In Russ.) https://doi.org/10.31631/2073-3046-2020-19-1-90-98
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