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![]() FELDBLIUM, I., SERGHEVNIN, V., MARCOVICI, N., ZAHAROVA, U.. Epidemiologic surveillance control issues and optimization methods of nosocomial purulent-septic infections of newborns and women in labor. In: Curierul Medical, 2013, nr. 2(56), pp. 4-6. ISSN 1875-0666. |
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Curierul Medical | ||||||
Numărul 2(56) / 2013 / ISSN 1875-0666 | ||||||
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Pag. 4-6 | ||||||
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Rezumat | ||||||
The problems of nosocomial purulent–septic infections (NPSI) in newborns and women in labour still appear to be actual for public health care system because of NPSI wide distribution and their social and economic affection. The undertaken studies have revealed that true NPSI morbidity of the newborns and women in labor exceeds the data in official documents by 10 times. During continuous microbiological screening of the material taken from patients and from hospital environmental objects it has been established that the epidemic NPSI niduses are caused by the circulation of nosocomial strains. Extra hospital strains dо not provoke infectious and inflammatory processes development in 70.4% of cases. Extra hospital strains cause individual NPSI maladies in 21.0% of cases and only in 1.9% they form the epidemic centres of two and more cases. The research shows that the INPSI agents isolated from the medical wastes after disinfection, in comparison with the microorganisms isolated before the disinfection process, are characterized by virulence and the resistance to poly-antibiotics and used disinfectant. Therefore, in the absence of patients with NPSI signs in a particular in-patient department, the identification of microorganisms’ strains can be carried out by a usual bacteriological examination of disinfected hospital wastes. In conditions of medical preventive institutions and the medical insurance system NPSI damage can be economically determined by laboratory expenses, antibacterial and general health treatment expenses, plus the basic tariffs without the average examination and treatment costs. |
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