Prevention of Healthcare Associated Infections in the Tuberculosis Health Center

Prevention of healthcare-associated infections associated (HAI) is an important part of the activities of a medical organization (MO), focused on the quality and safety of medical services. Epidemiological safety of the profile infectious MO requires strict adherence to the sanitary and ant-iepidemic regime. An example of such a MO is the State Budgetary Institution of the Republic of Mari El, Republican Tuberculosis Health Center (RATHC). The analysis of sanitary and epidemiological well-being on the example of the RATHC used the methods of retrospective and operative epidemiological analysis of cases among staff and patients, as well as data of microbiological monitoring. Based on the results of the analysis for the period of 2002-2016, there were 7 cases of HAI among the staff, which are tuberculosis processes, 116 cases of HAI were found among the patients, not associated with tuberculosis. According to the microbiological monitoring (MBM) of the RATHC, there has been a decrease in studies aimed at detecting coliform bacteria (CB) (1.5 times), S. aureus from the surfaces of the RATHC objects (1.5 times), pathogenic flora (1.5 times), and working solutions of disinfectants for the activity of the active substance (ASA) (1.2 times). At the same time, there has been an increase in research aimed at determining microbial contamination of air (a total microbial number by 8.6 times, S. aureus by 8.6 times), a degree of sterility of medical products (MP) by 2.4 times and the pre-sterilization quality control of medical products (MPPSQC) by 1.5 times. Epidemiologically significant structural subdivisions (children's department, surgical and therapeutic departments, clinical diagnostic and bacteriological laboratories) have been established. The obtained results indicate the need for staff motivation to comply with the established instructions and protocols to ensure the sanitary and epidemiological well-being of the medical organization.