Project Effective in-patient hospital a contribution to struggle against antibiotic resistance


Project Effective in-patient hospital a contribution to struggle against antibiotic resistance

The Eurasian Congress has taken place on October 17-18 in the capital of The Republic of Bashkortostan Ufa. More than 1500 specialists participated in the event: bacteriologists, microbiologists, epidemiologists, chemotherapists, surgeons, anesthesiologists and resuscitationists, clinical pharmacologists, general practitioners and other representatives of different healthcare spheres.  

The participants discussed promising trends of antibiotic resistance control acknowledged of the global world problems, new technologies for rapid detection of infectious agents, studies the aspects of introduction of novel antimicrobials to clinical practice and other topical issues. Leading domestic and foreign specialists made reports within the program.

Hospital epidemiologist, Deputy Chief Doctor on epidemiological work of FSBU Burdenko National Scientific and Practical Center for Neurosurgery, professor Olga Nikolaenvna Ershova made a report on preliminary results of the project Effective in-patient hospital. Starting from year 2017 it has been implemented by Lancent PLC in collaboration with public organization Russian Sepsis Forum solving one of the most serious healthcare issues the search for novel effective measures on hospital-acquired infections control.

According to the statistics, in Russia healthcare-associated infections (HCAI) effect from 5 to 15 % of inpatients, which is annually not less than 2.5 million cases. In high-risk hospital departments - resuscitation and intensive care the rate of HCAI can be up to 40 %. The risk of lethal outcome for such patients is increased 5-fold. Length of hospital stay increases by 7-10 days. Treatment cost increases 3 or 4-fold which leads to industrywide annual enhancement of direct expenditures for healthcare delivery by not less than 60-85 bln. rubles.

The tasks of the project Effective in-patient hospital based on integrated examination to provide treatment facilities with personified recommendations of the leading experts based on data on local situation with HCAI on treatment, diagnostics and prevention of hospital-acquired infections, to improve standard of knowledge and practical skills of doctors and nurses in application of infections control standards.

Application of specialists-recommended algorithms for making decisions on the choice of the optimum list of medicines, expendables, diagnostic tests and procedures for use in patients in resuscitation and intensive care departments will allow firm control over HCAI prevalence, prevent development of serious complications including sepsis leading cause of death in patients with hospital-acquired infections improve key clinical and financial results of hospitals.

Olga Nikolaenvna Ershova noted high social significance of the problem:
Antibiotic resistance is a serious challenge of modernity. With global availability of carbapenemases we still do not have antimicrobial therapy as a tower of strength as it has used to be in the recent past. The response to this challenge is first of all mutual complementation of efforts of different professional groups. Being a professional society we have faced a necessity to move to a higher social intellect level allowing to establish invisible but secure borders at each workplace. Such borders pathogens cannot cross. In this respect safe healthcare delivery is not only a medical problem, but also an important moral and all-mankind task.  

Vladimir Vitalievich Kulabukhov, PhD, leading research associate of N.V. Sklifosovsky First Aid Scientific Research Institute, associate professor of surgery chair of Faculty of Fundamental Medicine of Lomonosov Moscow State University, President of Russian Sepsis Forum emphasized the importance of the Project in struggle against antibiotic resistance:

The Project Effective in-patient hospital is important for all participants: healthcare providers administration have a truthful overview of infection control in the institution, as well as expert level conclusion and recommendations; doctors perform more efficient and safe treatment of patients, experts reveal common problems at regional and country levels and can exert well-grounded influence on decision of legislative and regulatory authorities. Herewith, there is a common purpose to make as less people as it is possible die in hospitals from infections!.