Incidence of tuberculosis in the staff of healthcare organizations and responsibility of registered nursing staff in conducting antiepidemic measures
Abstract
We comparatively analyzed the incidence of tuberculosis in the staff of various specialty healthcare organizations, through the case of the Sakha Republic (Yakutia), and monitored clinical M.tuberculosis strains for susceptibility/resitance to disinfectants. Incidence of tuberculosis among the staff of anti-tuberculosis institutions was 3 to 4 times higher (p< 0.05), than in the staff of other healthcare organizations; among them, tuberculosis occurred mostly in registered nursing staff and in nurse assistant staff.
Disinfectants types that played main role in the control of nosocomial transmission of M.tuberculosis were chlorine compounds, and quaternary ammonium compounds (QAC) in combination with aldehydes.
About the Authors
A. I. Obutova
State Budgetary Institution of the Sakha Republic (Yakutia) “Research-Practice Center ‘Phthisiatry”
Russian Federation
Russian Federation
Obutova Alexandra Innokentievna, Deputy Chief Doctor
Yakutsk, Sakha (Yakutia) Republic
A. I. Gotovtseva
State Budgetary Institution of the Sakha Republic (Yakutia) “Research-Practice Center ‘Phthisiatry”
Russian Federation
Russian Federation
Gotovtseva Anna Ivanovna, Candidate of Medical Science, Deputy Chief Doctor
Yakutsk, Sakha (Yakutia) Republic
N. G. Pavlov
State Budgetary Institution of the Sakha Republic (Yakutia) “ResearchPractice Center ‘Phthisiatry”
Russian Federation
Russian Federation
Pavlov Nikolay Gerasimovich, Candidate of Veterinary Science, Senior Researcher, Bacteriologic Laboratory
Yakutsk, Sakha (Yakutia) Republic
References
1. Method for assessing the effectiveness of disinfectantsused in anti-tuberculosis institutions: improved medical technology /N.I.Eremeeva, M.A.Kravchenko, V.V.Kanishchev. – Ekaterinburg, 2008.– p.28.
2. Laboratory methods for examination and test of disinfectants used in medical and preventive care to assess their effectiveness and safety. - M., 2010. – p. 740.
3. Nechaeva OB. Organizational aspects of the nursing practice in providing anti-tuberculosis healthcare for population/O.B. Nechaeva// Glavnay ameditsinskaya sestra. – 2002. – №7. –P.29-33.
4. Nechaeva O.B. Monitoring and assessment of changes in epidemiologic indicators for tuberculosis in the Russian Federation / OB. Nechaeva// ProblTuberk. – 2012. – №8. – P.16-22.
5. Important problems and prospects for development of tuberculosis control service in the Russian Federation. Proceedings of the Ist congress of the National Association of Phthisiologists /N.I.Eremeeva, D.V.Vakhrusheva, M.A.Kravchenko [et al.]. – Saint-Petersburg, - 2012.– P.243-245
6. Optimization of microbiologic diagnosis of tuberculosis. Specific features of the epidemic process of tuberculosis in Sakha Republic (Yakutia):Dr.Med.Sc. (MD) Thesis / G.I. Alekseeva. – M., 2010.– 44 p.
7. Specific features of the epidemic process of nosocomial tuberculosis and its prevention: Dr.Med.Sc.(MD) Thesis /A.S. Kornachev.– M., 2007.– 47 p.
8. Assessment of feasibility of the use of CSAS-based (cationic superficially active substance) disinfectants in tuberculosis control practice /Important problems and prospects for development of tuberculosis control service in the Russian Federation. Proceedings of the Istcongress of the National Association of Phthisiologists /N.I.Eremeeva, V.V.Kanishchev, M.A.Kravchenko [et al.].– Saint-Petersburg, 2012.– P.241-242.
9. SanPiN (Sanitary Regulations and Norms) 2.1.3.2630-10. Sanitary and epidemiologic requirements to organizations engaged in medical activities. -M.,2010 /Available from: http://www.google.ru/#hl=ru&gs_nf=3&cp=20&gs_id=1x&xhr=t&q=СанПин+2.1.3.2630-10.
10. SkachkovaE.I.Anti-tuberculosishealthcar eforpopulation: mainpurposes, nurse’srole] / E.I. Skachkova, O.B. Nechaeva // Meditsinskayasestra. – 2006. – №5 – P. 21-23.
11. Skornyakov V.V.Occupational incidence of tuberculosis as the indicator of nosocomial transmission risk/ V.V.Skornyakov, G.V. Volchenkov, P.A.Jensen //Important problems and prospects for development of tuberculosis control service in the Russian Federation: Proceedings of the Ist congress of the National Association of Phthisiologists. – Saint-Petersburg, 2012.– p. 56-58.
12. Fedorova L.S. Scientific and methodological foundations of disinfectant improvement for medical and preventive care: Dr.Med.Sc.(MD) thesis / L.S. Fedorova.-M., 2003. -342 p.
Review
For citations:
Obutova A.I., Gotovtseva A.I., Pavlov N.G. Incidence of tuberculosis in the staff of healthcare organizations and responsibility of registered nursing staff in conducting antiepidemic measures. Yakut Medical Journal. 2013;(1):81-84.
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