Introduction: The prevention and control of nosocomial infections is an interdisciplinary activity and the responsibility of the entire staff of each medical institution. It includes specific elements aimed at protecting patients and healthcare staff in order to minimize the occurrence and spread of in-hospital infections.
Aim: The aim of this article is to conduct a research on patients, the spread of infections related to medical care, the application of antibiotics under the conditions of the University of Medicine and Pharmacy of Rousse for the years 2014-2016.
Materials and Methods: We have included analyses, reports, access to public information from RHI Ruse, MH, NCHI - Sofia. The methods used were documentary, statistical, and graphic.
Results: Above the average for the area is the incidence of in-hospital infections in the University Hospital of Rousse, both in absolute terms and in relative terms during the whole period. There were 530 cases (1.67%) 2014, lower than in 2013, when the number was 616 (1.86%). In 2015 there were 401 cases (1.26%) and 486 cases (1.51%) in 2016.
Conclusion: 1. The number of patients undergoing treatment at the University Hospital of Rousse is gradually increasing from 71 501 in 2014 to 80 081 persons by 2016, with indicators for the county twice as low: 31 801 for 2014 and 32 105 for 2016; 2. The morbidity rate in the University Hospital of Rousse represents more than half the morbidity of nosocomial infections in the county, with an increase in he University Hospital of Rousse in 2015 and 2016 of 1.26% and 1.51%, respectively, without significant changes in the indicator for the county (0.66%, 0.67%); 3. There was an increased use of antibiotics in the Pediatric Ward - 84.96% in 2015 and (86.55%) in 2016; in the Department of Urology - 85.40%; Gynecology - 70.45%; and Infectious Diseases – 61.12%, for 2015; 4. In-hospital infections were registered in 14 departments in 2013 and 2014, and in 2015 and 2016 - in 20 departments of the Hospital. 5. The departments with the highest incidence of in-hospital infections related to medical care were: Anesthesiology - 9.86% in 2015 and 15.41% in 2016; Intensive Care - 4.67% in 2015 and 7.52 % in 2016; Urology - 6.48% in 2015 and 5.79% in 2016; Neonatology - 4.03% in 2015 and 5.09% in 2016.
Вачева-Добревска, Н. Гачева Е. Джигошева и др. За превенцията на инфекциите в болничната практика Помагало за клинициста Нозокомиални инфекции Тематичен брой № 1 Булнозо академия София, 2014, www.bulnoso.org,156 с
Закон за лечебните заведения (ДВ N 05/07/1999; ДВ N101/18 дек. 2009, посл.изм ДВ N38/21 май, 2010
Наредба 3 от 14.05.2013 г. Обн. ДВ, бр. 43 за утвърждаване на мед. стандарт за превенция и контролна ВБИ
Рибарова Н., Й. Стоилова, Н. Вълканова и съоавт., Епидемиология на инфекциозните заболявания, изд. СИМЕЛПРЕС, София, 2011, 447с.
Winters BD, Gurses AP, Lehmann H, Sexton JB, Rampersad CJ, Pronovost PJ. Clinical review: checklists - translating evidence into practice. Crit Care 2009; 13(6): 6.Schyve, P. Prologue. Systems thinking and patient safety. In: Advances in patient safety: From research to implementation. 2005. Agency for Healthcare Research and Quality (AHRQ).Volume 2: Concepts and Method-ology. http://www.ahrq.gov/downloads/pub/advances/vol2/Schyve.pdf *Accessed July 7, 2011+
Sawyer M, Weeks K, Goeschel CA, et al. Using evidence, rigorous meas-urement, and collaboration to eliminate central catheter-associated blood-stream infections. Crit Care Med 2010; 38(8 Suppl):S292-8.
Donaldson, L. The Role of Improving Safety and Quality in Addressing the Millennium Development Goals. 2010. http://www.hciproject.org/node/1598 *Accessed July 7, 2011+
https://www.credoweb.bg/page/19648/umbal-ruse/all
https://spravochnik.framar.bg
