Dezdelo prodaja 

disinf-want
 
 
Disinfection affairs № 4 / 2014


CONTENTS


Life of NOD

Materials common NOD members' meeting (Evpatoriya, 25.09.2014)

Report on carrying out general meeting of members of NOD

N.V. Shestopalov, L.S. Boyko

Current state and development trends of disinfecting affair, the importance of National disinfecting staff organization and it’s perfection

T.V. Makhneva

Development prospects of Russian-manufactured of decontaminating equipment, pest control and extermination in special economic conditions

The catalogue of participant of exhibition

Congratulation new members of NOD

Information report about conference of presidium of National Organization of Disin­fectionists (27.10.14)

About exhibition with participation of NOD in Oktober-November, 2014

 

DISINFECTION BUSINESS MANAGEMENT

P.A. Demidov1,2, V.G. Akimkin3,4,5, I.A. Khrapunova3,4

1"City Clinical Hospital No. 4" of Department of Health Care of Moscow: 25 Pavlovskaya str., Moscow, 115093, Russian Federation;

2Medical School No. 8 of Department of Health Care of Moscow: 8 Uspenskiy pereulok, Moscow, 127006, Russian Federation;

3Scientific Research Disinfectology Institute of Federal Service in Supervision of Protection of Rights of Consumers and Prosperity of a Man: 18 Nauchniy proezd, Moscow, 117246, Russian Federation;

4I.M. Sechenov’s First Moscow State Medical University: 8, stroenie 2 Trubetskaya str., Moscow, 119991, Russian Federation;

5Central Scientific Research Epidemiology Institute of Federal Service in Supervision of Protection of Rights of Consumers and Prosperity of a Man: 3а Novogireevskaya str., Moscow, 111123, Russian Federation.

Using Surgical Instruments Tracking Systems in Central Sterile Services Department in Healthcare Organizations

Very many medical devices are used daily for carrying out medical-diagnostic services in Healthcare organizations. Medical procedures involving inadequately reprocessed medical devices carry the risk of exposing patients to different infections; the most frequent are septic-purulent nosocomial infections. According to official statistics in the past few years septic-purulent nosocomial infections made up 75 percent of all healthcare-associated and Blood-borne Infections, which are very common among the population. Objective: to evaluate the potential use of surgical instruments tracking system in Central Sterile Services Department in order to increase the security of sterilization activities and prevent health care-associated infection. It’s very important to collect all the data on conditions of reprocessing of medical devices. According to the requirements of the national normative documentation, the main state records in Central Sterile Services Departments are Form No 366/u – "Medical devices’ pre-sterilization cleaning quality control Log " and Form No 257/u – "Air and steam sterilizers’ performance control log". However, the above mentioned registration forms do not always reflect the complete information that should be collected on daily circulation of medical devices according to the requirements of the State standards of the Russian Federation. The testing of new computer tracking system was held during last 8 months at the Central Sterile Services Department in The State Budget Health Care institution The City Clinical Hospital No 4 under the Moscow City Department of healthcare for the first time ever in the Russian Federation. While testing the electronic tracking system, the instrument sets marked with unique codes passed through the decontamination process not less than 56 times (about 5–7 times per month). For reference: about 1.800.000 medical devices undergo sterilization in the Central Sterile Services Department annually. Steam and low-temperature ethylene oxide sterilizations were used. The test results demonstrate the multifunctionality of Instrument Tracking System, it’s very easy and improves the consumer-oriented characteristics of medical devices for healthcare organizations with varying degrees of equipment.
Key words: healthcare-associated infections, medical devices, sterilization, tracking system.

AUTHORS
Demidov Petr Aleksandrovich – Manager of Nurse Business, Manager of the Centralized Sterilizing City Clinical Hospital No. 4, Teacher of Medical School No. 8, Tel.: (495) 955-64-59, e-mail: Адрес электронной почты защищен от спам-ботов. Для просмотра адреса в вашем браузере должен быть включен Javascript.
Akimkin Vasiliy Gennad’evich –Member of Russian Academy of Science, Doctor of Medical Science, Professor; Director Deputy of Scientific Research Disinfectology Institute
Khrapunova Izabella Aleksandrovna – Doctor of Medical Science, Professor; Manager of Scientific and Educational Department of Scientific Research Disinfectology Institute

 

N.-O. Hubner1, O. Assadian2, C. Hubner1, A. Kramer1

1Institute of Hygiene and Environmental Medicine at Ernst Moritz Arndt University: Walther Rathenau Str. 49a, 17489 Greifswald, Germany;

2Department for Hospital Hygiene and Infection Control, Vienna General Hospital, Medical University of Vienna: Waehringer Guertel 18–20, A–1090 Vienna, Austria.

A systematic review on feasibility, safety and efficacy of hand hygiene in the community: effects on acute respiratory and gastrointestinal infections and absenteeism

Background. As a major reason for absenteeism from work, respiratory and diarrhoeal diseases cause massive economical damage and increase healthcare expenditures. Hand hygiene is essential for preventing and controlling of infections in the health care as well as in the community setting. Previous analysis on this topic focussed on the effectiveness of antimicrobial rinse free hand sanitizer interventions in various settings, but other important aspects like safety, handling issues, acceptance and compliance have not been reviewed so far. Knowledge on these aspects is imperative before a broad use in the community, and especially in child-care and elementary schools, can be recommended. Methods. A literature review to answer whether rinse-free hand sanitizer programmes in the community can be expected to be not only effective, but save and feasible outside controlled trails was conducted. A systematic literature research was performed using the following keywords: "hand sanitizer", "hand hygiene", "hand washing", "absenteeism", "school", and "day care". No limits were applied on date, geographical location or language. Studies were analysed for setting, design, duration, number and age of participants, type of intervention, active agents used and primary endpoints (respiratory/gastrointestinal infections or both). Results. 11 studies met the inclusion criteria. 7 were case-control studies, 3 cross-over studies and 1 used a combined design. Most of the studies were conducted at primary schools or homes of families with children who were enrolled in out-of-home child care institutions. 1 study investigated the effect of a hand sanitizer in student halls and military flight personnel, respectively. 10 studies were prospective, 1 observational and only 1 was double-blinded, placebo controlled trial. Conclusion. It is concluded that rinse-free hand sanitizer programmes in the community can be expected to be not only effective, but save and feasible. However, further, well designed studies in different settings are needed to strengthen the evidence.
Key words: hand hygiene, community, out-of-home child-care, school, hand wash, hand rub, rinse-free hand sanitizers, efficacy, safety, compliance, infection control, respiratory disease, diarrhoeal disease, absenteeism, transmission, infectious disease.

AUTHORS
Assadian Ojan – Professor, Doctor of Medicine, Consultant Clinical Microbiology and Infection Control, Consultant Infectious Diseases and Tropical Medicine at the Medical University of Vienna; Tel.: +43–1-40400–1904; Fax: +43–1-40400–1907, e-mail: Адрес электронной почты защищен от спам-ботов. Для просмотра адреса в вашем браузере должен быть включен Javascript.
Hubner Nils-Olaf – Doctor of Medicine, Research Associate in Institute of Hygiene and Environmental Medicine at Ernst Moritz Arndt University
Hubner Claudia – Research Associate in Institute of Hygiene and Environmental Medicine at Ernst Moritz Arndt University
Kramer Axel – Professor, Doctor of Medicine, Specialist for Hygiene and Environmental Medicine, has been heading Institute of Hygiene and Environmental Medicine at Ernst Moritz Arndt University

 

EPIDEMIOLOGY

M.V. Monastyrskiy1, N.V. Shestopalov1, V.G. Akimkin1,3,4, Yu.V. Demina2

1Scientific Research Disinfectology Institute of Federal Service in Supervision of Protection of Rights of Consumers and Prosperity of a Man: 18 Nauchniy proezd, Moscow, 117246, Russian Federation;

2Federal Service in Supervision of Protection of Rights of Consumers and Prosperity of a Man: 18 Vadkovskiy pereulok, Moscow, 127994, Russian Federation;

3I.M. Sechenov’s First Moscow State Medical University: 8, stroenie 2 Trubetskaya str., Moscow, 119991, Russian Federation;

4Central Scientific Research Epidemiology Institute of Federal Service in Supervision of Protection of Rights of Consumers and Prosperity of a Man: 3а Novogireevskaya str., Moscow, 111123, Russian Federation.

Improvement and optimization of preventive and epidemiology during West Nile Fever on the territory of Volgograd region

West Nile Fever on the territory of Volgograd region is the main important arbovirus infection. There is shown disease incidence reduction of West Nile Fever from 2001 to 2006, in 2008 and in 2009 – disease incidence reduction of nasty form number said only about temporary regression of epidemical process on the territory of Volgograd region. In the course of epidemiological surveillance in running events of West Nile Fever preventive measures must be modern and adequate to the present stage of difficult epidemiologic situation.
Key words: West Nile Fever, West Nile virus, epidemiologic situation, number, disease incidence, viral infectivity.

AUTHORS
Monastyrskiy Mikhail Valentinovich – Director Deputy of Scientific Research Disinfectology Institute; tel.: (495) 332-01-04, e-mail: МАдрес электронной почты защищен от спам-ботов. Для просмотра адреса в вашем браузере должен быть включен Javascript.
Shestopalov Nikolay Vladimirovich – Doctor of Medical Science, Professor; Director of Scientific Research Disinfectology Institute
Akimkin Vasiliy Gennad'evich Member of Russian Academy of Science, Doctor of Medical Science, Professor; Director Deputy of Scientific Research Disinfectology Institute
Demina Yuliya Viktorovna – Deputy Head of Department of Epidemiological Surveillance of Federal Service in Supervision of Protection of Rights of Consumers and Prosperity of a Man

 

O.A. Orlova1,2, V.G. Akimkin3,4,5

1City Clinical Hospital 8: 28 Gor’kogo str., Chelyabinsk, 454071, Russian Federation;

2South-Ural State Medical University of the Ministry of Healthcare: 64 Vorovskogo str., Chelyabinsk, 454092, Russian Federation;

3Scientific Research Disinfectology Institute of Federal Service in Supervision of Protection of Rights of Consumers and Prosperity of a Man: 18 Nauchniy proezd, Moscow, 117246, Russian Federation;

4I.M. Sechenov’s First Moscow State Medical University: 8, stroenie 2 Trubetskaya str., Moscow, 119991, Russian Federation;

5Central Scientific Research Epidemiology Institute of Federal Service in Supervision of Protection of Rights of Consumers and Prosperity of a Man: 3а Novogireevskaya str., Moscow, 111123, Russian Federation.

Microbiological landscape department of surgical intensive care unit

According to the Center for Control and Prevention, USA (CDC), the frequency of infectious complications in patient’s resuscitation and intensive care unit (ICU) is from 5 to 35 %. Microorganisms circulating in medical organizations differ significantly from community-acquired primarily of resistance to antimicrobial agents and disinfectants. Objective. To analyze the microbial landscape of the department of surgical intensive care unit. Materials and Methods. Sanitary-bacteriological examination of the environment department of surgical intensive care unit from 2004 to 2013, during which selected 11099 flushing, isolated and identified 764 cultures of microorganisms. Results. Branch is a branch of the surgical intensive care unit of high epidemiological risk for IHS. The structure of the microflora isolated from patients with the highest value had IHS negative bacteria: Acinetobacter baumanii – 31,9 % and Pseudomonas aeruginosa – 28,6 %. Microbial contamination of the environment department of surgical intensive care unit is 6,9 %±1,4 %, characterized by a marked diversity with the overwhelming predominance of the genus Staphylococcus – 39,2 %. Varietal identity of microorganisms with various objects in the environment with the dominance of strains of the genus Staphylococcus and Micrococcus represents an overall transmission possible factor – the hands of medical personnel. Correlation between the microflora isolated from patients with IHS and hospital facilities have been identified (r < 0).According to the Center for Control and Prevention, USA (CDC), the frequency of infectious complications in patient’s resuscitation and intensive care unit (ICU) is from 5 to 35 %. Microorganisms circulating in medical organizations differ significantly from community-acquired primarily of resistance to antimicrobial agents and disinfectants. Correlation between the microflora isolated from patients with IHS and hospital facilities have been identified (r < 0).
Key words: office surgical intensive care, hospital environment, contamination by microorganisms.

AUTHORS
Orlova Oksana Anatol’evna – Candidat of Medical Science, Head of Epidemiological Department City Clinical Hospital № 8; Associate Professor of Chair Hygiene and Epidemiology; Tel.: (351) 773-06-10, e-mail: Адрес электронной почты защищен от спам-ботов. Для просмотра адреса в вашем браузере должен быть включен Javascript.
Akimkin Vasiliy Gennad’evich – Member of Russian Academy of Science, Doctor of Medical Science, Professor; Director Deputy of Scientific Research Disinfectology Institute

 

DISINFECTION

 A.V. Nagolkin1, E.V. Volodina1, V.G. Akimkin2,3,4, A.P. Borisoglebskaya5, A.C. Safatov6

1Scientific and Production Firm "Potok Inter": 2–18 Khavskaya str., Moscow, 115162, Russian Federation;

2Scientific Research Disinfectology Institute of Federal Service in Supervision of Protection of Rights of Consumers and Prosperity of a Man: 18 Nauchniy proezd, Moscow, 117246, Russian Federation;

3Central Scientific Research Epidemiology Institute of Federal Service in Supervision of Protection of Rights of Consumers and Prosperity of a Man: 3а Novogireevskaya str., Moscow, 111123, Russian Federation;

4I.M. Sechenov’s First Moscow State Medical University: 8, stroenie 2 Trubetskaya str., Moscow, 119991, Russian Federation;

5Moscow State University of Civil Engineering of the Ministry of education and science of Russian Federation: 26 Yaroslavskoye shosse, Moscow, 129337, Russian Federation;

6State Research Center of Virology and Biotechnology "Vector" of Federal Service in Supervision of Protection of Rights of Consumers and Prosperity of a Man: Koltsovo, Novosibirsk region, 630559, Russian Federation.

Modern native technology of disinfecting of air by method of an inactivation of microorganisms

Problems of disinfecting of air in medical institutions are discussed. The most widespread technologies of ensuring microbiological purity of air are given. The special attention is paid to technologies of an inactivation of microorganisms in air, their merits and demerits are given. As the most perspective technologies of disinfecting of air use of the "Stream" technology based on an inactivation of microorganisms under the influence of constant electric fields, with the subsequent filtration of the inactivated biomass of microorganisms and aerosol particles on an electrostatic precipitator is offered.
Key words: air disinfecting, inactivation of microorganisms in air, the НЕРА-filtration, influence of constant electric fields, "Stream" technology.

AUTHORS
Akimkin Vasiliy Gennad'evichMember of Russian Academy of Science, Doctor of Medical Science, Professor; Director Deputy of Scientific Research Disinfectology Institute; tel.: (495) 332–01–50, e-mail: Адрес электронной почты защищен от спам-ботов. Для просмотра адреса в вашем браузере должен быть включен Javascript..
Nagolkin Aleksandr Vladimirovich – CEO in Scientific and Production Firm "Potok Inter"
Volodina Elena Vladimirovna – directress in Scientific and Production Firm "Potok Inter"
Borisoglebskaya Anna Petrovna – Candidate of Technical Sciences, Associate Professor Heating and Ventilation in Moscow State University of Civil Engineering
Safatov Aleksandr Sergeevich – Doctor of Science in Biology, Head of Department in State Research Center of Virology and Biotechnology "Vector"

 

DISINSECTION

 M.A. Alekseev

Scientific Research Disinfectology Institute of Federal Service in Supervision of Protection of Rights of Consumers and Prosperity of a Man: 18 Nauchniy proezd, Moscow, 117246, Russian Federation.

Resistance to avermectins of arthropods, which have medical and sanitary and hygienic meaning (analytical review)

In this review first worldwide there were analyzed investigation results of foreign and native investigators, concerning different problem aspects of resistance to avermectins of arthropods, which have medical and sanitary and hygienic meaning. According to present statistics in world literature, sensitivity changes to avermectins were registered among itch mites, synanthropic cockroaches, lices and dipterous insects (mosquitoes and filth fly). In most cases naturally the resistance to avermectins arises for multi-drug resistant populations with complex persistence mechanism to insectoacaricides from different classes of chemical compounds, but the level is not high yet. In laboratory conditions can be achieved higher level of resistance to avermectins only by the help of intensive selection, which naturally improbable because of toxicological operational constraints pesticides. For successful use of avermectins against arthropod populations, which have medical and sanitary and hygienic meaning, there is necessary to execute noncontinuous monitoring of their resistance to compounds from this class in our country.
Key words: resistance, cross-resistance, avermectins, fight with arthropods, itch mites, insects, synanthropic cockroaches, lice, mosquitoes, filth fly.

AUTHORS
Alekseev Mikhail Anatol'evich – Candidat of Biological Sciences, Head of Insectary in Scientific Research Disinfectology Institute; tel.: (495) 332-01-85, e-mail: Адрес электронной почты защищен от спам-ботов. Для просмотра адреса в вашем браузере должен быть включен Javascript.

DOCUMENTS

List of the disinfection, disinsection, deratisation means, registered in August – October 2014

 

MISCELLANIUS

Congratulations to Pankratova G.P. (to her 70th anniversary)

International congress resolution, called "Modern techniques and disinfection and sterilization technologies in infection prevention, connected with medical treatment"

Member of Russian Academy of Science, Doctor of Medical Science, Professor; Director Deputy of Scientific Research Disinfectology Institute