DISINFECTION BUSINESS MANAGEMENT
pp. 5-14
T.N. Shestopalova, T.V. Gololobova
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.
The problem of ensuring the quality, availability and safety of medical activity
The analysis of safety indicators of medical activity indicates the presence of structural, organizational and operational shortcomings of the health care system. One of the main reasons for the existing problems is the lack of proper regulation of the actions of medical personnel. To solve this problem, the development of Standard operating procedures (SOPs) in relation to the most important security measures. The formation and implementation of clear, clear, meeting modern requirements of medical science and practice of standard operating procedures in medical practice can become one of the effective elements of the quality management system of medical activities.
Keywords: safety of medical activity, standard operating procedures (SOPs), quality of medical activity, organization of medical care, standardization, assessment of health risks.
AUTHORS
Shestopalova Tatyana Nikolaevna – Researcher Associate of Laboratory of Problems of Sterilization of Scientific Research Disinfectology Institute of Federal Service in Supervision of Protection of Rights of Consumers and Prosperity of a Man (SRDI); Tel: (495) 332-01-11, e-mail: Адрес электронной почты защищен от спам-ботов. Для просмотра адреса в вашем браузере должен быть включен Javascript.
Gololobova Tatyana VIktorovna – Doctor of Medical Science, Director Deputy of SRDI
DISINFECTION
pp. 14-22
N.V. Shestopalov1,2, L.S. Fedorova1, A.A. Serov1, T.V. Gololobova1,2, A.I. Ruleva3, L.A. Sorokina 3
1Federal Budget Institution of Science, Science Research Institute of Disinfectology of the Federal Service on Surveillance for Consumer Rights Protection and Human Well-Being: 18 Nauchniy proezd, Moscow, 117246, Russian Federation;
2Federal State Budgetary Educational Institution of Continuing Professional Education, Russian Medical Academy of Continuing Professional Education of the Ministry of Healthcare of the Russian Federation: 2/1 Barrikadnaya str., Moscow, 125993, Russian Federation
3Federal State Autonomous Institution "Treatment and Rehabilitation Center" of the Ministry of Healthcare of the Russian Federation: 3 Ivankovskoye shosse, Moscow, 125367, Russian Federation.
Problems of monitoring of microorganisms’ resistance to disinfection agents in healthcare institutions
The present article outlines the issues of microbiological monitoring of microorganisms’ resistance to disinfection agents mainly based on the absence of the unified organizational monitoring system in the Russian Federation, as well as the insufficient coverage of this problem in regulatory documents. The results of the monitoring in one of Moscow’s healthcare institutions are given as an example. 70 strains of microorganisms were isolated in the environment and pathological loci of departments of various specializations, and 27 of them turned out to be resistant. This article presents the analysis of resistance depending on the types of microorganisms, the chemical nature of the disinfection agent etc. Also, the necessity of perfection of the regulatory structure on microbiological monitoring of resistance of microorganisms circulating in healthcare institutions to disinfection agents was justified.
Keywords: monitoring, resistance, microorganisms, disinfecting agents, modes of use.
AUTHORS
Shestopalov Nikolay Vladimirovich – Doctor of Medical Science, Professor; Director of Scientific Research Disinfectology Institute of Federal Service in Supervision of Protection of Rights of Consumers and Prosperity of a Man; Tel.: +7 (495) 332-01-01, e-mail:Адрес электронной почты защищен от спам-ботов. Для просмотра адреса в вашем браузере должен быть включен Javascript.
Fedorova Lyudmila Samuilovna – Doctor of Medical Science, Professor; Head of Laboratory of Disinfectology Problems of Scientific Research Disinfectology Institute of Federal Service in Supervision of Protection of Rights of Consumers and Prosperity of a Man
Serov Aleksey Andreevich – Junior Researcher of Laboratory of Disinfectology Problems of Scientific Research Disinfectology Institute of Federal Service in Supervision of Protection of Rights of Consumers and Prosperity of a Man
Ruleva Anna Igorevna – Epidemiologist of Treatment and Rehabilitation Center
Sorokina Lyudmila Aleksandrovna – Clinical Laboratory Diagnostician of Treatment and Rehabilitation Center
pp. 23-29
N.S. Vasiliev1, I.M. Abramova2, V.N. Vasiliev1, O.N. Smolkina1, V.S. Andreev1, P.A. Demidov3
1LLC "Scientific industrial company VINAR": 5 bld 7A, office VIII, Gospitalniy Val str., Moscow, 105094, Russian Federation;
2Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University): 2 bld 4, Bolshaya Pirogovskaya Str., Moscow, 119991, Russian Federation;
3State Budgetary Healthcare Institution City Clinical Hospital No. 4 of the Department of Healthcare of Moscow: 25 Pavlovskaya str., Moscow, 115093, Russian Federation.
Using the process control devices as a way of increasing reliability of medical devices sterilization
This article discusses the issues of quality control of medical devices sterilization in case of centralized sterilization. The data received using the monitoring and metering instruments of sterilizers, as well as chemical indicators placed in the reference points on the outer side of the packages, is not sufficient to fully determine if the sterilizing agent successfully permeates those packages and devices that are difficult to sterilize. The process control devices (PCD) used for periodic and routine control are recommended for the purpose of improving the reliability of sterilization control and quality. The article mentions the requirements for the process control devices used for various sterilization methods. The method of using process control devices for periodic and routine control of sterilization is also described. The article includes in-depth description of all commercially available sterilization control devices included in the national register of medical devices for steam, EO and steam formaldehyde sterilization.
Keywords: sterilization of medical devices, sterilization quality control, devices controlling sterilization process, chemical indicators, biological indicators, moist heat sterilization, steam formaldehyde sterilization, EO sterilization.
AUTHORS
Vasilev Nikolay Semenovich – Candidate of Chemistry Science, Director of Scientific Work and Development of Production of Scientific industrial company VINAR; Tel.: (495)-988-76-67, e-mail: Адрес электронной почты защищен от спам-ботов. Для просмотра адреса в вашем браузере должен быть включен Javascript.
Abramova Irina Mikhaylovna – Candidate of Science in Biology, Associate Professor; Assistant Professor on Chamber of Disinfectology of First Moscow Medical University named after I.M. Sechenov
Vasilev Viktor Nikolaevich – Head of Department of Scientific industrial company VINAR
Smolkina Olga Nikolaevna – Candidate of Science in Biology, – Head of Department of Scientific industrial company VINAR
Andreev Vladimir Sergeevich – Candidate of Chemistry Science, Director General of Scientific industrial company VINAR
Demidov Petr Aleksandrovich – Manager of Nurse Business, Manager of the Centralized Sterilizing, Clinical Hospital No. 4
pp. 30-34
P.A. Yunakov, G.A. Tyutina, E.P. Gorina
Moscow city centre of disinfection: 9 Yaroslavskoe shosse, Moscow, 129337, Russian Federation
Experience on the organization and performance of final disinfection in the tuberculosis centers in the medical organizations of Moscow
Experience in Moscow on the organization and carrying out final disinfection in the tuberculosis centres, in the organizations financed from city budget is presented. Works were performed by the State unitary enterprise "Moscow City Centre of Disinfection" on the basis of the Government contract with the Moscow Department of Healthcare on rendering services in ensuring sanitary and epidemiologic wellbeing of the population.
Keywords: final disinfection, the tuberculosis centers, sanitary and hygienic actions at tuberculosis.
AUTHORS
Yunakov Pavel Anatolevich – Head of the "Moscow City Centre of Disinfection" (MCCD); Tеl.:(499) 183-56-92, email: Адрес электронной почты защищен от спам-ботов. Для просмотра адреса в вашем браузере должен быть включен Javascript.
Tyutina Galina Alekseevna – Deputy Chief Physician MCCD
Gorina Elena Petrovna – Head of the Disinfection Station № 4 of MCCD
DISINSECTION
34-42
O.Yu. Eremina
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.
Application of modified atmosphere to arthropods control
Modified atmospheres are used in various fields – in museum practice to control keratophagous insects (moths, beetles) and wood-borers, in stored products – grain, planting material, for the further transportation of fruits, vegetables, cut flowers, etc., and against quarantine pests. The review of the literature contains data from recent studies on the use of nitrogen, carbon dioxide, their mixtures, ozone and other potential fumigants capable of replacing obsolete methyl bromide and phosphine. Data on the ability of insects (on the example of weevils and mealworms) to develop resistance to increased content of carbon dioxide (hypercarbia) and low oxygen content (hypoxia) are given. Nitrogen dioxide and carbon dioxide are effective attractants for mosquitoes, which allows using them in modern traps to reduce mosquito numbers and for scientific purposes to determine the species composition.
Keywords: carbon dioxide, nitrogen, ozone, stored-product insects pests, keratophagous insects, resistance.
AUTHORS
Eremina Olga Yur’evna – Doctor of Science in Biology; Leading Researcher of Laboratory of Problems of Disinsection of "Scientific Research Disinfectology Institute" (SRDI); Tel.: (495) 332-01-51, e-mail: Адрес электронной почты защищен от спам-ботов. Для просмотра адреса в вашем браузере должен быть включен Javascript.
pp. 43-46
R.A. Khryapin, V.Yu. Kapustin, S.N. Pugaev, A.A. Matveev
Test laboratory centre of the Moscow city centre of disinfection: 9 Yaroslavskoe shosse, Moscow, 129337, Russian Federation
The case of invasion and mass dispersal of the ghost ant Tapinoma melanocephalum (F.) in a residential complex near Moscow
Second official indoor record of the ghost ant Tapinoma melanocephalum (F.) in Russian Federation is presented, as well as some aspects of its biology and habits when colonizing modern residence housing. Current control measures of T. melanocephalum are analysed and discussed, together with measures of preventing its range expansion in the country.
Keywords: invasive species, Tapinoma melanocephalum, ants, medical disinsection.
AUTHORS
Khryapin Roman Aleksandrovich – Biologist of Laboratory of Biocontrol of Test laboratory centre of the Moscow city centre of disinfection (TLC MCCD); Служеб. тел.: (910) 440-87-51, e-mail: Адрес электронной почты защищен от спам-ботов. Для просмотра адреса в вашем браузере должен быть включен Javascript.
Pugaev Sergey Nikolaevich – Head of Laboratory of Biocontrol of TLC MCCD
Kapustin Vladimir Yurevich – Head of Department of Quality Control of TLC MCCD
Matveev Aleksandr Aleksandrovich – Biologist of Laboratory of Biocontrol of TLC MCCD
DERATIZATION
pp. 46-54
S.V. Ryabov
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 of rodents to anticoagulants
The problem of resistance of rodents to the anticoagulants of first and second generations is considered. The problem is urgent for Russia and the countries of the international community. It has medical and also sanitary and hygienic significance. The history of the use of anticoagulants as rodenticides, general issues of hemostasis, the geography of the distribution of warfarin-resistant populations of rodents, and the determination of the level of resistance of their populations are described. The literature data on resistance to anticoagulants of populations of the gray rat and the house mouse are analyzed. The genetic basis of resistance to anticoagulants and the mechanism of resistance of rodents to anticoagulants are discussed and ways of its overcoming are described.
Keywords: resistance, anticoagulants, rodents, rodent control measures, hemostasis, epoxide reductase of vitamin K, genetic mutation.
AUTHORS
Ryabov Sergey Vasilevich – PhD in Biological Sciences, Head of the Laboratory of Deratization Problems of the Scientific Research Disinfectology Institute of Rospotrebnadzor; Tel.: (495) 332-01-89; e-mail: Адрес электронной почты защищен от спам-ботов. Для просмотра адреса в вашем браузере должен быть включен Javascript.
EPIDEMIOLOGY
pp. 55-60
P.A. Mochalkin1, A.P. Mochalkin1, E.G. Stepanov2, L.A. Farvazova2, N.V. Popov3
1State Budgetary Health Institution "Republican Center of Disinfection", Ministry of Health of the Republic of Bashkortostan: 127/1 Mingazheva st., Ufa City, Republic of Bashkortostan, 450005, Russian Federation;
2Rospotrebnadzor Administration in the Republic of Bashkortostan: 58 R. Zorge st., Ufa City, Republic of Bashkortostan, 450054, Russian Federation;
3Federal Government Health Institution "Russian Research Anti-Plague Institute "Microbe" of the Rospotrebnadzor: 46 Universitetskaya st., Saratov, 410005, Russian Federation.
Increase in efficiency of non-specific prophylaxis in the natural foci of hemorrhagic fever with renal syndrome, situated in the territory of the Republic of Bashkortostan
Key objective of the study was to develop an up-to-date tactics of non-specific hemorrhagic fever with renal syndrome (HFRS) prophylaxis in the territory of the Republic of Bashkortostan, targeted at protection of risk contingents among urban population. Materials and methods. Analyzed and summarized were the long-term data of the Rospotrebnadzor Administration in the Republic of Bashkortostan on HFRS morbidity rates in 2008–2017. Results and discussion. Substantiated has been the fact thatbetween 2008–2017 the most adverse epidemic situation took place in the forest-steppe landscape-geographical zone, where 15408 cases of HFRS infection were registered; i.e. 83.9 % of the total number in the Republic of Bashkortostan. Urban/ rural case ratio in the territory of the forest-steppe area was 65.4 % and 34.6 %, respectively. Conclusions. Tactics of non-specific prophylaxis must take into account the seasoning when the risk of urban population exposure is at its maximum. Preventive measures should be carried out within the time-frame preceding the periods of population density increase in the territories characterized by high risk of infection. In order to avoid HFRS occurrence, first and foremost, mundane group package of preventive actions must include community, barrier deratization and community disinfection.
Keywords: hemorrhagic fever with renal syndrome, factors and time-frames of risk of infection, urban and rural population, tactics of non-specific prophylaxis.
AUTHORS
Mochalkin Pavel Alexandrovich – Candidate of Medical Sciences, Chief Medical Officer at the State Budgetary Health Institution "Republican Center of Disinfection", Ministry of Health of the Republic of Bashkortostan: Tel.: (347) 273-83-27, e-mail: Адрес электронной почты защищен от спам-ботов. Для просмотра адреса в вашем браузере должен быть включен Javascript.
Mochalkin Alexander Pavlovich – Head of the Department of Preventive Disinfection at the State Budgetary Health Institution "Republican Center of Disinfection", Ministry of Health of the Republic of Bashkortostan
Stepanov Evgeny Georgievich – Head of the Rospotrebnadzor Administration in the Republic of Bashkortostan, Chief State Sanitary Officer in the Republic of Bashkortostan
Farvazova Lira Amirovna – Deputy Head of the Department of the Rospotrebnadzor Administration in the Republic of Bashkortostan
Popov Nikolai Vladimirovich – Doctor of Biological Sciences, Professor, Head of the Laboratory of Epizootiological Monitoring at FGHI RusRAPI "Microbe" of the Rospotrebnadzor
OUR CONGRATULATIONS
p. 60
M.G. Shandala (to his 90th anniversary)
p. 62
M.N. Kostina (to her 80th anniversary)
INFORMATION
pp. 63-64
Educational activity of Scientific Research Disinfectology Institute
pp. 65
Curriculum of tropic parasitic diseases and disinfecting affair RMANPO professorate
pp. 66
The textbook for the system of additional professional education in Disinfectology: Bogdanova E.N. "Medical disinsection"