Appointment of Antimicrobial Medications in a Hospital Depending on the Results of Microbiological Monitoring of HAI
https://doi.org/10.37489/0235-2990-2020-65-9-10-21-27
Abstract
One of the tasks of the hospital-s clinical pharmacologists service is to continuously monitor the consumption of antimicrobial drugs (DDD analysis) depending on the microbiological and epidemiological situation in the hospital. This is necessary for the implementation of various medical programs and technologies aimed at reducing the selection pressure of antimicrobial drugs and reducing the risk of the emergence, accumulation, and spread of bacteria strains with multiple and/or extreme drug resistance to these drugs in the hospital environment. To date, some medical institutions, especially in the various regions of the Russian Federation, do not have a proper team of clinical pharmacologists and a modern, well-equipped and computerized microbiological laboratory. This does not allow full implementation of the above-mentioned programs in such hospitals, e. g. Antimicrobial therapy monitoring system — SСAT and technologies, e. g. «carbapenem-preserving technologies» and «microbiological monitoring».
About the Authors
S. D. MitrokhinRussian Federation
Moscow
O. E. Orlova
Russian Federation
Moscow
I. V. Gosteva
Russian Federation
Moscow
A. S. Shkoda
Russian Federation
Moscow
References
1. Bogdanov M.B., Chernen-kaya T.V. Algoritmy i organizatsiya antibiotikoterapii. Rukovodstvo dlya vrachej. M.: 2004. [in Russian]
2. Belokrysenko S.S. Opora klinitsista (struktura i funktsii sovremennoj mikrobiologicheskoj laboratorii v sisteme klinicheskoj laboratornoj sluzhby). Meditsina dlya vsekh. 1998; 5 (11): 2–4. [in Russian]
3. Rubin R.Dzh., Kharrington K.A., Pun A. i dr. Ekonomicheskie poteri, svyazannye s infektsiyami, vyzvannymi Staphylococcus aureus. Klinicheskaya Mikrobiologiya i Antimikrobnaya Khimioterapiya 2000; 2 (2): 47–56.
4. Semina N.A., Kovaleva E.P. Vnutribol-nichnye infektsii — aktual-naya problema sovremennogo zdravookhraneniya. «Infektsionnye bolezni na rubezhe KhKhI veka». Materialy nauchno-prakticheskoj konferentsii, maj, 2000. M.: 2000; II: 35–36. [in Russian]
5. Stroganov V.P. Osobennosti epidemiologii i mikrobiologii gospital-nykh infektsij. Infektsii i Antimikrobnaya Terapiya 2000; 2 (3): 96–98. [in Russian]
6. Strategiya i taktika primeneniya antimikrobnykh sredstv v lechebnykh uchrezhdeniyakh Rossii. Rossijskie natsional-nye rekomendatsii. Pod. red. V.S. Savel-eva, B.R. Gel-fanda, S. V. Yakovleva. M.: 2012. [in Russian]
7. Programma SKAT (Strategiya Kontrolya Antimikrobnoj Terapii) pri okazanii statsionarnoj meditsinskoj pomoshchi: metodicheskie rekomendatsii. Pod. red. S.V. Yakovleva, M.V. Zhuravlevoj, D.N. Protsenko, V.B. Beloborodova. M.: 2016. [in Russian]
Review
For citations:
Mitrokhin S.D., Orlova O.E., Gosteva I.V., Shkoda A.S. Appointment of Antimicrobial Medications in a Hospital Depending on the Results of Microbiological Monitoring of HAI. Antibiot Khimioter = Antibiotics and Chemotherapy. 2020;65(9-10):21-27. (In Russ.) https://doi.org/10.37489/0235-2990-2020-65-9-10-21-27