[The prevention of hospital infections in newborns and puerperae today].
The analysis of reports of from maternity clinics and children's hospitals in the Russian Federation for the period of 1986-1994 showed that simultaneously with deterioration of the quality of life of the population not only a drop in the birth rate was registered, but also a significant increase in the appearance of different forms of pathology in pregnant and parturient women occurred. The deterioration of the characteristics of maternal health was accompanied by an increase in the number of high risk groups also among newborns. Thus, in the maternity clinics of the Russian Federation the number of children born sick or becoming sick shortly after birth rose 2.5-fold. Simultaneously with an increase in somatic pathology there was a significant rise in the number of cases of generalized infection among parturient women form 0.3 to 1.2%/1000, and cases of infections diseases among newborns from 10.4 to 21.5%/1000, as well as in infant mortality due to infections pathology. A complex of prophylactic measures is proposed; the realization of theses measures will make it possible to decrease the probability of the development of new severe forms of pathology in pregnant women and newborns, as well as to ensure effective epidemiological surveillance on hospital infections and to prevent their further rise among parturient women and newborns.
Genchikov
L A
LA
Busuek
G P
GP
Volodina
N I
NI
D000328:Adult; D003428:Cross Infection / Q000453:epidemiology / Q000517:prevention & control*; D005260:Female; D006771:Hospitals, Maternity / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D011645:Puerperal Infection / Q000453:epidemiology / Q000517:prevention & control*; D011788:Quality of Life; D012307:Risk Factors; D012426:Russia / Q000453:epidemiology
Profilaktika vnutrobol'nichnykh infektsiĭ u novorozhdennykh i rodil'nits na sovremennom étape.