title: [Epidemiology and prophylaxis of hospital infections in obstetric and pediatric hospitals].
abstract: The analysis of reports of the obstetric and pediatric hospitals of Moscow for 1991-1998 revealed that, simultaneously with the deterioration of the quality of life of the population, not only a decrease in the birth rate, but also a rise in different forms of pathology in pregnant women and puerperae could be observed. The deterioration of the health characteristics of mothers was accompanied by the growth of high risk groups among newborns as well. Thus, the number of children, born sick or falling sick while staying in the obstetric clinics of Moscow, rose from 208 to 299 o/oo. Simultaneously with the growth of somatic pathology, a significant rise in infectious morbidity rate among newborns from 15 to 43 o/oo and a rise in death rate among newborns due to infectious pathology were noted. A complex of prophylactic measures is proposed. Their introduction will make it possible to decrease the probability of the appearance of severe forms of pathology in pregnant women and newborns, to ensure the effectiveness of epidemiological surveillance of hospital infections and to prevent their further growth among puerperae and newborns.
authors.affiliation: Gamaleya Research Institute of Epidemiology and Microbiology, Moscow, Russia.
authors.forename: L A
authors.initials: LA
authors.lastname: Genchikov
authors.forename: N V
authors.initials: NV
authors.lastname: Torchinskiĭ
authors.forename: G P
authors.initials: GP
authors.lastname: Busuek
authors.forename: N I
authors.initials: NI
authors.lastname: Volodina
mesh_terms: D000328:Adult; D001723:Birth Rate / Q000639:trends; D002675:Child, Preschool; D003428:Cross Infection / Q000453:epidemiology / Q000517:prevention & control*; D005260:Female; D006771:Hospitals, Maternity; D006776:Hospitals, Pediatric; D006783:Hospitals, State; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D017053:Infection Control / Q000706:statistics & numerical data / Q000639:trends; D009031:Moscow / Q000453:epidemiology; D011247:Pregnancy; D011645:Puerperal Infection / Q000453:epidemiology / Q000517:prevention & control*; D011788:Quality of Life; D012189:Retrospective Studies; D012307:Risk Factors
vernacular_title: Epidemiologiia i profilaktika vnutribol'nichnykh infektsiĭ v akusherskikh i pediatricheskikh statsionarakh.