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Dedov I.I.
Endocrinology Research Centre
Briko N.I.
Sechenov First Moscow State Medical University, Moscow, Russia
Andrianova E.A.
FGBU "Éndokrinologicheskiĭ nauchnyĭ tsentr" Minzdravsotsrazvitiia Rossii, Moskva
Abramova I.M.
Sechenov First Moscow State Medical University, Moscow, Russia;
Scientific Research Disinfectology Institute, Moscow, Russia
Brusina E.B.
Kemerovo State Medical Academy, Kemerovo, Russia
Bunova A.S.
Sechenov First Moscow State Medical University, Moscow, Russia
Dementieva L.A.
Federal Service for Supervision of Consumer Rights Protection and Human Welfare, Moscow, Russia
Igonina E.P.
Federal Service for Supervision of Consumer Rights Protection and Human Welfare, Moscow, Russia
Karpushkina A.V.
The «CAF» Foundation for Fhilantropy Support and Development, Moscow
Kravchuk S.V.
Morozov Pediatric City Clinical Hospital, Moscow, Russia
Laptev D.N.
Éndokrinologicheskiĭ nauchnyĭ tsentr, Moskva
Maĭorov A.Iu.
FGBU "ndokrinologicheskiĭ nauchnyĭ tsentr" Minzdrava RF, Moskva
Panteleeva L.G.
Scientific Research Disinfectology Institute, Moscow, Russia
Pankratova M.S.
Éndokrinologicheskiĭ nauchnyĭ tsentr, Moskva
Peterkova V.A.
Éndokrinologicheskiĭ nauchnyĭ tsentr, Moskva
Petriaĭkina E.E.
Morozovskaia detskaia gorodskaia klinicheskaia bol'nitsa
Polibin R.V.
Sechenov First Moscow State Medical University, Moscow, Russia
Rybkina I.G.
Morozovskaia detskaia gorodskaia klinicheskaia bol'nitsa
Shestopalova T.N.
Scientific Research Disinfectology Institute, Moscow, Russia
Assuring epidemiological safety for healthcare of patients with diabetes mellitus: federal clinical recomendations. Project
Journal: Problems of Endocrinology. 2016;62(3): 33‑60
Views: 2064
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To cite this article:
Dedov II, Briko NI, Andrianova EA, et al. . Assuring epidemiological safety for healthcare of patients with diabetes mellitus: federal clinical recomendations. Project. Problems of Endocrinology.
2016;62(3):33‑60. (In Russ.)
https://doi.org/10.14341/probl201662333-60
Healthcare associated infections (HAI) - infections that patients develop during the course of receiving healthcare in hospitals, outpatient department and at home, out of healthcare facilities, and infection resulting from occupational exposure. Patients with diabetes are vulnerable to HAI. Infections increase metabolism problems in patients with diabetes; and vice versa, high blood glucose level increases risk of infections. For assuring epidemiological safety for patients with diabetes infection control must be provided for the following medical practices: insulin injections; blood glucose test; care of diabetes foot; intravascular catheterization and surgery. Any invasive procedures increase the HAI risk. HAI are most commonly transferred through direct and indirect contact with the infection. Some of the main HIA preventive practices: staff cleaning hands with alcohol based sanitizer, single use of medical gloves, single use of insulin needles and syringes. In health facilities only multiple users and multiple blood glucose monitoring devices must be used by health providers. The protocol of glucose blood testing should include detailed disinfection procedures and additional measures to decrease the risk of potentially transmitting disease between patients and between patients and providers. Health providers should have special skills to care of patients with diabetes foot to perform non-traumatic procedures and infections control practices. Proper hand hygiene and gloves use combined with effective aseptic technique before catheter insertion and maintenance protect against severe HAI. Risk of infections significantly decreases when single-dose antibiotic was used before surgery as antimicrobial prophylaxis. To disease risk of infections patients should be recommended to strictly control diabetes during the weeks before elective surgical procedures.
Authors:
Dedov I.I.
Endocrinology Research Centre
Briko N.I.
Sechenov First Moscow State Medical University, Moscow, Russia
Andrianova E.A.
FGBU "Éndokrinologicheskiĭ nauchnyĭ tsentr" Minzdravsotsrazvitiia Rossii, Moskva
Abramova I.M.
Sechenov First Moscow State Medical University, Moscow, Russia;
Scientific Research Disinfectology Institute, Moscow, Russia
Brusina E.B.
Kemerovo State Medical Academy, Kemerovo, Russia
Bunova A.S.
Sechenov First Moscow State Medical University, Moscow, Russia
Dementieva L.A.
Federal Service for Supervision of Consumer Rights Protection and Human Welfare, Moscow, Russia
Igonina E.P.
Federal Service for Supervision of Consumer Rights Protection and Human Welfare, Moscow, Russia
Karpushkina A.V.
The «CAF» Foundation for Fhilantropy Support and Development, Moscow
Kravchuk S.V.
Morozov Pediatric City Clinical Hospital, Moscow, Russia
Laptev D.N.
Éndokrinologicheskiĭ nauchnyĭ tsentr, Moskva
Maĭorov A.Iu.
FGBU "ndokrinologicheskiĭ nauchnyĭ tsentr" Minzdrava RF, Moskva
Panteleeva L.G.
Scientific Research Disinfectology Institute, Moscow, Russia
Pankratova M.S.
Éndokrinologicheskiĭ nauchnyĭ tsentr, Moskva
Peterkova V.A.
Éndokrinologicheskiĭ nauchnyĭ tsentr, Moskva
Petriaĭkina E.E.
Morozovskaia detskaia gorodskaia klinicheskaia bol'nitsa
Polibin R.V.
Sechenov First Moscow State Medical University, Moscow, Russia
Rybkina I.G.
Morozovskaia detskaia gorodskaia klinicheskaia bol'nitsa
Shestopalova T.N.
Scientific Research Disinfectology Institute, Moscow, Russia
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