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Presentations from NW Russian regions: Murmansk

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Presentations from NW Russian regions – gaps and challenges, opportunities and strengths: Murmansk

Publicado en: Salud y medicina
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Presentations from NW Russian regions: Murmansk

  1. 1. «Thematic Program for Health Promotion and prevention: Nordic – Russian Cooperation on Antimicrobial Resistance (AMR) Containment, 2019-2020» Murmansk Region February 28th, 2019
  2. 2. CENTRAL MULTIFUNCTION LABORATORY
  3. 3. EIGHT YEARS OF COOPERATION WITH "RESEARCH INSTITUTE FOR ANTI- MICROBIAL CHEMOTHERAPY", SMOLENSK. • PROFESSIONAL TRAINING • PARTICIPATION IN THE FOLLOWING PROGRAMS: AMR CONTROL IN THE CENTRALASIA AND EASTERN EUROPE (CAESAR) AND MULTICENTER EPIDEMIOLOGICAL STUDY OF NOSOCOMIAL INFECTIONS PATHOGENS AB RESISTANCE OF (MARATHON)
  4. 4. EUCAST guidelines for detection of resistance mechanisms and specific resistances of clinical and/or epidemiological importance www.eucast.org 1. Карбапенемазы у энтеробактерий 2. ESBL у энтеробактерий 3. AmpC у энтеробактерий 4. Р к метициллину у S. aureus 5. НЧ к гликопептидам у S. aureus 6. Р к гликопептидам у E. faecalis и E. faecium 7. НЧ к пенициллину у S. pneumoniae
  5. 5. EXTERNAL QUALITY CONTROL OF LABORATORY TESTS • PARTICIPATION IN THE INTERLABORATORY COMPARATIVE VALIDATIONS GUIDED BY THE FEDERAL SYSTEM FOR EXTERNAL QUALITY CONTROL (FSEQC) – ANNUALLY • PARTICIPATION IN THE BRITISH INTERNATIONAL PROGRAM FOR EXTERNAL QUALITY CONTROL (UK NEQAS) - ANNUALLY
  6. 6. CENTRAL MULTIFUNCTION LABORATORY Kola District Murmansk Severomorsk Monchegorsk Olenegorsk Kovdor District Pechenga District
  7. 7. AUTOMATION AT THE STAGE OF INOCULATION
  8. 8. AUTOMATION AT THE STAGE OF MICROORGANISM IDENTIFICATION
  9. 9. AUTOMATION AT THE STAGE OF RESULTS INTERPRETING AND RECORDING • COMPUTERIZED SYSTEM FOR MICROBIOLOGICAL MONITORING: ELECTRONIC DATABASE OF ISOLATED MICROORGANISMS AND THEIR ANTIBIOTIC SUSCEPTIBILITY PATTERN (ANTIBIOGRAM) IS AVILABLE SINCE 2006.
  10. 10. 2017 – PCR METHOD FOR GENETIC RESISTANCE MECHANISMS STUDIES WAS INTRODUCED
  11. 11. Chromogenic culture medium, 2018
  12. 12. ROLE OF MICROBIOLOGICAL MONITORING Bacteriological laboratory Microorganism sensitivity AB resistance level AB activity Nosocomial strains Attending physician Clinical pharmacologist Pharmacy Epidemiologist Etiotropic therapy AB therapy algorithm – empiric treatment AB procurement Evaluation of epidemic alertness signal symptoms, timely organized isolation and restrictive measures
  13. 13. MOST CHALLENGING ”NOSOCOMIAL STRAINS" • Enterococcus faecium • Staphylococcus aureus (MRSA) • Klebsiella pneumoniae • Аcinetobacter baumannii • Pseudomonas aeruginosae • Enterobacter spp.
  14. 14. 2018 • GENETIC MONITORING OF Klebsiella pneumoniae NOSOCOMIAL STRAINS WAS CARRIED OUT: METALLO-Β-LACTAMASE (NDM group) GENE WAS IDENTIFIED
  15. 15. PROSPECTS FOR INTERNATIONAL COOPERATION 1. EXPERIENCES IN IMPLEMENTATION OF INFECTIOUS CONTROL STANDARDS 2. IMPROVING THE SYSTEM OF MICROBIOLOGICAL MONITORING AND USE OFANTIBIOTICS FOR TREATMENT AND PREVENTION 3. IMPROVING HANDS HYGIENE SYSTEM (enhancement of medical staff commitment to hands hygiene rules). 4. SHARING EXPERIENCES IN NURSING CARE SAFETY TECHNOLOGIES IN ICU WARDS

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