Попов О. Optimization of disinfection technologies for prevention of infections related to medical care, in the burn Department

ANNOTATION Popov A. A. Optimization of disinfection technologies for prevention of infections related to medical care, in the burn Department – As a manuscript. The dissertation on competition of a scientific degree of candidate of medical Sciences on speciality 14.02.02 – epidemiology – in Kharkiv Medical Academy of Postgraduate Education of the Ministry of Health of Ukraine – Kharkiv, 2020. In the thesis on the basis of a systematic approach and a comprehensive assessment of the microflora of the epitopes of the patients and close the hospital environment the role of the external environment of treatment-prophylactic institutions as a source of infection in patients with thermal injury. The system of complex health care-associated infection (HCAI) taking into account the mechanism of formation of stability of pathogens to disinfectants is offered. The research is based on the results of comparative analysis of microflora isolated from the biomaterial of patients (760 samples) and environmental objects (1420 samples of washouts). The species identity of the pathogens of hospital infections and microorganisms from the objects surrounded by the patient was revealed, which indicates the epidemiological significance of hospital objects as a source of infection. Justified dezinfektologi prevention of HCAI in the burn unit, consisting of three stages: prevention of the formation of depressents pathogens by rotation disinfectants experimentally in a timely manner; disinfection of the ventilator based on the new approaches; decontamination of the air environment in the presence of patients UV irradiators-recirculators of the new generation. The effectiveness of this system is proved by a semi-annual study. It is established that in the environment survive, individuals with a high capacity for adaptive changes, in particular, the acquisition of resistance to disinfectants, the formation of biofilms. Keywords: microorganisms, disinfection, resistance.