Microbiological characteristics of causes of hospital-hospital infections and development of a method for diagnosis of hospitalized strains
Abstract
Objective: to establish the etiological structure of microorganisms isolated from nosocomial infections in the region, to present the microbiological characteristics of pathogens of nosocomial infections and to develop a method for indicating hospital strains. Material and methods: a retrospective analysis of data for the past 5 years was conducted. The etiologic structure of nosocomial infections was studied in clinical material obtained from parents, newborns, and postoperative patients, as well as in swabs from environmental objects in healthcare facilities. Identificationof hospital strains was carried out by determining the sensitivity of strains to antibiotics, compiling and comparing antibiograms of bacterial cultures isolated from patients and from environmental objects. Results: the incidence of nosocomial infections showed a downward trend (T sn = 8.6), consistent with the general trend in Uzbekistan as a whole.In isolates of S. aureus, E. coli, P. aeruginosa, and K. pneumoniae, a high frequency of isolation of multidrug-resistant strains was observed, which retained sensitivity only to drugs of the fluoroquinolone group. Conclusions: 1. The incidence of nosocomial infections showed a downward trend (T sn = 8.6), consistent with the general trend in Uzbekistan as a whole. 2. In isolates of S. aureus, E. coli, P. aeruginosa, and K. pneumoniae, a high frequency of isolation of multidrug-resistant strains was observed, which retained sensitivity only to drugs of the fluoroquinolone group.
About the Authors
Z. R. FayzullayevaTajikistan
Fayzullayeva Zamira Rakhmatovna - PhD, docent of department of microbiology, virology and immunology
Z. A. Nuruzova
Tajikistan
Nuruzova Zukhra Abdikadirovna MD, professor, Head of the Department of microbiology, virology and immunology
References
1. Adarchenko A.A. Nosocomial infections: concept,classification, diagnostic criteria. Health care. 2000;8:41–43.
2. Kobilova G.A., Zhumaeva A.A. Risk factors for development nosocomial infections in obstetric hospitals in Bukhara region. Bulletin of the SouthKazakhstan Medical Academy. 2018;31 29 (82): 62-63.
3. Solieva M.Kh., Musaeva D.M., Mirzaeva M.M., Ochilova G.S., Nosirov M. Analysis of professional skills of a doctor staff of a multidisciplinary clinic for the prevention of nosocomial infections. New day in medicine. 2020; 1(29): 371-375.
4. Khudoydodova S.G., Farmanova M.A. Intrauterine infections and their clinical and neurological manifestations in young children. Achievements of science and education. 2020;5(59): 60-62.
5. Khudoydodova S.G., Farmanova M.A. Intrauterine infections and their clinical and neurological manifestations in infants age. New day in medicine. 2019;3(27):285-288.
6. Mukhamedova Sh.T., Hamraeva D.R. The prog nostic significance of cytokines in the diagnosis of pathology of newborns. Journal of Natural Remedies. 2021; 22.1(1):119-123.
7. Levi M.I., Suchkov Yu.P., Slizkova V.G. Express selection method preferred antibiotics for the treatment of patients with purulent septic infections. Is infection business. 1999; 4: 21-27.
8. Kozlov L.B. Method for identifying hospital strains. RF patent for invention. 2005; 2245922(4).
9. Amyes S.B., Gemmel C.G. Antibiotic resistance/ J. Med. Microbiol. 1997; 46(6):436-470.
10. Barenfanger J. Clinical and financial benefits of rapid bacterial identification and antimicrobial susceptibility testing. J. Clin. Microbiol. 1999;37:1415-1418.
11. Bergeron M.G., Ouellette M. Preventing antibiotic resistance using rapid DNA based diagnostic tests. Infect. Cont. and Hosp. Epidemiol. 1998;19(8): 560-564.
12. Bingen E. Applications of molecular methods to epidemiologic investigations of nosocomial infections in a Pediatric hospital. Infect. Cont. and Hosp. Epidemiol. 1994;15(7):488-492.
13. Cohen M. Emering problems of antimicrobial resistance. Ann. Emergency Med. 1994; 24(3): P.5-9.
14. Doern G., Vautour R., Gaudet M., Levy B. Clinical impact of rapid in vitro susceptibility testing. J. Clin. Microbiol. 1994;32;175-176.
15. Frankel G. Detection of Shigella in feces using DNA amplification. J. Infect. Dis. 1990;161(6):1252-1256
16. Hancock R.E. The role of fundamental research and biotechnology in funding solutions to the global problem of antibiotic resistance Clin. In fect. Dis. 1997; 24(1):148-150.
17. Ananyev V.N. Method for determining pathogenic staphylococci by plasmacoagulating activity. V.N. Ananyev, L.B. Kozlov, E.V. Speranskaya, V.N. Mefodiev, V.N. Samikova et al. Russian Federation patent for invention 2332461. Published 08/27/2008. Bull. No. 2
18. Sabarova E.D., Gordinskaya N.A., Abramova N.V., Nekaeva E.S. Antibiotic resistance of nosocominal strains of Staphylococcus spp. isolated in a burn center in 2002-2008. Clinical microbiology and antimicrobial chemotherapy. 2010; 12 (1): 77-81.
19. Kozlov L.B. Method for identifying hospital strains. / L.B.Kozlov, V.V.Mefodiev, V.N. Samikova et al. // RF patent for invention No. 2245922. Published 02/10/2005. Bull. No. 4
20. Samikova V.N. Analysis of the formation of antibiotic resistant strains according to the bacteriological laboratory of the multidisciplinary clinic of the TGMA. International symposium “Molecular mechanisms of regulation of cell function”. Tyumen, 2005. S. 277-279.
21. Samikova V.N. The influence of bacterial ecology on the formation of hospital strains. Medical science and education of the Urals. 2006;1: 55-57.
22. Tsokova T.N. The influence of antibiotics on the ecology of bacteria. Medical science and education of the Urals. 2006;1: 70.
23.
Review
For citations:
Fayzullayeva Z.R., Nuruzova Z.A. Microbiological characteristics of causes of hospital-hospital infections and development of a method for diagnosis of hospitalized strains. Herald of the medical and social institute of Tajikistan. 2025;(3):78-88.





