ABOUT THE ECONOMIC COMPONENT OF PRE-OPERATING ANTIBIOTICOPROPHYLAXIS

DOI: https://doi.org/10.29296/25877305-2021-07-12
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Issue: 
7
Year: 
2021

A. Morozov, Candidate of Medical Sciences; Associate Professor A. Sergeev, MD; E. Askerov,
Candidate of Medical Sciences; V. Kadykov, Candidate of Medical Sciences; Professor S. Zhukov, MD; A.
Pichugova; K. Gorodnichev; M. Belyak Tver State Medical University

The purpose of this study was to determine the financial component of preoperative antibiotic prophylaxis in surgical hospital patients. A statistical analysis of the data of modern Russian and foreign literary sources, as well as the latest scientific works in the field of preoperative antibiotic prophylaxis, was carried out. Based on the results obtained in the course of the study, it can be concluded that the implementation of preventive measures in surgical hospitals is highly profitable. In their absence, the likelihood of an increase in treatment costs increases to 60%, while the appointment of antibiotic prophylaxis in the preoperative period in patients of a surgical hospital can reduce the risk of developing an infection in the area of surgical intervention, and therefore additional costs in the form of a course of antibiotics and payment for additional beds-days.

Keywords: 
preoperative prevention
antibacterial drugs
surgery
postoperative infection



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References: 
  1. Epidemiologicheskoe nabljudenie za infektsijami, svjazannymi s okazaniem meditsinskoj pomoschi. Federal'nye klinicheskie rekomendatsii. M., 2014; s. 58 [Epidemiologicheskoe nablyudenie za infektsiyami, svyazannymi s okazaniem meditsinskoi pomoshchi. Federal’nye klinicheskie rekomendatsii. M., 2014; s. 58 (in Russ.)].
  2. Mohov E.M., Kadykov V.A., Morozov A.M. Perespektivy primenenija bakteriofagov v hirurgii ostrogo appenditsita. Sovremennye problemy nauki i obrazovanija. 2017; 2: 129 [Mokhov E.M., Kadykov V.A., Morozov A.M. Prospects for the use of bacteriofages in surgery of acture appendicitis. Modern problems of science and education. 2017; 2: 129 (in Russ.)].
  3. Ramzaeva N.N., Mihajlovskaja M.V. Tselesoobraznost' antibiotikoprofilaktiki pri planovyh gisteroskopijah. Zhurnal akusherstva i zhenskih boleznej. 2016; 65 (spetsvyp.): 42–3 [Ramzaeva N.N., Mikhailovskaya M.V. Tselesoobraznost’ antibiotikoprofilaktiki pri planovykh gisteroskopiyakh. Zhurnal akusherstva i zhenskikh boleznei. 2016; 65 (spetsvyp.): 42–3 (in Russ.)].
  4. Pahomov M., Morozov A., Sergeev A. et al. Analysis of microflora in modern outpatient clinic. Archiv Euromedica. 2020; 10 (1): 92–3. DOI: 10.35630/2199-885X/2020/10/26
  5. Sergeev A.N., Morozov A.M., Askerov E.M. i dr. Metody lokal'noj antimikrobnoj profilaktiki infektsii oblasti hirurgicheskogo vmeshatel'stva. Kazanskij meditsinskij zhurnal. 2020; 101 (2): 243–8 [Sergeyev A.N., Morozov A.M., Askerov E.M. et al. Methods of local antimicrobic prophylaxis of surgical site infection. Kazan medical journal. 2020; 101 (2): 243–8 (in Russ.)]. DOI: 10.17816/KMJ2020-243
  6. Prikaz Ministerstva zdravoohranenija Kaliningradskoj oblasti ot 16.04.08 g. №109 «Ob utverzhdenii porjadka rascheta tsen na platnye meditsinskie uslugi» [Prikaz Ministerstva zdravookhraneniya Kaliningradskoi oblasti ot 16.04.08 g. №109 «Ob utverzhdenii poryadka rascheta tsen na platnye meditsinskie uslugi» (in Russ.)]. URL: http://social.gov39.ru/ministerstvo/social/baza_zakon/index.php
  7. Prikaz Federal'nogo fonda objazatel'nogo meditsinskogo strahovanija ot 14.11.13 g. №229 «Ob utverzhdenii metodicheskih rekomendatsij po sposobam oplaty spetsializirovannoj meditsinskoj pomoschi v statsionarnyh uslovijah i v dnevnyh statsionarah na osnove grupp zabolevanij, v tom chisle kliniko-statisticheskih grupp (KSG) i kliniko-profil'nyh grupp (KPG) za schet sredstv sistemy objazatel'nogo meditsinskogo strahovanija» [Prikaz Federal’nogo fonda obyazatel’nogo meditsinskogo strakhovaniya ot 14.11.13 g. №229 «Ob utverzhdenii metodicheskikh rekomendatsii po sposobam oplaty spetsializirovannoi meditsinskoi pomoshchi v statsionarnykh usloviyakh i v dnevnykh statsionarakh na osnove grupp zabolevanii, v tom chisle kliniko-statisticheskikh grupp (KSG) i kliniko-profil’nykh grupp (KPG) za schet sredstv sistemy obyazatel’nogo meditsinskogo strakhovaniya» (in Russ.)]. URL: http://www.consultant.ru/document/cons_doc_LAW_154952/ef8ac1504060c7b3f41fb0ac78a9452fd69f51ef/
  8. Poborskij A.N., Ponamarev N.I., Asutaev Sh.D. Farmakoekonomicheskij analiz effektivnosti razlichnyh rezhimov antibiotikoprofilaktiki pri holetsistektomii. Vestnik hirurgii im. I.I. Grekova. 2016; 175 (5): 98–101 [Poborskiy A.N., Ponamarev N.I., Asutaev S.D. Pharmacoeconomic analysis of efficacy of different modes of antibiotic prophylaxis in cholecystectomy. Grekov’s Bulletin of Surgery. 2016; 175 (5): 98–101 (in Russ.)]. DOI: 10.24884/0042-4625-2016-175-5-98-101
  9. Popov P.V., Odegova T.F., Syropjatov B.Ja. Sposob izuchenija effektivnosti antibiotikoprofilaktiki v eksperimental'nom perioperatsionnom periode. Innovatsii v nauke. 2013; 16-2: 133–9 [Popov P.V., Odegova T.F., Cyropyatov B.Ya. A way to study the effectiveness of antibiotic prophylaxis in the experimental perioperative period. Innovatsii v nauke. 2013; 16-2: 133–9 (in Russ.)].
  10. Dobrokvashin S.V., Volkov D.E. Perioperatsionnaja antibiotikoprofilaktika v hirurgii. Kazanskij meditsinskij zhurnal. 2004; 85 (5): 323–7 [Dobrokvashin S.V., Volkov D.E. Perioperative antibioticoprophylaxis in surgery. Kazan medical journal. 2004; 85 (5): 323–7 (in Russ.)].
  11. Sergeev A., Mokhov E., Sergeev N. Antibiotic prophylaxis for prevention of surgical site infection in emergency oncology. Archiv Euromedica. 2019; 9 (3): 51–2 [(in Russ.)]. DOI: 10.35630/2199-885X/2019/9/3.17
  12. Registr lekarstvennyh sredstv Rossii. RLS. 2000–2020 [Registr lekarstvennykh sredstv Rossii. RLS. 2000–2020 (in Russ.)]. URL: https://pda.rlsnet.ru/
  13. Ispol'zovanie antibiotikoprofilaktiki v rodah i pri rodorazreshenii. Vestnik akusherskoj anesteziologii. 2018; 9 (11): 14–9 [Use of Prophylactic Antibiotics in Labor and Delivery. Obstetric Anesthesia Digest. 2018; 9 (11): 14–9 (in Russ.)].
  14. Zakordonets L.V., Kramarev S.A., Beregovaja T.V. i dr. Antibiotik-assotsiirovannaja diareja: mehanizmy razvitija i vozmozhnosti korrektsii. Zdorov'e rebenka. 2013; 7 (50): 69–73 [Zakordonets L.V., Kramarev S.A., Beregova T.V. et al. Antibiotic-associated diarrhea: mechanisms of development and possible correction. Child’s Health. 2013; 7 (50): 69–73 (in Russ.)].
  15. Korejba K.A., Fatihov I.R., Ryzhova E.F., i dr. Antibiotikoterapija u bol'nyh s infektsiej kozhi i mjagkih tkanej v posleoperatsionnom periode. Kazanskij meditsinskij zhurnal. 2011; 92 (2): 187–90 [Koreyba K.A., Fatikhov I.R., Ryzhova E.F.et al. Antibiotic therapy in patients with skin and soft tissue infections in the postoperative period. Kazan medical journal. 2011; 92 (2): 187–90 (in Russ.)].
  16. Gomon Ju.M. Perioperatsionnaja profilaktika v hirurgii: analiz vlijanija na bjudzhet. Vestnik SPbGU. Serija 11. Meditsina. 2018; 13 (3): 301–15 [Gomon Y.M. Perioperative antibiotic prophylaxis: Budget impact analysis. Vestnik of Saint Petersburg University. Medicine. 2018; 13 (3): 301–15 (in Russ.)]. DOI: 10.21638/11701/spbu11.2018.307
  17. Minzdrav Rossijskoj Federatsii: Rekomendatsii №2510/9362-34 ot 20.08.2000 g. «Orientirovochnye sroki vremennoj netrudosposobnosti pri naibolee rasprostranennyh zabolevanijah i travmah (v sootvetstvii s MKB-10)» [Minzdrav Rossiiskoi Federatsii: Rekomendatsii №2510/9362-34 ot 20.08.2000 g. «Orientirovochnye sroki vremennoi netrudosposobnosti pri naibolee rasprostranennykh zabolevaniyakh i travmakh (v sootvetstvii s MKB-10)» (in Russ.)]. URL: http://www.consultant.ru/document/cons_doc_LAW_56793/d14628393ae6cf9bfa76adabc16708faaac525ac/
  18. Byval'tsev V.A., Stepanov I.A., Borisov V.E. i dr. Infektsii v oblasti hirurgicheskogo vmeshatel'stva v spinal'noj nejrohirurgii. Kazanskij meditsinskij zhurnal. 2017; 98 (5): 796–802 [Byval’tsev V.A., Stepanov I.A., Borisov V.E. et al. Surgical site infections in spinal neurosurgery. Kazan medical journal. 2017; 98 (5): 796–803 (in Russ.)]. DOI: 10.17750/KMJ2017-796
  19. Sabgajda T.P., Zubko A.V. Sravnenie zatrat na statsionarnoe lechenie sosudistyh zabolevanij hirurgicheskogo profilja, voshedshih i ne voshedshih v perechen' boleznej, pri kotoryh okazyvaetsja vysokotehnologichnaja meditsinskaja pomosch' (na primere Moskovskoj oblasti). Sotsial'nye aspekty zdorov'ja naselenija. 2017; 4: 1–16 [Sabgayda T.P., Zubko A.V. Comparison of costs for inpatient treatment of vascular surgical diseases that are included and not included in the list of diseases in which high-tech medical care is provided (exampled by Moscow region). Sotsial’nye aspekty zdorov’ya naseleniya. 2017; 4: 1–16 (in Russ.)]. DOI: 10.21045/2071-5021-2017-56-4-1