К проблеме предупреждения послеоперационных инфекционных осложнений в хирургии высоких технологий. Состояние вопроса

Background. The health care-associated infection in the hospital unit is one of the most important causes of morbidity and mortality in high-tech surgery and transplantology. Objectives. Analysis of special literature devoted to the problem of health care-associated infections and the importance of its prevention measures for patients of surgical departments, as well as the role of the bacterial state of the skin as an independent risk factor for postoperative bacteremia and mortality (based on our own findings). Methods. Analysis of the literature provided by PubMed resource in the period from year 2015 to 2017 on the relevant issues. A retrospective analysis of daily blood samples and swabs from the skin of patients after heart transplantation in the period from year 2013 to 2017. The criterion of group separation - the presence or absence of skin contamination. Results. 45 articles were selected. According to own data, 87 (76.3 %) of 114 cases of contamination were registered in the intensive care unit. The mortality and bacterial blood infection levels in the case of skin contamination were significantly higher (p < 0.05). Conclusions. Constant routine skin monitoring of its bacteriological condition is a necessary measure to reduce infectious complications.