SEASONALITY IN THE APPEARANCE OF INTRA HOSPITAL INFECTIONS

Intrahospital, clinical infections (IHI) present very significant public health problem, in our country, and worldwide. They present local or systemic infections caused by microorganisms acquired in the period of hospitalization. The infection is a result of transmission of the infective agent to the sensitive host/patient, most commonly by direct or indirect contact, at least 48 to 72 hours after hospitalization. In order to decrease the occurrence of the intrahospital infections, which at this moment are considered as the main reason for appearing of serious complications among the patients, the authorities should take preventive measures, improve the education of the medical staff, and to create unified protocols. Well organized prevention programs can decrease the occurrence of the clinical infections by ⅓, which is very important, taking into consideration the medical, economic, and ethical aspects. Aim of the paper: To confirm if there is a pattern in tgeoccurance of the intrahospital infections. Materials and methods: For fulfilling the aim, analysis of all registered infections in 10 departments in the Clinic in Shtip in the period of two years have been made. The data is taken from the department of epidemiology and microbiology of the Center of Public Health in Shtip, where all the materials for analysis were being sent. It was used the descriptive epidemiological method of work. Results: From the total number of 594 samples taken for microbiological analysis in the period of two years (2015 and 2016), 471 of the result came up negative, and in 123 samples pathogenic bacterias were found. Most of the samples for monitoring the intrahospital infections were sent by the Department of Gynecology and Obstetrics -117(19,7%), Department of orthopedic diseases - 95(16%) and Department of Surgical diseases - 74(12,5), and the smallest number were sent by the hospital laboratory - 5(0,8%). According to the season of registration of the intrahospital infections, most of them, in both of the groups, were registered in July, August and September. Conclusion: Intrahospital infections are being registered through the whole year as a sporadic and endemic in the departments of the Clinic in Shtip. According to the season, most of them, in both of the groups, were registered in July, August and September.