Software for handling the results of microbiological laboratory researches in the military medical institutions of the Ministry of Defense of Russia
In accordance with the existing guidelines, the implementation of epidemiological surveillance of the outcomes of surgical interventions is a complex and time-consuming process, requiring large human and time resources. One of the tools for obtaining operational information on the state of the epidemic process of nosocomial infections in military medical organizations is the introduction into practice of an electronic medical record of an inpatient patient, which is a collection of electronic personal microbiological medical data relating to a patient that is collected and used in a medical organization. An approach to the development of medical and technical requirements for the creation of an automated information system for processing the results of microbiological research in the military medical organizations of the Ministry of Defense of the Russian Federation in modern conditions is considered. The development and implementation of an automated microbiological monitoring system will allow for continuous monitoring of the microbial landscape and the sensitivity of the selected microflora both in а hospital as a whole and in each department separately. With its help, we can get information about the leading microflora, depending on the type of pathology and even on specific diagnoses. Knowledge of the leading microflora and of an antibiotic sensitivity’ level directs doctors to conduct adequate antibiotic prophylaxis and rational therapy of severe patients before receiving an antibiogram, and this is the basis for developing algorithms for rational antibiotic therapy of specific nosological groups of diseases for each hospital. Multicomponent database program will allow predicting the possible outbreak of nosocomial incidence in a particular compartment in respect of a particular pathogen. In addition, this information can be used in planning the procurement of the most effective antibacterial drugs for specific hospitals and regions.