Analysis of disinfectant use by medical organizations of the Republic of Tatarstan in the context of changes in the epidemiological situation 2019–2022

Abstract

BACKGROUND: Disinfection is an important aspect of ensuring epidemiological safety in medical organizations, particularly during the COVID-19 pandemic.

AIM: To analyze the disinfectant use in state medical organizations of the Republic of Tatarstan from 2019 to 2022, considering changes in the epidemiological situation related to COVID-19, and provide recommendations based on the analysis.

MATERIALS AND METHODS: Electronic auction data from zakupki.gov.ru were used to analyze disinfectant purchases by state medical organizations in the Republic of Tatarstan from 2019 to 2022. Data analysis involved the application of descriptive statistical methods.

RESULTS: A total of 118 electronic auctions were analyzed. A relationship between the nature of the epidemiological situation and the selection of disinfectants for purchase based on their chemical composition and intended use was identified. Before the pandemic, medical organizations preferred quaternary ammonium compound disinfectants and antibacterial soaps for hand hygiene. During the COVID-19 pandemic, their use of chlorine-based disinfectants, hydrogen peroxide, and alcohol-based hand sanitizers containing 60–69% ethanol increased. As the epidemiological situation stabilized, a discernible shift in preferences toward compound disinfectants was noted. Antiseptics with an alcohol content >70% are increasingly sought after.

CONCLUSIONS: Medical organizations in the Republic of Tatarstan promptly respond to changes in the epidemiological situation by implementing necessary modifications to antiepidemic measures. When developing procurement strategies, not only the requirements of sanitary legislation but also the latest scientific findings in the field of disinfectology must be considered.

Keywords

disinfection / disinfectants / hand sanitizers / COVID-19

References

[1] Najgovzina NB, Popova AY, Birjukova EE, et al. Optimization of the system of measures to control and prevent infections associated with the provision of medical care in the Russian Federation. Healthcare management: news, views, education. Bulletin of VSHOUZ. 2018;(1):17–26. (In Russ). doi: 10.24411/2411-8621-2018-00002

[2] Найговзина Н.Б., Попова А.Ю., Бирюкова Е.Е., и др. Оптимизация системы мер борьбы и профилактики инфекций, связанных с оказанием медицинской помощи, в Российской Федерации // ОРГЗДРАВ: новости, мнения, обучение. Вестник ВШОУЗ. 2018. № 1. С. 17–26. doi: 10.24411/2411-8621-2018-00002

[3] Federal Service for Supervision of Consumer Rights Protection and Human Welfare. On the state of sanitary and epidemiological well-being of the population in the Russian Federation in 2022: State Report. [Internet]. Moscow: Federal Service for Supervision of Consumer Rights Protection and Human Welfare; 2023. (In Russ). Available at: https://www.rospotrebnadzor.ru/documents/details.php?ELEMENT_ID=25077.

[4] Федеральная служба по надзору в сфере защиты прав потребителей и благополучия человека. О состоянии санитарно-эпидемиологического благополучия населения в Российской Федерации в 2022 году : государственный доклад [интернет]. Москва : Федеральная служба по надзору в сфере защиты прав потребителей и благополучия человека, 2023. Режим доступа: https://www.rospotrebnadzor.ru/documents/details.php?ELEMENT_ID=25077.

[5] Platonova TA, Golubkova AA, Tutelyan AV, Smirnova SS. The incidence of COVID-19 medical workers. The issues of biosafety and occupational risk factors. Epidemiology and Vaccinal Prevention. 2021;20(2):4–11. (In Russ). doi: 10.31631/2073-3046-2021-20-2-4-11

[6] Платонова Т.А., Голубкова А.А., Тутельян А.В., Смирнова С.С. Заболеваемость COVID-19 медицинских работников. Вопросы биобезопасности и факторы профессионального риска // Эпидемиология и Вакцинопрофилактика. 2021. Т. 20, № 2. С. 4–11. doi: 10.31631/2073-3046-2021-20-2-4-11

[7] Smirnova SS, Egorov IА, Zhuikov NN, et al. Risks of becoming infected with SARS-CoV-2 for medical personnel in a large industrial city during the pandemic: comparative assessment. Health Risk Analysis. 2022;(2):139–150. (In Russ). doi: 10.21668/health.risk/2022.2.13

[8] Смирнова С.С., Егоров И.А., Жуйков Н.Н., и др. Сравнительная оценка рисков инфицирования SARS-CoV-2 у работников медицинских организаций крупного промышленного города в период пандемии // Анализ риска здоровью. 2022. № 2. С. 139–150. doi: 10.21668/health.risk/2022.2.13

[9] Geng Y, Wang Y. Stability and transmissibility of SARS-CoV-2 in the environment. J Med Virol. 2023;95(1):e28103. doi: 10.1002/jmv.28103

[10] Geng Y., Wang Y. Stability and transmissibility of SARS-CoV-2 in the environment // J Med Virol. 2023. Vol. 95, N 1. P. e28103. doi: 10.1002/jmv.28103

[11] Marzoli F, Bortolami A, Pezzuto A, et al. A systematic review of human coronaviruses survival on environmental surfaces. Sci Total Environ. 2021;778:146191. doi: 10.1016/j.scitotenv.2021.146191

[12] Marzoli F., Bortolami A., Pezzuto A., et al. A systematic review of human coronaviruses survival on environmental surfaces // Sci Total Environ. 2021. Vol. 778. P. 146191. doi: 10.1016/j.scitotenv.2021.146191

[13] Zolin VV, Oskina OP, Solodky VV, et al. Assessment of the viability of SARS-CoV-2 coronavirus on various types of test surfaces, as well as in drinking and sea water. Problems of Particularly Dangerous Infections. 2021;(2):108–113. (In Russ). doi: 10.21055/0370-1069-2021-2-108-113

[14] Золин В.В., Оськина О.П., Солодкий В.В., и др. Оценка жизнеспособности коронавируса SARS-CoV-2 на различных типах тест-поверхностей, а также в питьевой и морской воде // Проблемы особо опасных инфекций. 2021. № 2. С. 108–113. doi: 10.21055/0370-1069-2021-2-108-113

[15] Moore G, Rickard H, Stevenson D, et al. Detection of SARS-CoV-2 within the healthcare environment: a multi-centre study conducted during the first wave of the COVID-19 outbreak in England. J Hosp Infect. 2021;108:189–196. doi: 10.1016/j.jhin.2020.11.024

[16] Moore G., Rickard H., Stevenson D., et al. Detection of SARS-CoV-2 within the healthcare environment: a multi-centre study conducted during the first wave of the COVID-19 outbreak in England // J Hosp Infect. 2021. Vol. 108. P. 189–196. doi: 10.1016/j.jhin.2020.11.024

[17] Dargahi A, Jeddi F, Vosoughi M, et al. Investigation of SARS CoV-2 virus in environmental surface. Environ Res. 2021;195:110765. doi: 10.1016/j.envres.2021.110765

[18] Dargahi A., Jeddi F., Vosoughi M., et al. Investigation of SARS CoV-2 virus in environmental surface // Environ Res. 2021. Vol. 195. P. 110765. doi: 10.1016/j.envres.2021.110765

[19] Tyan K, Levin A, Avalos-Pacheco A, et al. Considerations for the Selection and Use of Disinfectants Against SARS-CoV-2 in a Health Care Setting. Open Forum Infect Dis. 2020;7(9):ofaa396. doi: 10.1093/ofid/ofaa396

[20] Tyan K., Levin A., Avalos-Pacheco A., et al. Considerations for the Selection and Use of Disinfectants Against SARS-CoV-2 in a Health Care Setting // Open Forum Infect Dis. 2020. Vol. 7, N 9. P. ofaa396. doi: 10.1093/ofid/ofaa396

[21] Berardi A, Perinelli DR, Merchant HA, et al. Hand sanitisers amid CoViD-19: A critical review of alcohol-based products on the market and formulation approaches to respond to increasing demand. Int J Pharm. 2020;584:119431. doi: 10.1016/j.ijpharm.2020.119431

[22] Berardi A., Perinelli D.R., Merchant H.A., et al. Hand sanitisers amid CoViD-19: A critical review of alcohol-based products on the market and formulation approaches to respond to increasing demand // Int J Pharm. 2020. Vol. 584. P. 119431. doi: 10.1016/j.ijpharm.2020.119431

[23] Gajdarov GM, Alekseeva NY. Ob opyte raboty meditsinskoi organizatsii v okazanii meditsinskoi pomoshchi patsientam s novoi koronavirusnoi infektsiei. In: Aktual’nye voprosy obshchestvennogo zdorov’ya i zdravookhraneniya na urovne subyekta Rossiiskoi Federatsii. V 2 t. T. 1 : materialy Vserossiiskoi nauchno-prakticheskoi konferentsii, posvyashchennoi 100-letiyu fakul’tetskikh klinik IGMU (1920–2020). Irkutsk: Irkutskii nauchnyi tsentr khirurgii i travmatologi; 2020. P:298–303. (In Russ).

[24] Гайдаров Г.М., Алексеева Н.Ю. Об опыте работы медицинской организации в оказании медицинской помощи пациентам с новой коронавирусной инфекцией. В кн.: Актуальные вопросы общественного здоровья и здравоохранения на уровне субъекта Российской Федерации. В 2 т. Т. 1 : материалы Всероссийской научно-практической конференции, посвящённой 100-летию факультетских клиник ИГМУ (1920–2020). Иркутск : Иркутский научный центр хирургии и травматологи, 2020. С. 298–303.

[25] Shestopalov NV, Panteleeva LG, Sokolova NF, et al. Federal’nye klinicheskie rekomendatsii po vyboru khimicheskikh sredstv dezinfektsii i sterilizatsii dlya ispol’zovaniya v meditsinskikh organizatsiyakh. Moscow: Remedium Privolzh’e; 2015. (In Russ).

[26] Шестопалов Н.В., Пантелеева Л.Г., Соколова Н.Ф., Абрамова И.М., Лукичев С.П. Федеральные клинические рекомендации по выбору химических средств дезинфекции и стерилизации для использования в медицинских организациях. Москва : Ремедиум Приволжье, 2015.

[27] Singh D, Joshi K, Samuel A, Patra J, Mahindroo N. Alcohol-based hand sanitisers as first line of defence against SARS-CoV-2: a review of biology, chemistry and formulations. Epidemiol Infect. 2020;148:e229. doi: 10.1017/S0950268820002319

[28] Singh D., Joshi K., Samuel A., Patra J., Mahindroo N. Alcohol-based hand sanitisers as first line of defence against SARS-CoV-2: a review of biology, chemistry and formulations // Epidemiol Infect. 2020. Vol. 148. P. e229. doi: 10.1017/S0950268820002319

[29] Aydın Aİ, Atak M, Özyazıcıoğlu N, Dalkızan V. Hand Dermatitis among Nurses during the COVID-19 Pandemic: Frequency and Factors. Adv Skin Wound Care. 2021;34(12):651–655. doi: 10.1097/01.ASW.0000765916.20726.41

[30] Aydın A.İ., Atak M., Özyazıcıoğlu N., Dalkızan V. Hand Dermatitis among Nurses during the COVID-19 Pandemic: Frequency and Factors // Adv Skin Wound Care. 2021. Vol. 34, N 12. P. 651–655. doi: 10.1097/01.ASW.0000765916.20726.41

[31] Lapteva ES, Cucunava MR. Current aspects of the safety hospital environment. Russian Family Doctor. 2017;21(3):38–44. (In Russ). doi: 10.17816/RFD2017338-44

[32] Лаптева Е.С., Цуцунава М.Р. Современные аспекты безопасности больничной среды // Российский семейный врач. 2017. Т. 21, № 3. C. 38–44. doi: 10.17816/RFD2017338-44

[33] Gerasimov VN, Kharseeva GG, Gaitrafimova AR, Bystrova EV, Fedorova LS. Antimicrobial properties of oxygen-active disinfectants. Epidemiology and Infectious Diseases. 2023;28(1):44–52. doi: 10.17816/EID237986

[34] Герасимов В.Н., Харсеева Г.Г., Гайтрафимова А.Р., Быстрова Е.В., Федорова Л.С. Антимикробные свойства кислородактивных дезинфектантов (обзор литературы) // Эпидемиология и инфекционные болезни. 2023. Т. 28, № 1. C. 44–52. doi: 10.17816/EID237986

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