ANALYSIS OF DISINFECTANT PURCHASES BY MEDICAL ORGANIZATIONS OF THE REPUBLIC OF TATARSTAN: ASSESSMENT AND RECOMMENDATIONS

A. Lokotkova, I. A. Bulycheva, E. K. Mamkeev, Luiza G. Karpenko, I. Fazulzyanova, F. N. Sabaeva, Georgiy Andreevich Toshchev
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Abstract

Introduction. Disinfection is an important aspect of ensuring epidemiological safety in medical organizations, especially in the context of the COVID-19 pandemic. The study aims to analyze the disinfectant purchases in state medical organizations of the Republic of Tatarstan from 2019 to 2022, taking into account changes in the epidemiological situation related to COVID-19, and provide recommendations based on the analysis. Material and methods. Electronic auction data from zakupki.gov.ru were utilized for the analysis of purchases of disinfectants by state medical organizations in the Republic of Tatarstan from 2019 to 2022. The data analysis involved the application of descriptive statistical methods. Results and discussion. 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 has been identified. In the pre-pandemic period, medical organizations preferred quaternary ammonium compound disinfectants and antibacterial soaps for hand hygiene. During the COVID-19 cases surge, increased utilization of chlorine-based disinfectants, hydrogen peroxide, and alcohol-based hand sanitizers containing ethanol 60-69% was observed. As the epidemiological situation stabilized, a discernible shift in preferences towards compound disinfectants was noted. Antiseptics with an alcohol content exceeding 70% are becoming increasingly sought after. Conclusions. Medical organizations in the Republic of Tatarstan promptly respond to changes in the epidemiological situation, implementing necessary modifications to anti-epidemic measures. When formulating procurement strategies, consideration is given not only to the requirements of sanitary legislation but also to the latest scientific findings in the field of disinfectology.
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鞑靼斯坦共和国医疗机构消毒剂采购分析:评估与建议
导言。消毒是确保医疗机构流行病学安全的一个重要方面,尤其是在 COVID-19 大流行的背景下。本研究旨在分析鞑靼斯坦共和国国家医疗机构 2019 年至 2022 年的消毒剂采购情况,同时考虑到与 COVID-19 相关的流行病学形势的变化,并根据分析结果提出建议。材料与方法利用zakupki.gov.ru网站的电子拍卖数据对鞑靼斯坦共和国国家医疗机构2019年至2022年的消毒剂采购情况进行了分析。数据分析采用了描述性统计方法。结果与讨论共分析了 118 次电子拍卖。确定了流行病学形势的性质与根据化学成分和预期用途选择购买消毒剂之间的关系。在疫情流行前,医疗机构首选季铵化合物消毒剂和抗菌肥皂用于手部卫生。在 COVID-19 病例激增期间,氯基消毒剂、过氧化氢和含乙醇 60-69% 的酒精洗手液的使用量有所增加。随着疫情趋于稳定,人们明显倾向于使用复合消毒剂。酒精含量超过 70% 的消毒剂越来越受到青睐。结论鞑靼斯坦共和国的医疗机构对流行病形势的变化迅速做出反应,对抗击流行病的措施进行必要的调整。在制定采购战略时,不仅要考虑卫生立法的要求,还要考虑消毒学领域的最新科学发现。
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