[The 1st results in the realization of the Harm Reduction program for intravenous narcotic users in the city of Penza]. / Pervye rezul'taty realizatsii programmy "Snizhenie vreda" dlia potrebitelei vnutrivennykh narkotikov g. Penza.

To achieve the aims of the project, the following stages were consecutively defined: (1) the exchange of syringes, organized by outreach workers, with the simultaneous popularization of the project, (2) the orientation of intravenous drug users to attending syringe exchange stations and (3) the extension of the area covered by the activities of outreach workers. Our experience showed that outreach workers, especially those working in the street, were the main force to count on for achieving success in the work of the projects. The budget of the project should provide for the publication of information material. Special assignments for outreach workers to study some concrete problem (drug service, the use of blood, etc.) can be useful. It is expedient to raise the status of syringe exchange stations by turning them into multi-purpose consultation centers.

[An epidemiological analysis of postoperative suppurative pathology in surgical hospitals]. / O épidemiologicheskom analize posleoperatsionnoi gnoinoi patologii v khirurgicheskikh statsionarakh.

Approaches to the epidemiological analysis of postoperative wound complications in surgical hospitals are summarized. The indices for the evaluation of the epidemic situation in surgical departments (the ratio of severe and mild forms of complications, severe and posthospital complications) are proposed. To determine the site of infection, the method of graphic analysis, involving the fixation of dates of the operation and the appearance of the complication and taking into account regularities in the development of the outbreak, the depth and severity of the lesion, is proposed. Epidemiological surveillance at medical institutions permits the prognostication of the epidemiological situation. The realization of epidemiological surveillance at the level of individual medical institutions is the prerequisite of effective functioning of the program of epidemiological surveillance at a given territory.

[The bases of epidemiological surveillance for postinjection complications]. / Osnovy épidemiologicheskogo nadzora za postin''ektsionnymi oslozhneniiami.

To carry out the epidemiological analysis of postinjection suppurations and to introduce the relevant prophylactic measures, the forms of registration and account for suppurative inflammatory diseases should be legitimized and the data on such cases per the number of injections made at therapeutic and prophylactic institutions and their branches should be calculated. The organization of centralized sterilization of instruments and the 100% provision of all institutions with these instruments can reduce the occurrence of postinjection suppurations.

[Various problems of epidemiology and prevention of suppurative-inflammatory complications in surgery]. / Nekotorye voprosy épidemiologii i profilaktiki gnoino-vospalitel'nykh oslozhnenii v khirurgii.

An epidemiological analysis of pyo-inflammatory diseases (PID) in surgical department of multiprofile hospitals has been made. PIDs were diagnozed in 16.2% of patients operated upon. The observation of fluctuations of the level of PID with regard for the correlation of severe and "minor" forms and terms of their appearance allows to make a conclusion of the probable place of infection and may serve an indicator of epidemiological situation. The application of film-forming drug "Lyfuzol" for closing operative wounds has decreased the incidence of PID in catarrhal and phlegmonous appendicitis 2.6 times.