1.Food poisoning infection caused by Salmonella spp
Tungalag O ; Enerel E ; Dagvadorj Ts ; Narangerel B ; Lkhagvadorj D ; Altantsetseg D
Mongolian Medical Sciences 2019;190(4):3-7
Background:
We aimed to study the etiology and transmission route of diseases introducing the modern, rapid and
high-sensitivity molecular genetic diagnostic methods for salmonellosis.
Material and Method:
In the study, we collected 680 stool samples and defined organisms of food intoxication by identification
of bacteria, polymerase chain reaction (PCR) and determined serotype and antibiotic resistance.
Result:
Salmonella spp was detected from the stool of 25 (42.3%) patients out of 59 outpatient clinic and
of 170 (27.4%) patients out of 621 inpatient clinic with diagnosis of food intoxication. In total there
was detected 195 salmonella spp, and out of this isolated Sal. typhimurum in 193 (98.9%), and Sal.
enteritidis was in 2 (1.1%) patients, respectively. We defined Sal. typhimurum in selected 32 cultures
and did not detect resistant gene DT-104 ACS-SuT by PCR.
Conclusion
As resulted in the survey, we defined 195 (28,6) Salmonella typhimurum among the 680 patients who
were suffered from food intoxication, and revealed fast foods, animal derived foods such as chicken,
fish caused the food intoxication. Sal. typhimurium not resistance to antibiotics.
2.Quality Assurance of Gastrointestinal Endoscopy Unit - A Single Center Study
Sarantuya Ts ; Amarjargal B ; Tungalag B ; Khishgee D ; Amarmend T ; Delgertsog T ; Amarjargal E ; Sarantuya G ; Gan-Orshikh L ; Enkhjargal B ; Sarantsatsral D ; Burentungalag A ; Nandintsetseg B ; Tserendolgor Ts ; Sattgul Sh ; Javzanpagma E ; Suvdantsetseg B ; Khashchuluun O ; Ouynkhishig N ; Munkhtuya E ; Uranchimeg M ; Oyuntungalag L ; Myadagmaa B ; Bat-Erdene I ; Batgombo N ; Saranbaatar A
Mongolian Journal of Health Sciences 2025;86(2):165-170
Background:
Accreditation of healthcare institutions serves as a fundamental mechanism for ensuring patient safety
and validating the quality of medical services provided to the population. At Intermed Hospital, a quality measurement
system for healthcare services has been established since 2015, encompassing 126 quality indicators at both institutional
and departmental levels. This system facilitates continuous quality improvement efforts. In this context, quality indicators
specific to the endoscopy department play a pivotal role in objectively assessing the quality of endoscopic services.
Aim:
To assess the quality indicators in gastrointestinal endoscopy unit.
Materials and Methods:
A retrospective single-center study was conducted by collecting data from the Intermed hospital’s
electronic information systems which included HIS and PACS and Quality and Safety Department’s Database and the results
were processed using the SPSS software. Ethical approval was granted by the Intermed hospital’s Scientific research
committee. The quality of endoscopic services in the Intermed hospital was assessed based on: a) the average values of
four quality indicators measured monthly; b) sample survey data from five categories of quality indicators.
Results :
Between 2016 and 2024, the quality indicators of the endoscopy unit measured as the level of early warning
score evaluations for patients was 95.97%±3.33, the level of cases where peripheral blood oxygen saturation decreased
during sedation was 1.54%±3.78, the level of cases where patients experienced paradoxiical response during sedation was
5.82%±1.75, surveillance culturing level for validation of endoscopy reprocessing was 11.6%. The endoscopic documentation
quality by peer review showed 95.7-100%, the colonoscopy quality indicators were followings as adenoma
detection rate: 24.5% Cecal intubation rate: 99.1%, 95.2%, Colonoscope withdrawal average time: 13.28±10.62 minutes,
Bowel preparation quality (Boston Scale): 89.3% 95.7%), patient discharge from the recovery room, Average discharge
time post-procedure: With propofol alone: 30.92 minutes; With propofol and fentanyl combined: 31.52 minutes, The intermediate
risk was 0.28% by the TROOPS evaluation during procedural sedation.
Conclusion
The quality benchmark levels for these endoscopic units, as determined by a single-center study, can be
effectively implemented by benchmark endoscopy centers to enhance their quality and safety operations.