Periprosthetic and peri-implant infections remain one of the most challenging problems in orthopedic surgery. In the Russian Federation, a significant proportion of these patients are hospitalized in the surgical departments of general medical institutions. Until recently, systematic information on resources and the hospital phase of care for them was lacking. Aim: to examine the availability of surgical beds for purulent drainage and the hospital stage of providing medical care to patients with periprosthetic and peri-implant infections in the Russian Federation in 2024–2025. Methods: a retrospective cohort study on an open cohort (epidemiological study) based on data from an information and analytical system containing information on surgical care in the Russian Federation for the general population of medical organizations, and the information and analytical collection "Surgical Care in the Russian Federation" for 2025. Results. In 2025, there were 11,179 surgical purulent beds for adults (0.96 per 10,000 adult population; in 2024 - 11,453 and 0.98) with an annual bed occupancy of 316 days. The provision of beds for purulent surgery by federal districts differed by 2.5 times; in 10 regions purulent beds were not allocated, among the rest, the provision differed by 9 times. Nosocomial incidence of periprosthetic infection increased from 1.67 to 2.16 per 100,000 population (2,437 and 3,160 patients; p