Email this article PRIMARY CAUSATIVE AGENTS OF INFECTIOUS COMPLICATIONS IN INJURED WITH SEVERE TRAUMA
- Authors: Kuzin AA1, Svistunov SA1, Suborova TN1, Ogarkov PI1
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- Issue: Vol 89, No 5 (2012)
- Pages: 21-24
- Section: Articles
- URL: https://microbiol.crie.ru/jour/article/view/14173
- ID: 14173
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Abstract
Aim. Study etiologic structure of infectious complications in injured with severe trauma. Materials and
methods. Retrospective analysis of results of therapy outcomes in 5966 wounded and injured (1999 - 2009)
and prospective observation of 142 injured (2008 - 2009) by using epidemiologic, statistical and microbiological
methods was carried out. Results. Frequency of isolation and specific weight of causative agents depending
on localization of infectious complication was established. Among 11486 isolated microorganism
strains 4 causative agents dominated: Klebsiella pneumoniae, Pseudomonas aeruginosa, Acinetobacter spp. and
Staphylococcus aureus. The proportion of these causative agents differed in various years. Interconnections
of microorganisms composing associations were determined. Conclusion. Conduction of microbiological
monitoring is determined by the necessity of constant control for leading causative agents of infectious complications
in injured with severe trauma in the dynamic of their therapy.
methods. Retrospective analysis of results of therapy outcomes in 5966 wounded and injured (1999 - 2009)
and prospective observation of 142 injured (2008 - 2009) by using epidemiologic, statistical and microbiological
methods was carried out. Results. Frequency of isolation and specific weight of causative agents depending
on localization of infectious complication was established. Among 11486 isolated microorganism
strains 4 causative agents dominated: Klebsiella pneumoniae, Pseudomonas aeruginosa, Acinetobacter spp. and
Staphylococcus aureus. The proportion of these causative agents differed in various years. Interconnections
of microorganisms composing associations were determined. Conclusion. Conduction of microbiological
monitoring is determined by the necessity of constant control for leading causative agents of infectious complications
in injured with severe trauma in the dynamic of their therapy.
References
- Брусина Е.Б., Рычагов И.П. Эпидемиология внутрибольничных гнойно-септических инфекций в хирургии. Новосибирск, Наука, 2006.
- Военно-полевая хирургия: национальное руководство. И.Ю. Быков, Н.А. Ефименко, Е.К. Гуманенко (ред.). М., ГЭОТАР-Медиа, 2009.
- Гуманенко Е.К., Козлов В.К. (ред.). Политравма: травматическая болезнь, дисфункция иммунной системы, современная стратегия лечения. М., ГЭОТАР-Медиа, 2008.
- Зуева Л.П. Эпидемиологическая диагностика - эффективное средство улучшения качества медицинской помощи. Ю.А. Щербук (ред.). СПб, 2009.
- Зуева Л.П. и др. Методические рекомендации по эпидемиологическому мониторингу антибиотикорезистентности микроорганизмов с использованием компьютерной программы WHONET. СПб, 2004.
- Краткий справочник по антимикробной терапии. Р.С. Козлов (ред.). Смоленск, МАКМАХ, 2009.
- Сидоренко С.В., Яковлев С.В. Инфекции в интенсивной терапии. М., Бионика, 2003.
- Страчунский Л.С. и др. Рекомендации по оптимизации антимикробной терапии нозокомиальных инфекций, вызванных грамотрицательными бактериями в отделениях реанимации и интенсивной терапии. Пособие для врачей. Смоленск, Боргес, 2002.
- Чурадзе Б.Т. Госпитальные инфекции в отделении интенсивной терапии многопрофильной больницы: микробиологическая структура и обоснование тактики антимикробной терапии. Автореф. дис. канд. мед. наук. М., 2008.
- Эпидемиологический надзор за внутрибольничными инфекциями: учебное пособие. В.В. Шкарин, О.В. Ковалишена, А.С. Благонравов (ред.). Н. Новгород, НижГМА, 2009.
- Conly J. Antimicrobial resistance: revisiting the tragedy of the commons. Bull. World Health Org. 2010, 88 (11): 805-806.
- Shalini S., Kranthi K., Gopalkrishna Bhat K. The microbiological profile of nosocomial infections in the intensive care unit. J. Clin. Diagn. Res. 2010, 4: 3109-3112
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