[Rare types of aneurysms-aneurysms of the hand and fingers: case reports].

UNLABELLED: Case reports of two patients with aneurysms, description of clinical sings, steps of diagnostic protocols and surgical techniques are presented in this article. The first case - false aneurysm of the proper lateral artery of the ІV finger of the right hand; second case - false aneurysm of the right hand. In both cases operation of aneurismal sac resection with ligation of aneurysma forming vessels were performed. After surgical interventions compensation of blood circulation and full restoration of the function of operated segments were found. IN CONCLUSION: early verification of correct clinical diagnosis and nomination of the patient to the specialized department of hand microsurgery is of crucial importance in achievement of good results after surgical treatment of aneurysms of the hand and fingers.

[Microbiological investigation of diabetic foot infections].

The aim of the article was to determine the structure of infections agents in diabetic foot infections and their sensibility to antibiotics A total of 295 microbial isolates were obtained from 115 patients with confirmed diabetic foot infection, treated in 2005-2009 years. Of these aerobes were found in 92.88%, anaerobes - in 7.12%. Microbal associations, various aerbal bacteria were found in 58,49% of cases, associations of aerobes with anaerobes - in 17.92% of cases; from 21.70% of patients were isolated microbial monocultures. The most common gram positive infect in diabetic foot infection was S. aureus, gram negative - P. aeroginosa. Methicillinresistent S. aureus were - 57,52%. In 95.57% of cases S. aureus strains were sensitive to vancomicin. Strains of P.aeruginosa were highly resistant to all investigated antibiotics. Enterobactericeae shown high sensitivity to karbopenemes (95.96%). It is concluded, that success of antimicrobial therapy depends on correct choice of antibiotic, based on in time exposal of etiology of infection, determination of its sensitivity to antimicrobial remedy, considering of its pharmacocinetical features.