ABSTRACT
Microbial background of the departments of abdominal and septic surgery was monitored and analyzed. More the 950 samples from each department was worked out. Therefore, it was determined, that gram-negative bacteria were more typical for the abdominal pathology, whereas, soft tissue infection was represented by gram-positive strains. Compliant antibioticogramms were performed and analyzed. For achieving effective prophylactic and empiric antibiotic therapy, data-based formular lists of antibacterial drugs were performed.
Subject(s)
Abdominal Cavity/microbiology , Anti-Bacterial Agents/therapeutic use , Drug Resistance, Bacterial , Gram-Negative Bacterial Infections/drug therapy , Gram-Positive Bacterial Infections/drug therapy , Soft Tissue Infections/drug therapy , Gram-Negative Bacteria/classification , Gram-Negative Bacteria/drug effects , Gram-Negative Bacteria/isolation & purification , Gram-Negative Bacterial Infections/microbiology , Gram-Negative Bacterial Infections/prevention & control , Gram-Positive Bacteria/classification , Gram-Positive Bacteria/drug effects , Gram-Positive Bacteria/isolation & purification , Gram-Positive Bacterial Infections/microbiology , Gram-Positive Bacterial Infections/prevention & control , Humans , Soft Tissue Infections/microbiology , Soft Tissue Infections/prevention & control , Suppuration/drug therapy , Suppuration/microbiology , Suppuration/prevention & controlABSTRACT
The results of open and endoscopic operations in 430 patients with purulent soft tissue diseases are comparatively studied. Hospital stay after the endoscopic treatment averaged 11,6+/-1,1 days. 90,8% of those, who were treated endoscopically, has completely recovered during the hospital stay and didn't require further treatment. 31,6% of patients experienced a suppuration of the postoperative wound, which called forth the conversion to the open operative technique. These patients had an average hospital stay of 15,6+/-2,1 days. The hospital stay of the patients treated traditionally with wide opening of the wound and secondary sutures, averaged 19,3+/-1,8 days. The hospital stay of patients with a complicated disease course was 26,4+/-3,4 days.
Subject(s)
Abscess/surgery , Debridement/methods , Drainage/methods , Endoscopy/methods , Soft Tissue Infections/surgery , Adolescent , Adult , Aged , Female , Follow-Up Studies , Humans , Length of Stay , Male , Middle Aged , Retrospective Studies , Treatment Outcome , Young AdultABSTRACT
Microflora of purulent surgical wounds of patients of purulent surgery unit was studied, multiresistant strains were analyzed particularly. Data of 1994 and 1999 were compared with ones of 2004 bearing in mind the administration of new antibiotics (cefalosporins and phthorquinolones) since 2000. Etiology and causes of nasocomial infections, principles of early diagnosis are analyzed in detail.
Subject(s)
Bacteria/classification , Cross Infection/diagnosis , Cross Infection/microbiology , Drug Resistance, Bacterial , Surgery Department, Hospital , Wound Infection/microbiology , Bacteria/drug effects , Bacteria/isolation & purification , Cephalosporins/pharmacology , Cephalosporins/therapeutic use , Early Diagnosis , Humans , Microbial Sensitivity Tests , Suppuration/microbiology , Wound Infection/drug therapyABSTRACT
Structure and rate of postoperative hospital complications after endovideosurgical operations are analyzed. Comparison of laparotomic and laparoscopic cholecystectomy and appendectomy were used as the model. Microbial contamination of unit environment and medical devices and correlation between purulent complications and laparoscopic procedures rate are analyzed.