ABSTRACT
In this article, there are given data of microorganisms sensitivity/resistancy investigation, to different groups of antibiotics. Microorganisms where isolated from puerperas, newborns and samples of maternity ward environment. Investigation was performed in L.T.D. "Imedis Clinica". Detection of microorganisms sensitivity/resistancy to antibiotics was performed by use of two methods: method of disc diffusion and serial dilution on solid breeding substratum. It was determined that gram positive, as well as gram negative microorganisms had sufficiently high level of resistancy to some penicillines, aminoglycosides, macrolides. Some species of gram negative microorganisms had resistancy to lincomicin in 100% of cases. High level of sensitivity was revealed to such antibiotics as amicalin, amoxiclav, cefepim, ciprofloxacin. Gram negative microorganisms had high level of sensitivity to imipenem-cilastatin and meropenem. Performed investigation confirms necessity of microbiological monitoring in different clinics, because it is one of the most significant components of infection control. It gives opportunity to perform exact antibiotic prophylaxis and if necessary - rational antibiotic therapy.
Subject(s)
Anti-Bacterial Agents/pharmacology , Bacterial Infections/microbiology , Cross Infection/microbiology , Drug Resistance, Bacterial , Gram-Negative Bacteria/isolation & purification , Gram-Positive Bacteria/isolation & purification , Puerperal Disorders/microbiology , Gram-Negative Bacteria/drug effects , Gram-Positive Bacteria/drug effects , Hospitals, Maternity , Humans , Infant, NewbornABSTRACT
In this article there are shown data of epidemiolgycal analysis of parturition cases (analysis is performed with use of descriptive and evaluative method) for detection of potential risk factors for development of suppurative-inflamatory infections in puerperas. Study was performed in obstetric hospital of the " Imedis Clinica" within 2014 year. 3248 parturition cases were analysed, among them 2373 (73,06% cases of physiological birth and 875 (26,99%) caesarium operation cases. From all cases were detected only 296 (9,211%) cases complicated with basic forms of suppurative-inflamatory infections. Also was performed analysis of post-parturation complications, dependet on anamnesys of pregnants. As a result it was detected, that most significant risk factors for devolpment of suppurative-inflamatory infections in puerperas with physiological birth were genitourinay inflamatory diseases while pregnancy, prolonged (more than 6 hours) parturition period. In cases with caesarian operation, such factors, apart from operation itself, were genitourinary inflamatory diseases while pregnancy, prolonged (more than 5 hours) waterless period, tribal activities before operation, tribal activities more than 5 hours, operation duration longer than 30 minutes and huge haemorage while surgery.
