ABSTRACT
An analysis of wound complications in 699 patients after operation has been made. Microbiological examinations of the wound exudate have shown that the content of "seromas" and "hematomas" is infected with aerobic and anaerobic nonsporulating microflora in 80% of the cases. "Seromas" and "hematomas" were proved to be typical cases of suppuration of operative wounds.
Subject(s)
Surgical Wound Infection/diagnosis , Abdomen/surgery , Bacteria, Aerobic/isolation & purification , Bacteria, Anaerobic/isolation & purification , Humans , Surgical Wound Infection/microbiology , Time Factors , Wound HealingSubject(s)
Bandages , Carbon/therapeutic use , Leg Ulcer/therapy , Textiles , Wound Infection/therapy , Acute Disease , Humans , Wound Healing/drug effectsABSTRACT
Contamination of the operative wounds with aerobic and nonsporulating anaerobic microflora is known to take place in the process of operation. Lower degree of the contamination of the operative wounds by the end of operations results in lower incidence of suppurations. It can be achieved in pure and conventionally pure operations of a less traumatic character by the application of preoperative gentamycin electrophoresis onto the operation field, while in conventionally pure operations of great traumatism and contaminated operations--by active irrigating drainage.
Subject(s)
Surgical Wound Infection/prevention & control , Wounds and Injuries/microbiology , Disinfection/methods , Humans , Preoperative CareABSTRACT
The pathological material from 77 surgical patients with purulent infections was assayed microbiologically and the properties of the pathogens were investigated. Multiple antibiotic resistance of the microflora monocultures and associations was shown. The aminoglycoside antibiotics and first of all gentamicin were the most effective.
