RESUMO
The occurrence of cross infections in osteomyelitis patients has been proved by clinical, microbiological, and epidemiological methods. The patients are infected mainly in the dressing room for patients with purulent processes; the working conditions in this dressing room do not preclude the possibility of cross infections.
Assuntos
Surtos de Doenças , Infecção da Ferida Cirúrgica/epidemiologia , Centros de Traumatologia , Doença Crônica , Infecção Hospitalar/epidemiologia , Infecção Hospitalar/transmissão , Microbiologia Ambiental , Humanos , Osteomielite/complicações , Estudos Prospectivos , Estudos Retrospectivos , Federação Russa , Infecção da Ferida Cirúrgica/transmissãoRESUMO
An analysis of causes of the appearance of postoperative osteomyelitis in 537 patients treated in the clinic has shown that in 82% they resulted from errors made by surgeons during operations, in 16% from insufficient examination of the patient during the preoperative period and erroneous management of the patients after operation. Strict observation of the requirements during the preoperative period, good organization, supply and performing the operation and postoperative managements, as well as the elevation of immune reactivity of the macroorganism allowed the percentage of postoperative osteomyelitis to be considerably reduced.