pmjТихоокеанский медицинский журналPacific Medical Journal1609-1175TGMUpmj-903Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL RESEARCHESЛокальный микробиологический мониторинг и антибиотикорезистентность основных патогенов у пациентов с хирургической патологией в отделении интенсивной терапииLocal microbiological monitoring and antibiotic resistance of main pathogenic agents in patients with surgical pathology in the intense care departmentsБандуроваЕ. А.BandourovaE. A.e-mailymkak@bk.ruШуматовВ. Б.ShoumatovV. B.noemail@neicon.ruЕлисееваЕ. В.EliseevaE. V.noemail@neicon.ruВладивостокский государственный медицинский университетРоссияVladivostok State Medical UniversityRussian Federation201228092012032529Copyright © Бандурова Е.А., Шуматов В.Б., Елисеева Е.В., 20122012Бандурова Е.А., Шуматов В.Б., Елисеева Е.В.Bandourova E.A., Shoumatov V.B., Eliseeva E.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.tmj-vgmu.ru/jour/article/view/903

Пациенты с тяжелой абдоминальной хирургической патологией в условиях интенсивной терапии относятся к группе высокого риска развития инфекционных осложнений, учитывая тяжесть состояния, иммунный статус, инвазивные методы диагностики и лечения. Установление микробной картины и резистентности возбудителей необходимо для адекватной антибактериальной терапии. Исследовано 159 проб биологического материала от 104 пациентов с заболеваниями желчевыводящих путей и поджелудочной железы, желудка и кишечника, находившихся в отделении анестезиологии и реанимации Владивостокской клинической больницы № 2 за 2009-2011 гг. Установлено, что в образцах эндотрахеального аспирата, перитонеальной жидкости и раневого отделяемого преобладают представители грамотрицательных неферментирующих бактерий (A. baumannii, Р eruginosa) и семейства Enterobacteriaceae (Е. gergoviae, E. aerogenes, E. coli, K. pneumoniae), уровень их резистентности достигает критических величин. Грамположительная флора была представлена S. epidermidis, S. pyogenes, E. faecalis и S. aureus.

The patients with the severe abdominal surgical pathology under intensive care conditions should be classified as those of having high risk for the infectious complications with due consideration to the severity, immune state, invasive methods of diagnostics and treatment. The clarified microbial picture and antibiotic resistance are required to administer adequate antibacterial therapy. The authors have conducted tests of 159 bioassays from 104 patients with the diseases in bile passages and pancreatic gland, stomach and bowels who underwent treatment in the anaesthesiology and reanimation department of the Vladivostok Clinical Hospital No. 2 in 2009-2011. As shown, there were gram-negative non-fermentative bacteria (A. baumannii, Р aeruginosa) and Enterobacteriaceae (Е. gergoviae, E. aerogenes, E. coli, K. pneumoniae) in the specimen of endotracheal aspirate, peritoneal fluid and traumatic discharge. Their resistance rate reached critical values. The gram-positive flora comprised S. epidermidis, S. pyogenes, E. faecalis, and S. aureus.

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The authors declare that there are no conflicts of interest present.