ANTIBIOTIC PROPHYLAXIS OF THE INFLAMMATORY COMPLICATIONS AT PATIENTS WITH SEVERE BURN TRAUMA
Abstract
The specific structure of hospital microbe strains for last 10 years in Primorsky Regional Burn Center has changed. Significant decrease of pathogenic E. coli and Acinetobacter spp is marked. There was a substantial growth of saprophyte microflorae: S. epidermidis and Enterobacter spp. There is high a percent of associative microflora in wounds. The complex approach to early antibiotic prophylaxis, based on monitoring of circulation of the new strains, resistant to antibiotics is discussed; clinic-laboratory prognostic signs of development of inflammatory complications are suggested, as well as the revealing of initial pre-trauma infections and antibiotic resistant strains. The strategy of first-stage prophylaxis is suggested and that allowed lowering the amount of septic complications at severe burns in 1.5—2 times.
About the Authors
A. A. Polezhaev
Vladivostok State Medical University
Russian Federation
Russian Federation
A. N. Gorsheev
Vladivostok State Medical University
Russian Federation
Russian Federation
T. N. Obydennikova
Vladivostok State Medical University
Russian Federation
Russian Federation
V. V. Usov
Vladivostok State Medical University
Russian Federation
Russian Federation
S. V. Yakushin
Vladivostok State Medical University
Russian Federation
Russian Federation
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Review
For citations:
Polezhaev A.A., Gorsheev A.N., Obydennikova T.N., Usov V.V., Yakushin S.V. ANTIBIOTIC PROPHYLAXIS OF THE INFLAMMATORY COMPLICATIONS AT PATIENTS WITH SEVERE BURN TRAUMA. Pacific Medical Journal. 2006;(1):57-61. (In Russ.)
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