MICROBIOLOGICAL MONITORING IN THE EPIDEMIOLOGICAL SURVEILLANCE SYSTEM FOR PURULENT-SEPTIC INFECTIONS IN CASE OF BURN INJURY

Abstract

Objective. Study objective is to monitor the microbial wound secretion in patients with burn injury and to assess the safety of risk-oriented technologies providing medical care. Methods. A retrospective epidemiological study was conducted based on cases of patients with thermal trauma treated in the burn department of Far Eastern Regional Medical Center of FMBA of Russia from 2008 to 2017. Results. The average annual record of purulent-septic infections for 1000 burned patients was 431.8 (95 % CI: 382.8-480.8). The highest record was in 2012 and it exceeded the average annual almost by 1.5: 625.0 and 431.8 %o, respectively. The identical situation (1.3 times higher) was noted in 2009. From 2008 to 2012, in addition to the above-mentioned periods, the dynamics of the indicator was in the range of the average annual. By 2017 the frequency of the purulent-septic infections decreased to 319.3 %. Representatives of the genus Staphylococcus were sown as much as possible in 2008 (79.8 ± 1.5 % of observations), with a decrease to 37.4 ± 1.3 % of observations in 2017. The reverse trend is determined by non-fermenting gram-negative microorganisms (Pseudomonas aeruginosa, Acinetobacter baumannii): an increase from 20.2 ± 1.5 % (2008) to 62.6 ± 1.1 % (2017). Conclusion. Risk-based technologies for providing medical care in thermal trauma, increasing epidemiological safety and improving rational antibiotic therapy, reduced the risk of purulent-septic infections in patients of burn hospital.