Microflora Features in Patients with Surgical Sepsis
Abstract
The authors present a retrospective analysis of archival materials of bacteriological laboratories and case histories of patients with surgical infections, hospitalized in the «Municipal Clinical Hospital», Blagoveshchensk and Amur Regional Clinical Hospital from 1985 to 2014.
Microbiological investigation of the material from the surgical and urological patients identified etiologic role mainly of Gram-negative bacteria in patients with surgical sepsis. The role of microbial associations (E. coli with Staphylococcus aureus, Staphylococcus epidermidis and with bacteria of the genus Proteus) went up and the share of Pseudomonas aeruginosa and Candida fungi increased. The authors concluded a preferred application for empirical antimicrobial therapy of surgical sepsis with cephalosporin group III–IV generation drugs (ceftazidime, cefepime, cefpirome) and carbapenems (meropenem, imipenem, doripenem) after analysis of antibioticogramms.
About the Authors
V. V. GrebenukRussian Federation
Grebenuk Vyacheslav Vladimirovich, MD, Professor, Department of Anatomy and Operative Surgery
Amur Region, Blagoveshchensk, Gorkiy street, 95
K. A. Kovtunov
Russian Federation
Kovtunov Konstantin Anatolievich, doctor - urologist of the highest category
urology department
Blagoveshchensk, street Voronkov, 26
A. A. Nazarov
Russian Federation
Nazarov Anatoliy Anatolievich, MD, a surgeon of the highest category, the doctorcoloproctologist
department of paid services
Blagoveshchensk, Str. Zeya, 72/58
I. V. Chumachenko
Russian Federation
Chumachenko Igor Vasilievich, surgeon, the head of the surgical department
Amur region, Belogorsk
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Review
For citations:
Grebenuk V.V., Kovtunov K.A., Nazarov A.A., Chumachenko I.V. Microflora Features in Patients with Surgical Sepsis. Yakut Medical Journal. 2016;(1):14-17.