MICROBIOLOGICAL METHODS APPLICATION EXPERIENCE IN THE SEVERE INJURIES INFECTIOUS COMPLICATIONS

Modern clinical medicine and surgery problems are associated with infections complications after medical care. In recent years, surgery has made substantial progress related to the new organizational approaches and medical technology specialized medical care to the wounded and injured. However, thes...

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Autores principales:	S. A. Svistunov, A. A. Kuzin, T. N. Suborova, D. A. Zharkov
Formato:	article
Lenguaje:	RU
Publicado:	Sankt-Peterburg : NIIÈM imeni Pastera 2017
Materias:	microbiological diagnosis and monitoring infectious complications wounded and injured surgical hospital agents association chromogenic medium Infectious and parasitic diseases RC109-216
Acceso en línea:	https://doaj.org/article/1516c3240ddd4270bc3165fefe86fbd8
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spelling	oai:doaj.org-article:1516c3240ddd4270bc3165fefe86fbd82021-11-22T07:09:48ZMICROBIOLOGICAL METHODS APPLICATION EXPERIENCE IN THE SEVERE INJURIES INFECTIOUS COMPLICATIONS2220-76192313-739810.15789/2220-7619-2016-4-373-378https://doaj.org/article/1516c3240ddd4270bc3165fefe86fbd82017-01-01T00:00:00Zhttps://www.iimmun.ru/iimm/article/view/450https://doaj.org/toc/2220-7619https://doaj.org/toc/2313-7398Modern clinical medicine and surgery problems are associated with infections complications after medical care. In recent years, surgery has made substantial progress related to the new organizational approaches and medical technology specialized medical care to the wounded and injured. However, these gains are offset by a high rate of infectious complications that require finding effective measures emerging infectious complications timely diagnosis and their prevention. Clinical manifestations are often nosocomial in patients with severe injuries and are largely determined by the influence of clinical and pathogenetic risk factors. Such infectious complications require a comprehensive assessment, including microbiological testing. The main causative agents of infectious complications in surgical hospitals are S. aureus, K. pneumoniae, P. aeruginosa, Acinetobacter spp., which can cause bloodstream infections, soft tissue, respiratory and urinary tract infections, especially in debilitated and immunocompromised patients and patients in intensive care units. These micro organisms are dangerous to patients and medical staff, as they can survive for a long time in the hospital environment, as well as to spread from patient to patient in violation of isolation restrictive measures and requirements for hygiene of medical workers hands. Clinical patterns of infection associated with medical care for severe injuries are to the possibility of serial and parallel development, both in different and in the same time frame of local, visceral and generalized infection with prevalence of combined forms of patients surgical hospital with a high risk of nosocomial infection against the background of factors, diagnostic and treatment process and hospital environment, introduction of the agent. Early etiological diagnosis allows timely assign empirical causal treatment and arrange for infection control to prevent the spread of microorganisms in the hospital. The use of chromogenic (fluorogenic) environments in the study samples of clinical material at the stage of primary seeding makes it possible to obtain rapid response (18–24 h). Microbiological monitoring in the diagnosis of infectious complications in patients with severe injuries and epidemiological surveillance for infections associated with medical care can detect agents capable of becoming the leading pathogens, form stable intra and inter group associations and change the nature of the infection on persistence type superinfection and reinfection, as well as the features of the multi year and intra change frequency allocation pathogens.S. A. SvistunovA. A. KuzinT. N. SuborovaD. A. ZharkovSankt-Peterburg : NIIÈM imeni Pasteraarticlemicrobiological diagnosis and monitoringinfectious complicationswounded and injuredsurgical hospitalagents associationchromogenic mediumInfectious and parasitic diseasesRC109-216RUInfekciâ i Immunitet, Vol 6, Iss 4, Pp 373-378 (2017)
institution	DOAJ
collection	DOAJ
language	RU
topic	microbiological diagnosis and monitoring infectious complications wounded and injured surgical hospital agents association chromogenic medium Infectious and parasitic diseases RC109-216
spellingShingle	microbiological diagnosis and monitoring infectious complications wounded and injured surgical hospital agents association chromogenic medium Infectious and parasitic diseases RC109-216 S. A. Svistunov A. A. Kuzin T. N. Suborova D. A. Zharkov MICROBIOLOGICAL METHODS APPLICATION EXPERIENCE IN THE SEVERE INJURIES INFECTIOUS COMPLICATIONS
description	Modern clinical medicine and surgery problems are associated with infections complications after medical care. In recent years, surgery has made substantial progress related to the new organizational approaches and medical technology specialized medical care to the wounded and injured. However, these gains are offset by a high rate of infectious complications that require finding effective measures emerging infectious complications timely diagnosis and their prevention. Clinical manifestations are often nosocomial in patients with severe injuries and are largely determined by the influence of clinical and pathogenetic risk factors. Such infectious complications require a comprehensive assessment, including microbiological testing. The main causative agents of infectious complications in surgical hospitals are S. aureus, K. pneumoniae, P. aeruginosa, Acinetobacter spp., which can cause bloodstream infections, soft tissue, respiratory and urinary tract infections, especially in debilitated and immunocompromised patients and patients in intensive care units. These micro organisms are dangerous to patients and medical staff, as they can survive for a long time in the hospital environment, as well as to spread from patient to patient in violation of isolation restrictive measures and requirements for hygiene of medical workers hands. Clinical patterns of infection associated with medical care for severe injuries are to the possibility of serial and parallel development, both in different and in the same time frame of local, visceral and generalized infection with prevalence of combined forms of patients surgical hospital with a high risk of nosocomial infection against the background of factors, diagnostic and treatment process and hospital environment, introduction of the agent. Early etiological diagnosis allows timely assign empirical causal treatment and arrange for infection control to prevent the spread of microorganisms in the hospital. The use of chromogenic (fluorogenic) environments in the study samples of clinical material at the stage of primary seeding makes it possible to obtain rapid response (18–24 h). Microbiological monitoring in the diagnosis of infectious complications in patients with severe injuries and epidemiological surveillance for infections associated with medical care can detect agents capable of becoming the leading pathogens, form stable intra and inter group associations and change the nature of the infection on persistence type superinfection and reinfection, as well as the features of the multi year and intra change frequency allocation pathogens.
format	article
author	S. A. Svistunov A. A. Kuzin T. N. Suborova D. A. Zharkov
author_facet	S. A. Svistunov A. A. Kuzin T. N. Suborova D. A. Zharkov
author_sort	S. A. Svistunov
title	MICROBIOLOGICAL METHODS APPLICATION EXPERIENCE IN THE SEVERE INJURIES INFECTIOUS COMPLICATIONS
title_short	MICROBIOLOGICAL METHODS APPLICATION EXPERIENCE IN THE SEVERE INJURIES INFECTIOUS COMPLICATIONS
title_full	MICROBIOLOGICAL METHODS APPLICATION EXPERIENCE IN THE SEVERE INJURIES INFECTIOUS COMPLICATIONS
title_fullStr	MICROBIOLOGICAL METHODS APPLICATION EXPERIENCE IN THE SEVERE INJURIES INFECTIOUS COMPLICATIONS
title_full_unstemmed	MICROBIOLOGICAL METHODS APPLICATION EXPERIENCE IN THE SEVERE INJURIES INFECTIOUS COMPLICATIONS
title_sort	microbiological methods application experience in the severe injuries infectious complications
publisher	Sankt-Peterburg : NIIÈM imeni Pastera
publishDate	2017
url	https://doaj.org/article/1516c3240ddd4270bc3165fefe86fbd8
work_keys_str_mv	AT sasvistunov microbiologicalmethodsapplicationexperienceinthesevereinjuriesinfectiouscomplications AT aakuzin microbiologicalmethodsapplicationexperienceinthesevereinjuriesinfectiouscomplications AT tnsuborova microbiologicalmethodsapplicationexperienceinthesevereinjuriesinfectiouscomplications AT dazharkov microbiologicalmethodsapplicationexperienceinthesevereinjuriesinfectiouscomplications
_version_	1718418025365897216

MICROBIOLOGICAL METHODS APPLICATION EXPERIENCE IN THE SEVERE INJURIES INFECTIOUS COMPLICATIONS

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