RESUMEN
The dynamic study of the microflora of bullet wounds in 32 patients was carried out. In cases of mass hospitalization coccal microflora (staphylococci and streptococci) was mainly isolated from wounds, at the period of treatment hospital infections with enterobacteria, Pseudomonas and Enterococcus occurred. Before cleaning the wound a decrease in the contamination rate for all microbial species was observed. As the disease progressed an increase in the amount of antibiotic-resistant bacterial strains was registered. The results of sanitary microbiological investigations made in the wards where the wounded patients were treated correspond to the structure of the causative agents of purulent processes in patients.
Asunto(s)
Traumatismos del Brazo/microbiología , Fracturas Óseas/microbiología , Hospitalización , Traumatismos de la Pierna/microbiología , Traumatismos de los Tejidos Blandos/microbiología , Violencia , Infección de Heridas/microbiología , Heridas por Arma de Fuego/microbiología , Adolescente , Adulto , Anciano , Bacterias/efectos de los fármacos , Bacterias/aislamiento & purificación , Progresión de la Enfermedad , Farmacorresistencia Microbiana , Femenino , Humanos , Masculino , Pruebas de Sensibilidad Microbiana , Persona de Mediana Edad , MoscúRESUMEN
The bacterial contamination of blood and its components was studied in 517 corpses during the first 2-4 hours after sudden death. Investigations were made with the use of anaerobic cultivation techniques, modern identification methods by means of test systems and gas-liquid chromatography. As revealed in this study, in 14.1% of the corpses different bacteria, belonging to the representatives of normal human microflora, were detected in the blood. More than a half of the isolates were represented by Propionibacterium (P. acnes and P. granulosum). The endogenous way of contamination from the lymph of the hepatic duct seems to be most probable.