| THE CHARACTERISTICS OF VARIOUS FORMS OF COMPLICATED SURGERY INFECTIONS OF THE DIABETIC FOOT SYNDROME AND THEIR ANTIBACTERIAL TREATMENT. | |
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MedLine Citation:
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PMID: 21346264 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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In case of neuropathic forms, infection is the cause of tissue nekros, while - in case of neuroischemic forms, it's critical ischemia. Antibacterial therapy is present in all cases of neuroischemic form, not dependent on the signs of infection, Though, in case of neuropathic forms, a course of antibiotics is prescribed only in case of the attachment of infection. Infected neuroischemic ulcer is characterized of acube development (infection+ischemia), unlike infections neuropathic, ulces. The researches showed that 42 patients (40%) suffered from neuropathic form and 63(60%) - from neuroischemic form. In purulent zones anaerobic flora was revealed in 77.3%, aerobic flora - 17.7%, the rise of microflora was not indicated in 5% of cases. Most often, with 43.6% St. aureus was found out, and from the association of microbes - st. aureus + Str. pyogenes - 8.7%. Was the level of bacterial pollution and varied from 105 to 10(12). The highest sensibility was shown towards Tienam (98.9%). The most acceptable and productive form of treatment turned our to be the following combination phtorchinolyns+aminoglycosides. Out of 105 patients 34 amputations were done + 6 tall, 10 large (more than a half) and 18 small (up to the middle of the foot). In 71 cases we successfully managed to stop infections processes and get rid of amputations. |
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Authors:
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A Kistauri; G Devidze; M Jibladze |
Publication Detail:
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Type: JOURNAL ARTICLE |
Journal Detail:
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Title: Georgian medical news Volume: - ISSN: 1512-0112 ISO Abbreviation: - Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2011-2-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101218222 Medline TA: Georgian Med News Country: - |
Other Details:
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Languages: RUS Pagination: 28-32 Citation Subset: - |
Affiliation:
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Tbilisi State Medical University, Institute of Critical Medicine, Tbilisi, Georgia. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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