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THE CHARACTERISTICS OF VARIOUS FORMS OF COMPLICATED SURGERY INFECTIONS OF THE DIABETIC FOOT SYNDROME AND THEIR ANTIBACTERIAL TREATMENT.
MedLine Citation:
PMID:  21346264     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
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.
Authors:
A Kistauri; G Devidze; M Jibladze
Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Georgian medical news     Volume:  -     ISSN:  1512-0112     ISO Abbreviation:  -     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-2-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101218222     Medline TA:  Georgian Med News     Country:  -    
Other Details:
Languages:  RUS     Pagination:  28-32     Citation Subset:  -    
Affiliation:
Tbilisi State Medical University, Institute of Critical Medicine, Tbilisi, Georgia.
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