Abstract
Objective: compare the effectiveness of using a moisturizer containing antibacterial drugs of plant origin with a water-soluble ointment that includes the antibiotic chloramphenicol in the treatment of victims with burns of the face II-IIIа degrees.Materials and methods: The results of treatment of 27 victims (12 men and 15 women) with burns of the face and other areas of the body of I – II degree with a total area of 1 to 6 % of the body surface at the age of 18 – 60 years were analyzed. In the main group (13 patients), a cream containing antibacterial drugs of plant origin was used. In the control group (14 patients), bandages with a water-soluble ointment containing an artificial synthesized antibiotic chloramphenicol were used. Visually evaluated the course of the wound process, the nature and volume of exudate, the healing time of burn wounds when using ointments. Seeding of the wound discharge was done on the day of admission, on the 5th and 10th day of treatment. The structure and number of microflora of burn wounds were studied.Results: in the third seeding of the main group, the concentration of bacteria was (2.4 ± 0.04) x103 CFU / g. in the third seeding of the control group, the concentration of microorganisms was (5.9 ± 0.03)×105 CFU / g. the duration of hospitalization in the main group was 18.1 ± 1.5 days, in the control group — 23.8 ± 1.9 days.Conclusions: cream containing antibacterial preparations of plant origin, in comparison with a water-soluble ointment that includes an artificial synthesized antibiotic chloramphenicol, reduces the bacterial contamination of wounds in victims with superficial burns of the face by 2×102 times, the duration of inpatient treatment for 5 days (p < 0.05).
Highlights
Objective: compare the effectiveness of using a moisturizer containing antibacterial drugs of plant origin with a watersoluble ointment that includes the antibiotic chloramphenicol in the treatment of victims with burns of the face II-IIIа degrees
Seeding of the wound discharge was done on the day of admission, on the 5th and 10th day of treatment
Информация об авторахБутрин Ярослав Любомирович — майор медицинской службы, помощник начальника клиники (термических поражений и пластической хирургии) по лечебной работе кафедры термических поражений Военно-медицинской академии им
Summary
Цель: cравнить эффективность применения увлажняющего крема, содержащего антибактериальные препараты растительного происхождения, с водорастворимой мазью, включающей в себя антибиотик хлорамфеникол, при лечении пострадавших с ожогами лица II и IIIа степени. В основной группе (13 пациентов) применяли крем, содержащий антибактериальные препараты растительного происхождения. В контрольной группе (14 пациентов) использовали повязки с водорастворимой мазью, содержащей искусственный синтезированный антибиотик хлорамфеникол. Результаты: в третьем посеве основной группы концентрация бактерий составила (2,4 ± 0,04)×103 КОЕ/г. В третьем посеве контрольной группы концентрация микроорганизмов составила (5,9 ± 0,03)×105 КОЕ/г. Выводы: крем, содержащий антибактериальные препараты растительного происхождения, по сравнению с водорастворимой мазью, включающей в себя искусственный синтезированный антибиотик хлорамфеникол, снижает бактериальную обсемененности ран у пострадавших с поверхностными ожогами лица в 2×102 раза, сроки стационарного лечения на 5,7 ± 1,6 суток (p < 0,05)
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