Mikroflora’s changes at gunshot wounds in the nearest postoperative period

Abstract

Relevance of a subject. Wounds of a neck are among not the most widespread, according to literature such wounds happen in 5-10% in peace time and in 0,5-3% in military, at the same time lethality reaches 32,5%. Research objective. To study changes of microflora at gunshot wounds in the next postoperative period at gunshot wounds and their influence on development of complications. Materials and methods. For the solution of a goal the analysis of changes of microflora of wound contents at 348 patients was carried out. From all arrived wounded were distributed as follows: gunshot wounds of a breast have been noted at 127 (36,4%) wounded, gunshot wounds of a neck - at 86 (24,7%), the combined wounds of a breast and neck - at 135 (38,7%) wounded. All patients were male, average age 36 ± 7 years. In the majority of observations - 235 (67,5%) there were bullet wounds, fragmentation wounds have been registered in 113 (32,4%) observations. Single wounds have been noted in 279 (80,1%), multiple - in 69 (19,8%) observations. Results. As a result of the conducted research it is established that a condition of microflora at wounds of a breast depends on time of delivery of the wounded in medical institution. In case of receipt monocultures, in comparison with the data obtained at the wounded brought after 1 hour where associations of microorganisms prevailed till 1 o'clock. Some features as a part of microflora are revealed, however, essential changes in structure of microflora depending on time of delivery haven't been received. It should be noted that in the majority of observations the carried-out antibacterial therapy can be referred to irrational as antibiotics were appointed without sensitivity. In dynamics it is established that changes of microflora are noted, since fifth postoperative days.