Abstract:
Some epidemiologic particularities and
management of treatment with antibiotics of septic-purulent infections of hip
and knee joints endoprosthesis
Analyzing medical records of patients with
endoprosthesis treated in the orthopaedic
departments of PMSI CHTO, during 2011-
2015, showed various septic-purulent
complications in 37 (5.36%) patients
hospitalized in the department of septic
surgery. However, analyzing the prosthesis patients with various septic-purulent
infections, we found that the incubation
period is on average about 18 months.
As a result of bacteriological study, 33
bacterial strains were detected, which
demonstrates the polyetiologic nature of
nosocomial infections. In 40% of those
investigated, were found 2 to 3 strains of
bacteria. The total resistance to all groups
of antibiotics was observed in 28.6% of
cases, sensitivity – 71.4%. Descriptive
study examines the incidence of nosocomial infections declared, but also those
undeclared by a retrospective review of
medical records.
Septic-purulent infections were found in
5.36% cases for 100 surgeries. Mainly
Gram-positive infections, which represented 75.75% of the total number of
microorganisms detected, Gram negative – 24.25%, S. epidermidis, S. aureus,
S. hemoliticus, P. aeroginosa, E. coli. A
better sensitivity to antibiotics were found
in microorganisms of Staphylococcus
and Streptococcus genus, including S.
aureus (91.82%), S. epidermidis (76%), S.
aeroginosa (85.7), Acinetobacter (75%),
E. coli (31.3%), P. aeroginosa (16%).
