RECTAL CULTURE SURVEILLANCE AND DEVELOPED SYSTEMIC INFECTIONS IN VANCOMYCIN-RESISTANT ENTEROCOCCI AND CARBAPENEM-RESISTANT KLEBSIELLA PNEUMONIAE CARRIERS

Introduction: Globally, in the young age group of people mortality and morbidity is due to the high-energy trauma.  The losing of young age group of population will get impact in the social economic losses of family as well as the nation. Fractures are generally caused by high-energy trauma, high-impact accidents and are often associated with injuries to other organic lesions like abdominal viscera, genitourinary system, neurovascular, musculoskeletal structures and central nervous system. There was relatively low rate of occurrence of facture of pelvic injuries that associated with high levels of morbidity and mortality. According to the studied of the post-mortem examined only in children 66 deaths caused by trauma that showing pelvic fracture and severe bleeding to be the cause of death in 42% of the cases. In the case of adult in cases of unstable pelvic fractures retroperitoneal bleeding is the worst complication. Aim: The main objective of this study is to study of Unstable Pelvic Fractures from children in tertiary care hospital Material and methods: In this study total 10 patients were included who had suffered unstable fractures of the pelvic ring with the age from  1 to 15 years old.. From all the patients detail clinical history were taken with analysis of the pre and postoperative radiographs by presence of the triradiate cartilage of the iliac. Result: In this study total 10 patients were included with unstable fractures of the pelvic ring evaluated where female were 6 and male were 4 with the ration 6: 4. The age ranges were 2 to 15 years with the mean age 7.5±4 years old. Symphysis disjunctions of the pubic facture were present in maximum with the facture of two rami and facture of four rami respectively. In five of the cases Sacroiliac dislocation correspond to posterior lesion were seen. The AO-OTA classification was used to evaluate the cases with the following distribution as 61 B1 (one case); 61 B2 (one case); 61 C3 (one cases), 61 C2 (one case) and 61 C1 (seven cases). Conclusion: Now  a day’s also many research which still have a controversy  for treatment,  which  has  been  recommended  for  treating  these  fractures  for  many  years. Their concerns relate  to  the  complications  encountered that in  leg  length  and  residual  pain in  the  sacroiliac  joint. Keywords:  unstable pelvic facture, pelvic asymmetry, children