Primary causative agents of infectious complications in injured with severe trauma

AIM: Study etiologic structure of infectious complications in injured with severe-trauma. MATERIALS AND METHODS: Retrospective analysis of results of therapy outcomes in 5966 wounded and injured (1999 - 2009) and prospective observation of 142 injured (2008 - 2009) by using epidemiologic, statistical and microbiological methods was carried out. RESULTS: Frequency of isolation and specific weight of causative agents depending on localization of infectious complication was established. Among 11486 isolated microorganism strains 4 causative agents dominated: Klebsiella pneumoniae, Pseudomonas aeruginosa, Acinetobacter spp. and Staphylococcus aureus. The proportion of these causative agents differed in various years. Interconnections of microorganisms composing associations were determined. CONCLUSION: Conduction of microbiological monitoring is determined by the necessity of constant control for leading causative agents of infectious complications in injured with severe trauma in the dynamic of their therapy.