TO THE PROBLEM OF ORIGIN OF PURULENT INFLAMMATORY COMPLICATIONS IN THE UROLOGICAL DEPARTMENT OF THE GENERAL HOSPITAL OF THE PENZA REGION

Abstract

Background. Every year, from 500 to 700 cases of nosocomial infections are recorded in medical institutions of the Penza Region. Moreover, about half of all identified cases occur in surgical hospitals. The development of purulentinflammatory infections in patients of the urological hospital is one of the most dangerous complications affecting the urogenital system. In this regard, the purpose of the study was to study the peculiarities of purulent-inflammatory diseases in persons under treatment in the urological department of the multidisciplinary hospital of Penza region. Materials and methods. A prospective study of 106 samples of clinical material from 101 patients of the urological department of a multidisciplinary hospital with identified bacteriuria for the presence of purulent-inflammatory complications (PIC) developed during treatment in the urological department of a multidisciplinary hospital was conducted. Results. The etiological agents of bacteriuria in patients of the urological department of a multidisciplinary hospital are mainly Gram-negative bacteria, which represented by Escherichia coli (21,9 %), Klebsiella pneumoniae (19.04 %) and Pseudomonas aeruginosa (11,43 %). Among gram-positive microorganisms, Enterococcus faecalis occupies a leading place among the causative agents of PIC in 26,6 % of the total structure of the microbial landscape. Conclusions. In patients of urological department of multidisciplinary hospital of Penza region there is found a wide spectrum of purulent-inflammatory diseases, for etiotropic therapy of which it is rational to use preparations of group of fluoroquinolones, glycopeptides and carbopenems.

Keywords

• inflammatory complications
• antibiotic resistance
• urology department