Zakażenia Staphylococcus aureus (MRSA i MSSA) u chorych operowanych z powodu nowotworów głowy i szyi
Journal Title: Otolaryngologia Polska - Year 2008, Vol 62, Issue 4
Abstract
Introduction. The MRSA and MSSA infections are essential clinical problem. Both of the strains have high virulence (as a result of enzyme and toxin production), what disturbs wound healing as well as a general condition of the patient. Aim. The purpose of this work was an estimation of the role of MRSA infections among patients operated on for head and neck cancers. Material and methods. From 1155 patients treated for head and neck cancers in The Department of Otolaryngology in Poznan in 2006–2007 189 biological samples were taken to carry out a bacteriological examination. The indications for this procedure were symptoms of infection in the operated area, wound healing per secundam and a hectic fever after the surgery. Biological specimens came from: 57 postoperative wounds, 36 tracheotomy areas, 24 tracheoesophageal fi stulas, 9 salivary fistulas, 21 oral cavities and pharynxes, 2 noses, 4 ears, 6 central venous catheter areas, 2 gastrostomies, 2 cerebrospinal fl uid (CSF) samples, 1 fluid from pleural cavity, 11 blood samples, 12 urine samples, 2 bronchoalveolar lavages (BAL). Results. 37 biological samples were aseptic, in 11 samples there were no pathological cultures, in 141 samples pathological bacterial fl ora was found. MRSA was found in 6 cultures and MSSA was found in 18 cultures. Conclusions. In order to prevent the MRSA infection the Hospital Infections Department was formed. The results of commissioned bacteriological examinations are analyzed by the Department, what enables bacteriological fl ora observation in the hospital, fast identifi cation of MRSA infected patients, and, what is more, MRSA infections prevention. It also helps to select proper medicaments in empiric antibiotic therapy.
Authors and Affiliations
Magorzata Wierzbicka, Hanna Tomczak, Witold Szyfter, Anna Bartochowska, Aneta Rogozińska, Kacper Judka
Keywords
Related Articles
- EP ID EP51522
- DOI -
- Views 97
- Downloads 0
Popularyzacja idei fonochirurgicznych w codziennej pielęgnacji strun głosowych – co jeszcze można zrobić?
Tematyka poniższego przeglądu skupia się na zagadnieniach związanych z zabiegami w obrębie fałdów głosowych, akcentując praktykę fonochirurgiczną. Celem artykułu jest popularyzacja wiedzy z zakresu fonochirurgii, szerzen...
Trwałe następstwa wysiękowego zapalenia ucha w wieku dziecięcym
Otitis media with effusion is the most common cause of hearing loss in children and myringotomy with tympanostomy tube insertion is recommended procedure to deal with the problem. The objective of the present study was t...
Wskazania i długofalowe wyniki otwartej rynoplastyki powiększającej z użyciem autogennego, L-kształtnego wszczepu chrząstki żebra- doświadczenia chirurga plastycznego
Wprowadzenie Przedstawiono doświadczenie chirurga plastycznego w otwartej rynoplastyce augmentacyjnej z zastosowaniem autogennych L-kształtnych wszczepów chrząstki żebra, z długofalowymi badaniami rezultatów klinicznych...
Ocena procesów przetwarzania słuchowego u dzieci z dyslalią
The objective of the work was to assess occurrence of central auditory processing disorders in children with dyslalia. Material and method: The material included 30 children at the age 7–9 years old being under long-term...
Assessment of voice in patients with Reinke’s oedemas after laser microsurgery
This investigation was undertaken for perceptual and acoustic analysis of voice in patients with Reinke’s oedemas treated with laser microsurgery. Material of the study included 45 patients in the age of 23 to 65 present...