Correction of antibacterial therapy at patients with destructive forms of the dia- betic foots in view of dynamics of the microflora

  • В. А. Кисляков The Astrakhan State Medical Academy, Hospital N 3, Astrakhan, Russia
  • К. Ю. Бедирханов The Astrakhan State Medical Academy, Hospital N 3, Astrakhan, Russia
Keywords: diabetic stop, microflora, therapy by antibiotics

Abstract

The microflora and sensitivity antibiotics at 224 patients divided into two identical groups (on a floor, age and pathological process on foots) is researched: in 2000-2002 and in 2004-2006г. In dynamics - the role of aerobic flora has decreased, the share facultative anaerobic and gramnegation florae has increased. Resistency to antibiotics has changed. Between kinds of activators at various forms of a diabetic foots have not established precise correlation. In view of change in dynamics of kinds of activators and resistency of antibiotiks is recommended following schemes: ftorhinolons+ metronidazole; ftorhinolons + clindamicin; cefalosporins 3-4-го generations + metronidazole; karbopenems+ metronidazole. Antibacterial therapy in such combination it is applied within 2-3 weeks with the control of dynamics of a microflora each 5-7 days with corresponding correction. After localization of inflammatory process transition on tabletics forms depending on sensitivity of microflora is possible. It is necessary to use a principle step antibacterial therapy. In connection with duration of antibacterial therapy the control of dynamics of a microflora not only over treatment of each patient, but also in connection with evolution ofpathogenic flora and her adaptation to new kinds and forms of antibacterial means is necessary.
Коррекция антибактериальной терапии у пациентов с деструктивными формами синдрома диабетической стопы с учетом динамики микробного пейзажа
Published
2008-05-05
How to Cite
Кисляков, В., & Бедирханов, К. (2008). Correction of antibacterial therapy at patients with destructive forms of the dia- betic foots in view of dynamics of the microflora. Bulletin of the International Scientific Surgical Association, 3(1), 54-56. Retrieved from http://surgjournal.ru/index.php/BISSA/article/view/245
Section
Original Articles