THE INFORMATIVENESS OF TRADITIONAL MICROBIOLOGICAL ANALYSIS IN SEPSIS IN PATIENTS WITH NEURO-RESUSCITATION PROFILE
Journal: Journal of the Grodno State Medical University (Vol.21, No. 1)Publication Date: 2023-03-02
Authors : Kiryachkov YY Yakubtsevich RE Puzin SN;
Page : 64-71
Keywords : microbiological study; ESCAPE in liquor; gram-negative flora; sepsis;
Abstract
Background. The existing routine methods of identification of microbes in various biological environments of the body have not led to a radical improvement in the target selection of antimicrobials and the outcomes of septic conditions. The purpose of the study: to analyze the effectiveness of standard microbiological studies in sepsis in patients with brain damage of various origins. Material and methods. A retrospective cohort study included 40 patients (male – 23, female – 17, average age – 50.43±2.84 years) neuro-resuscitation profile. The importance of the most important microbiological patterns of biological media in survived and deceased patients from sepsis has been studied. Results. Acinetobacter baumani, Escherichia coli in urine, Providencia stuartii in tracheobronchial aspirate were detected only in deceased patients, which the presence of these microorganisms can be considered adverse prognostic factors in sepsis and septic shock. Conclusion: A decrease in the clinical significance of the traditional method of verification of microbiological cultures in sepsis was revealed.
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