SURGICAL INFECTION IN PATIENTS WITH CRITICAL LIMB ISCHEMIA

Physical condition of patients with critical limb ischemia is one of the factors that cause a severe course of surgical infection in patients with this pathology. Aim. To analyze current views on the course, diagnosis and treatment of this pathology. Materials and Methods. The analysis of publications in PubMed and Medline databases with sufficient level of relevance was primary sources, which most closely reflect the views on the disease, were selected. Results and Discussion. Surgical infection in patients after arterial reconstruction is a key issue of angiosurgery. The infectious complications of critical limb ischemia include purulent-necrotic tissue complications as a result of ischemia and surgical site infection. The risk of postoperative infectious complications is caused by a shunt in the wound projection. Microbiocenosis plays an important role in the course of surgical infection, therefore, bacteria identification and antibiotic susceptibility testing are considered the golden standards in the treatment of this pathology. Local therapy lies in the adequate postoperative wound drainage. Modern method of treatment of infectious complications is vacuumassisted wound therapy. Conclusion. Processed article data show a high prevalence of surgical infection in the site of surgery and the need to improve the schemes of complex treatment, as well as development of measures aimed at prevention of infectious complications associated with critical limb ischemia. Key words: critical limb ischemia, surgery infection, surgical site infection