Epidemiology of severe sepsis caused by severe craniocerebral trauma in western Ukraine

Authors

  • O. V. Oliynyk N.I.Kras ДВНЗ "Тернопільський державний медичний університет імені І.Я. Горбачевського МОЗ України"
  • I. I. Titov
  • K. Yu. Krenov
  • O. V. Yemyashev
  • B. Pereviznyk
  • A. Shlifirchyk
  • N. I. Kras

DOI:

https://doi.org/10.11603/2414-4533.2016.1.5874

Abstract

The results of treatment of 1104 patients with severe head injury who were treated in the departments of anesthesiology and intensive care of Ternopil Medical University Hospital,Ivano-Frankivsk and Khmelnitsky regional hospitals in 2014-2015 p.  The patients with severe traumatic brain injury living in Khmelnytsky, Ternopil and Ivano-Frankivsk regions, with the total number of people living in these areas 3757704 entity were treated in these three hospitals. Themortality  ratecaused by this disease in the studied hospitals was in 2014-2015- 48.7%. Among the patients of departments of anesthesiology and intensive care of these hospitals the patients with  severe head injuries were in 28.44% of cases. Acute respiratory distress syndrome, like complication of sepsis developed in 44.9% of patients,  ventilator-associated pneumonia - in 67.83%,  acute renal failure –in 34.39% of patients.  Artificial lung ventilation with duration longer than 30 days was used in 21.34% of the patients, with duration from 20 to 30 days - in 40.76%. In 385 microbiological isolates it was found in 25.2% Acinetobacterbaumannii, in 19.0%-  Pseudomonas aeruginosa, in 19,4% - Klebsiellapneumoniae.  70.8% of patients had gram-negative sepsis. In 75.86% Gram negative flora were resistant to meropenem. Over the past 2 years, it was found the increasing of sensitivity of micro flora to chloramphenicol, streptomycin, gentamicin.

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Published

2016-03-01

How to Cite

Oliynyk N.I.Kras, O. V., Titov, I. I., Krenov, K. Y., Yemyashev, O. V., Pereviznyk, B., Shlifirchyk, A., & Kras, N. I. (2016). Epidemiology of severe sepsis caused by severe craniocerebral trauma in western Ukraine. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (1). https://doi.org/10.11603/2414-4533.2016.1.5874

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No. 1 (2016)

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