Anaerobic Purulent Complications in Patients with Injuries and Orthpaedic Pathology

Results of microbiologie examinations for the detection of anaerobic nonesporulation microflora in trauma and orthopaedic patients with purulent processes are analysed. Out of 308 patients with purulent processes in bones and joints of pelvis and lower limbs anaerobes are detected in 40.6% of cases, i.e. anaerobes only - in 7.5% and anaerobic-aerobic assocoations - in 33.1%. In chronic gunshot osteomyelitis anaerobes are determined most often (in 84.6% of examined patients). Out of 110 patients with suspision to sepsis obligate anaerobes are isolated in 21.8%. Among determined anaerobes coccous microflora makes up 44.16%, bacteroides - 18.7%, fusobacteria - 3.2%, Clostridium - 7.53%, Gram-positive nonesporulation bacilli - 26.41%. Methods of microbiologie diagnosis for anaerobic microflora using both imported and native equipment are described. Peculiarities of clinical manifestation and treatment of anaerobic purulent processes are presented too.