TY - JOUR

T1 - Epidemiological and clinical features of the course of postoperative sternomediastenitis (clinical case)

AU - Mironenko , O.V.

AU - Soprun , L.A.

AU - Tovanova , A.A.

AU - Оbuchov, D.A.

PY - 2021

Y1 - 2021

N2 - Health-care-related infections are becoming more relevant today. The difficulty and largely of diagnosis increased impact of adverse effects (postoperative period, increase of bed-days, use of irrational antibacterial therapy, use of excessive methods of disinfection) factors of the hospital environment on the human body, contributing to the development of severe post-operative complications, among them, sternomadesteminitis occupies a special place in cardiac surgery. The clinical case we represent clearly demonstrates the atypical flow of sternominetite caused by the hypervirulent strain K.Pneumoniae blaNDM-Type . Generally, sternomadedititis causes S. epidermidis, S.Haemolyticus. Every week the patient stays in the cardiothoracic ward of the hospital is associated with a 15% increase in the risk of mediastinitis development. The data indicate the need for continuous epidemiological monitoring of the relevant microorganisms that are potential agents of nosocomial infections. Thus, adequate diagnosis, choice of rational treatment tactics and effective antibacterial therapy significantly improve the prognosis of the current of a given severe disease. Early epidemiological diagnosis will help to reduce the risk of the development and spread of hospital-acquired infections in the post-operative period.

AB - Health-care-related infections are becoming more relevant today. The difficulty and largely of diagnosis increased impact of adverse effects (postoperative period, increase of bed-days, use of irrational antibacterial therapy, use of excessive methods of disinfection) factors of the hospital environment on the human body, contributing to the development of severe post-operative complications, among them, sternomadesteminitis occupies a special place in cardiac surgery. The clinical case we represent clearly demonstrates the atypical flow of sternominetite caused by the hypervirulent strain K.Pneumoniae blaNDM-Type . Generally, sternomadedititis causes S. epidermidis, S.Haemolyticus. Every week the patient stays in the cardiothoracic ward of the hospital is associated with a 15% increase in the risk of mediastinitis development. The data indicate the need for continuous epidemiological monitoring of the relevant microorganisms that are potential agents of nosocomial infections. Thus, adequate diagnosis, choice of rational treatment tactics and effective antibacterial therapy significantly improve the prognosis of the current of a given severe disease. Early epidemiological diagnosis will help to reduce the risk of the development and spread of hospital-acquired infections in the post-operative period.

KW - K.Pneumonia blaNDM-Type

KW - nosocomial infection

KW - sternomadeistin

KW - epidemiological process

KW - carbapenemaza

KW - hypervirulence

M3 - Article

VL - 16

SP - 356

EP - 371

JO - ВЕСТНИК САНКТ-ПЕТЕРБУРГСКОГО УНИВЕРСИТЕТА. МЕДИЦИНА

JF - ВЕСТНИК САНКТ-ПЕТЕРБУРГСКОГО УНИВЕРСИТЕТА. МЕДИЦИНА

SN - 1818-2909

IS - 1

ER -