THE MAIN ETIOLOGICAL AGENTS OF SUPPURATION OF POSTOPERATIVE WOUNDS

Abstract

Background. Determination of the microbial composition of the surgical wound, molecular genetic characteristics of the main contaminant strains, antibiotic resistance of microflora, and justification of rational antibiotic therapy of infections in the field of surgical intervention today is a very urgent problem of surgery.

Material. The wound discharge of 248 patients operated on in the clinic of the Tashkent Medical Academy for the period from 2015 to 2020 was studied. All operations were divided into a class of surgical wounds.

Results. Microorganisms isolated from surgical wounds belong to the group of episodically occurring or random. The group of the main microflora consists of S. epidermidis, and E. coli with the advantage of isolating S. epidermidis in the obstetric and gynaecological department, and E. coli in the surgical department.

Conclusion. The microbiocenosis of the surgical wound is characterized by an increase in the richness of species, which serves as a compensatory mechanism for a low rate of constancy. These microorganisms have the highest indicator of significance, depending on the class of wounds, an increase in the dynamics of specific gravity in monoforms and associations.