THE INFECTION RESPIRATORY COMPLICATIONS IN CHILDREN OF CARDIOSURGICAL PROFILE AND THEIR MICROBIOLOGICAL CHARACTERISTIC

  • R. М. Emets Scientific-Practical Medical Centre of Pediatric Cardiology and Cardiosurgery, Kyiv
  • G. V. Filonenko Scientific-Practical Medical Centre of Pediatric Cardiology and Cardiosurgery, Kyiv
  • V. А. Zhovnir Scientific-Practical Medical Centre of Pediatric Cardiology and Cardiosurgery, Kyiv
  • D. L. Кyryk Shupyk National Medical Academy of Postgraduate Education, Kyiv
Keywords: inborn heart failure, surgical treatment, іnfection complications

Abstract

Results of microbiological investigations of sputum, obtained while bronchofibroscopy conduction in 24 patients, оperated for the inborn heart failures, were analyzed. In 16 (66.6%) patients microbial associations were revealed, in 5 (20.8%) – the infection complications vectors. The causative agents in monoculture were presented by gramm-negative stamms - in 45 (50.6%) patients, including 29 stamms of nonenzymating, in 16 – of Enterobacteriacae family. In gramm-positive stamms Staphylococcus epidermidis prevailedin 14 (15.7%) patients, Staphylococcus haemolyticus – in 13 (14.6%).

Studying of the causative agents structure, аnalysis of resistance of microorganisms towards antimicrobic preparations and determination of their molecular-genetic peculiarities constitutes significant stage of formation of the antibacterial therapy tactics, permitting the risk reduction for the postoperative infection morbidity after procedures, made for the inborn heart disease.

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Published
2017-11-24
Section
General Problems of Surgery