Authors
Maslyakov V.V.1, 2, Sidelnikov S.A.1, Kapralov S.V.1, Pronina E.A.2, Barsukov V.G.2, Yeresko D.V.2
1 Saratov State Medical University named after V.I. Razumovsky, Saratov
2 Saratov Medical University «Reaviz», Saratov
Abstract
The multicenter study was conducted in the period from 2014 to 2024 in civilian medical institutions providing surgical care to civilians who received gunshot wounds as a result of military operations. The study was conducted on 40 male patients who gave their consent to participate in the study at the age of 35±6 years. All patients were divided into two groups. The first, the main one, consisted of 20 people who were treated for gunshot peritonitis, which developed as a result of a shrapnel wound to the abdomen with intestinal damage. The second, for comparison, consisted of 20 patients operated on for peritonitis caused by acute appendicitis. Both groups were comparable in age, gender, and severity of the condition. As a result of the study, it was found that patients with peritonitis, which developed as a result of a gunshot wound to the abdomen, have a large range of opportunistic pathogens. At the same time, a number of features were revealed, as associations of microorganisms prevailed, which were detected in 94,8% of cases. Another feature of the microflora in gunshot peritonitis was that in the vast majority of cases they were resistant to antibacterial therapy. The presence of these factors undoubtedly had a negative impact on the immediate postoperative period, leading to the development of complications in 45% of cases, which in 25% of cases led to sepsis and death of patients. All this must be taken into account when treating patients with gunshot peritonitis.
Keywords: microflora, antibacterial therapy, peritonitis, gunshot wounds of the abdomen.
References
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4. Maslyakov VV, Polidanov MA, Pronina EA, Parshin AV, Polkovova IA, Barsukov VG. Features of the microbial landscape in gunshot wounds of the pelvis complicated by peritonitis. Modern science: actual problems of theory and practice practices. Series: Natural and Technical Sciences. 2024; 7: 223-229. (In Russ.)
