Contaminated wounds

Description:

Contaminated wounds - mechanical damages of fabrics with disturbance of their integrity and hit of an infection in fabric.

Symptoms of Contaminated wounds:

Existence of defect of skin, pain, bleeding. The more sharply the hurting subject works hurting force quicker, the pain is less. Expressiveness of pain depends on an innervation of the struck area (the maximum morbidity on a face, a crotch, generative organs).

Reasons of Contaminated wounds:

At any accidental wound microbes get to a wound. They are brought in a wound at the time of damage (primary infection) by a hurting body or get to a wound from skin and clothes. Hit of an infekyotion not at the time of wound, and in the subsequent time from surrounding sites of skin and mucous, bandages, odezhyoda, from the infected perigastriums is possible and at perevyazyoka. Such infection is called secondary, it can give heavier current as reaction of an organism to implementation of a new infection is usually weakened.

Hit of microbes in a wound (microbic pollution of a wound) not always gives development of an infection in it. In zayovisimost from intensity of microbic pollution, disturbance of viability of fabrics of a wound, the general reakyotivnost of the wounded and some other the reasons, in the field of a rayona the mephitic, putrefactive and purulent gangrene caused most often by stafilokokka and streptococci can develop.

Pathogenic properties of microbic pollution of a wound come to light in 6 — 8 hours after wound owing to reproduction of microbes and their implementation from a surface in fabric of walls of a wound. Especially favorable momenyot for development of an infection is existence in a wound of impractical fabrics as dead fabrics and hemorrhages are the favorable environment for a razyovitiya of microbes. Except disturbance of viability of fabrics, to development of infectious complications sposobstyovut circulatory disturbances and weakening of a soyoprotivlyaemost of an organism after blood loss, shock and owing to other reasons.

Treatment of Contaminated wounds:

Basis is antibacterial therapy in 1-2 phases of a wound process. It is necessary to appoint drug taking into account sensitivity of microflora of a wound. Except germicides bacteriophages are used.
Disintoxication therapy is also applied in 1-2 phases in the presence of system manifestations of inflammatory process. Infusions of saline solutions, an artificial diuresis, transfusion of solutions of disintoxication action, in hard cases - an extracorporal detoxication are used.
The immunotherapy is carried out by use of means of active and passive immunization or immunomodulators.
Symptomatic therapy includes stopping of a pain syndrome, correction of disturbances of bodies and systems, correction of disturbances of a homeostasis and so forth.
It is possible to refer the system ozonotherapy possessing the disintoxication, antigipoksantny and immunostimulating medical action to modern complex methods of treatment.
Control over a current of a wound process is necessary at treatment of any purulent wound. Except clinical laboratory methods various control methods over dynamics of a microbic landscape, level of an obsemenennost and regenerator processes in fabrics are applied. These are bacteriological, cytologic and modern high-precision laboratory, including express methods - gas-liquid chromatography, tests with use of fermental systems and so forth.