The microflora specific features spectrum of soft tissues purulent infection in HIV-infected patients and the principles of its treatment
Keywords:purulent infection of soft tissues, microflora spectrum, HIV-infected, ultrasonic cavitation, V.A.C. therapy
AbstractThe microflora spectrum in purulent soft tissue infection in 85 HIV-infected patients was analyzed. The microflora spectrum of the HIV-infected patients in comparison with patients without HIV infection is characterized by a significant prevalence of fungal flora (12% vs. 1.1%), pathogenic staphylococci (16.3 vs. 5.2%). Sensitivity to antimycotics in purulent soft tissue infection in HIV-infected patients is significantly lower compared to patients without HIV infection. Ultrasound cavitation and V.A.C. therapy should be used in the complex surgical treatment of purulent wounds of soft tissues in HIV-infected patients because the more resistance to antimycotics and some antibacterial drugs.
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