[Etiotropic antibiotic therapy and immunotherapy of patients with pyo-inflammatory processes]

A 3-year experience was reviewed in the treatment of patients with pyoinflammatory processes (PIP) which developed during the postoperative period in 387 persons with closed injury and multiple penetrating wounds of the chest and stomach complicated by massive hemorrhage. When the PIP was localized in the abdominal cavity, enterobacteria and bacteroides were the main pathogens: 49.4 +/- 2.1 and 32.8 +/- 1.4 per cent, respectively. When the PIP was localized in the thoracic cavity, the most frequent pathogens were staphylococci, Pseudomonas aeruginosa, and enterobacteria: 26.5 +/- 1.4, 24.6 +/- 1.4 and 13.3 +/- 0.8 per cent, respectively. In all the cases high variability of the antibiotic susceptibility of the isolates and predominance of the strains resistant to 5 or more drugs were observed. A suppressive effect of thienam on the immune system was revealed. The immunocorrection in parallel with the antibiotic therapy made it possible to prevent further development of immune deficiency and to recover the bactericidal potency of the phagocyting cells. The use of various physiochemical methods in complex treatment of PIPs is substantiated.