FEATURES OF TREATMENT OF TROPHIC VENOUS ULCERS CONSIDERING THEIR MICROBIOCENOSIS

The aim of research was studying signs of microbial contamination of the wound in case of trophic ulcers of venous origin.

A bacteriological study included 45 patients. The antibiotic sensitivity analysis was on admission day. After our identification of the bacterial spectrum we observed the following: 16 (35.5%) patients had Staphylococcus aureus, 3 (7%) patients had Pseudomonas aeruginosa, 5 (11%) patients had Klebsiella pneumoniae, 2 (4.5%) patients had Proteus vulgaris, 5 (11%) patients had Staphylococcus haemolyticus, 5 (11%) patients had Escherichia coli. Twenty percents of patients had negative cultures. All patients sustained the culture method to determine the antibiotic sensitivity. The cephalosporins, namely, cefazolin and ceftriaxone, were tested effectively sensitive in 84.4% of patients.

Results. The data on the antibiotic sensitivity indicate use of the second and third-generation cephalosporins as the empirically first line.