Treatment of bronchopneumonies in severe brain trauma patients

Authors

  • Vladimir Cherniy Gorkiy Donetsk National Medical University, Donetsk, Ukraine
  • Anatoliy Kardash Gorkiy Donetsk National Medical University, Donetsk, Ukraine
  • Georgiy Gorodnik Gorkiy Donetsk National Medical University, Donetsk, Ukraine
  • D. Popovsky Gorkiy Donetsk National Medical University, Donetsk, Ukraine
  • A. Stoichev Gorkiy Donetsk National Medical University, Donetsk, Ukraine

Keywords:

brain injury, nosocomial pneumonia, ventilator-pneumonia, systemic inflammatory response syndrome, multiple organ failure syndrome, traumatic brain disease, rational antibiotic therapy

Abstract

There were investigated 240 patients with severe isolated and combined brain trauma. The depth of coma by Glasgow scale was 3—8 points. Pneumonia was considered as process in the order of things. It was a high risk of development of this complication: coma, artificial lung ventilation, nazogastral zond, chronic obstructive bronhitis, sedative therapy. The bacterial scenery in neuroreanimatology unit was studied. The clinical significant pathogenes were revealed and so rational antibiotic was selected. In protocol of intensive care lipin, lasolvan, ultra-violet irradiation, phybrobronchoscopy and early ad¬mini¬stration of ftorhinolones were included. Such therapy was effective and mortality reduced on 10%.

References

Антибактериальная терапия в нейрореанимационной практике / Сенчуков С.В., Петриков С.С., Царенко С.В. и др.// Вест.интенсивной терапии. — 1999. — №2. — С.68—71.

Внутрибольничная пневмония: Диагностика, антибактериальная терапия и профилактика Шлапак И.П., Недашковский С.М., Исаенко Н.П и др.//Бiль, знеболювання i iнтенсивна терапiя. — 1999. — №3(8). — С.10—27.

Габриелян Н.И., Липатова В.И. Опыт использования показателя средних молекул в крови для диагностики нефрологичеких заболеваний у детей // Лаб.дело. — 1984. — № 3. — C. 138—140.

Ерофеев В.В., Лирцман И.В., Поликарпова С.В. Антибактериальная терапия при гнойно-септических осложнениях у больных в отделениях реанимации //Хирургия. — 1998. — № 12. —С. 48—52.

Патогенетическое обоснование периодов травматической болезни головного мозга / Ромоданов А.П., Копьев О.В., Педаченко Е.Г. и др.// Вопр.нейрохирургии. — 1990. — №6. — С. 10—13.

Пафомов Г.А., Бурдыга Ф.А., Ширинова М.Н. Экспресс-метод определения токсических свойств крови и лимфы с помощью парамеций при экзо- и эндотоксикозах // Сов. медицина. — 1980.— №1. — С. 42—45.

Саенко В.Ф. Сепсис: Сб. статей и рефератов. / Под ред. А.И. Трещинского, В.Ф. Саенко. — 1998. — С. 4—6.

Ткачик И.П. Современная антибиотикотерапия нозокомиальных менингитов в нейрохирургии: Обзор литературы //Бюл. УА. — 1999. — №1(8). — С.59—65.

Фещенко Ю.И. Классификация пневмоний // Бiль, знеболювання i iнтенсивна терапiя. — 1999. — №3(8). — С.7—9.

Черний В.И. Постгипоксическая энцефалопатия. — К.: Здоров’я, 1997. — 336 с.

Черний В.И. Городник Г.А. Роль синдрома системного воспалительного ответа в патогенезе травматической болезни головного мозга // Біль, знеболювання і інтенсивна терапія. — 1998. — №3(4). — С.50—54.

Черепно-мозговая травма: прогноз течения и исходов / Лихтерман Л.Б., Корниенко В.Н., Потапов А.А. и др. — М.: Изд-во Книга ЛТД, 1993. — 299 с.

Celis R., Torres A., Gatel J.M. et al. Nosocomial pneumonia: A multivariate analysis of risk and prognosis // Chest. — 1988. — №93. — P. 318—324.

Jacobs S., Chang R.W.S., Lee B. et al. Continuous enteral feeding: A major cause of pneumonia among ventilated intensive care unit patients // J. Parent Ent Natr. — 1990. — №14. — P. 353—356.

Jarvis W.R., Edwards J.R., Culver D.H. et al. Nosocomial infection rates in adult and pediatrie intensiv care units in the United States //Amer. J. Med.—1991.— N91(suppl.3B). — P. 185—191.

Kingston G.W., Phang P.T., Leathley M.J. Increased incidence of nosocomial pneumonia in mechanically ventilated patients with subclinical aspiration // Amer. J. Surg. — 1991. — №161. — P. 589—592.

Scheld W.M. Developments in the pathogenesis, diagnosis and treatment of nosocomial pneumonia //Surg. Gynec. Obstet. — 1991. — №172 (suppl). — P. 42—53.

Wenzel R.P. Hospital-acquired pneumonia: Overview of the current state of the art for prevention and control // Europ. J. Clin. Microbiol. Infect. Dis. — 1989. — №8. — P. 56—60.

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How to Cite

Cherniy, V., Kardash, A., Gorodnik, G., Popovsky, D., & Stoichev, A. Treatment of bronchopneumonies in severe brain trauma patients. Ukrainian Neurosurgical Journal, (3), 20–25. Retrieved from https://theunj.org/article/view/53020

Issue

No. 3 (2000)

Section

Original articles

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Copyright (c) 2000 Vladimir Cherniy, Anatoliy Kardash, Georgiy Gorodnik, D. Popovsky, A. Stoichev

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