[Microbial flora in spinal hematogenous osteomyelitis].
The analysis of microbic flora of the pus and granulations of 155 patients, operated on hematogenic osteomyelitis of vertebral column. The microbic agents were detected in 81.2% of the patients in subacute stage of the disease, in 48.5% of the patients with chronic stage and duration of the disease less than one year, and in 74.3% of the patients with the duration of the disease exceeding one year. In all cases monoculture was detected with the domination of Staphilococcus (69.2%-83.0%). A comparative analyses of the rate of penetration of the infective agents into the spongeous bone of a damaged vertebra. In case of resection of one third of the height of a vertebra the frequency of detection of an infective agent in subacute stage of a disease decreases 2 times, and in chronic stage-in 4 times. These data provides an opportunity of verification of indications for the surgery.
Tikhodeev
S A
SA
Surgery Clinic of Spinal Tuberculosis and Contiguous Diseases, Saint Petersburg.
Manicheva
O A
OA
D000293:Adolescent; D000328:Adult; D000368:Aged; D015169:Colony Count, Microbial; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D010019:Osteomyelitis / Q000382:microbiology* / Q000601:surgery; D018805:Sepsis / Q000382:microbiology*; D013131:Spine / Q000382:microbiology* / Q000601:surgery; D013166:Spondylitis / Q000382:microbiology* / Q000601:surgery; D013203:Staphylococcal Infections / Q000382:microbiology*; D013210:Staphylococcus / Q000254:growth & development / Q000302:isolation & purification*; D013492:Suppuration / Q000382:microbiology / Q000601:surgery
Mikrobnaia flora pri gematogennom osteomielite pozvonochnika.