title: [Primary causative agents of infectious complications in injured with severe trauma].
abstract: OBJECTIVE
  Study etiologic structure of infectious complications in injured with severe-trauma.
  
  
  METHODS
  Retrospective analysis of results of therapy outcomes in 5966 wounded and injured (1999 - 2009) and prospective observation of 142 injured (2008 - 2009) by using epidemiologic, statistical and microbiological methods was carried out.
  
  
  RESULTS
  Frequency of isolation and specific weight of causative agents depending on localization of infectious complication was established. Among 11486 isolated microorganism strains 4 causative agents dominated: Klebsiella pneumoniae, Pseudomonas aeruginosa, Acinetobacter spp. and Staphylococcus aureus. The proportion of these causative agents differed in various years. Interconnections of microorganisms composing associations were determined.
  
  
  CONCLUSIONS
  Conduction of microbiological monitoring is determined by the necessity of constant control for leading causative agents of infectious complications in injured with severe trauma in the dynamic of their therapy.
authors.forename: A A
authors.initials: AA
authors.lastname: Kuzin
authors.forename: S A
authors.initials: SA
authors.lastname: Svistunov
authors.forename: T N
authors.initials: TN
authors.lastname: Suborova
authors.forename: P I
authors.initials: PI
authors.lastname: Ogarkov
mesh_terms: D000150:Acinetobacter / Q000472:pathogenicity / Q000502:physiology; D000293:Adolescent; D000328:Adult; D000368:Aged; D003428:Cross Infection / Q000150:complications / Q000382:microbiology*; D062665:Epidemiological Monitoring; D005260:Female; D016905:Gram-Negative Bacterial Infections / Q000150:complications / Q000382:microbiology*; D016908:Gram-Positive Bacterial Infections / Q000150:complications / Q000382:microbiology*; D006801:Humans; D007711:Klebsiella pneumoniae / Q000472:pathogenicity / Q000502:physiology; D008297:Male; D008875:Middle Aged; D011550:Pseudomonas aeruginosa / Q000472:pathogenicity / Q000502:physiology; D012189:Retrospective Studies; D013211:Staphylococcus aureus / Q000472:pathogenicity / Q000502:physiology; D015599:Trauma Severity Indices; D014947:Wounds and Injuries / Q000150:complications / Q000382:microbiology*