title: Epidemiological and clinical features of the course of postoperative sternomediastinitis (clinical case)
metadata.name: dc.contributor.author
metadata.value: Soprun, Lidiia A.
metadata.lang: -
metadata.name: dc.contributor.author
metadata.value: Mironenko, Olga V.
metadata.lang: -
metadata.name: dc.contributor.author
metadata.value: Tovanova, Anna A.
metadata.lang: -
metadata.name: dc.contributor.author
metadata.value: Obuchov, Denis A.
metadata.lang: -
metadata.name: dc.date.accessioned
metadata.value: 2021-08-25T10:42:18Z
metadata.lang: -
metadata.name: dc.date.available
metadata.value: 2021-08-25T10:42:18Z
metadata.lang: -
metadata.name: dc.date.issued
metadata.value: 2021-03
metadata.lang: -
metadata.name: dc.identifier.citation
metadata.value: Mironenko O. V., Soprun L. A., Tovanova A. A., Obuchov D. A. Epidemiological and clinical features of the course of postoperative sternomediastinitis (clinical case). Vestnik of Saint Petersburg University. Medicine, 2021, vol. 16, issue 1, pp. 56–73.
metadata.lang: en_GB
metadata.name: dc.identifier.other
metadata.value: https://doi.org/10.21638/spbu11.2021.107
metadata.lang: -
metadata.name: dc.identifier.uri
metadata.value: http://hdl.handle.net/11701/32937
metadata.lang: -
metadata.name: dc.description.abstract
metadata.value: Health-care-related infections are becoming more relevant today. The difficulty and largely
  of diagnosis increased impact of adverse effects (postoperative period, increase of bed-days,
  use of irrational antibacterial therapy, use of excessive methods of disinfection) factors of the
  hospital environment on the human body, contributing to the development of severe postoperative
  complications, among them, sternomediastinitis occupies a special place in cardiac
  surgery. The clinical case we represent clearly demonstrates the atypical flow of sternominetite
  caused by the hypervirulent strain Klebsiella pneumoniae blaNDM-Type. Generally, sternomediastinitis
  causes Staphylococcus epidermidis, Staphylococcus haemolyticus. Every week
  the patient stays in the cardiothoracic ward of the hospital is associated with a 15 % increase
  in the risk of mediastinitis development. The data indicate the need for continuous epidemiological
  monitoring of the relevant microorganisms that are potential agents of nosocomial
  infections. Thus, adequate diagnosis, choice of rational treatment tactics and effective antibacterial
  therapy significantly improve the prognosis of the current of a given severe disease.
  Early epidemiological diagnosis will help to reduce the risk of the development and spread of
  hospital-acquired infections in the post-operative period.
metadata.lang: en_GB
metadata.name: dc.language.iso
metadata.value: en
metadata.lang: en_GB
metadata.name: dc.publisher
metadata.value: St Petersburg State University
metadata.lang: en_GB
metadata.name: dc.relation.ispartofseries
metadata.value: Vestnik of St Petersburg University. Medicine;Volume 16; Issue 1
metadata.lang: -
metadata.name: dc.subject
metadata.value: Klebsiella pneumoniae blaNDM-Type
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: nosocomial infection
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: sternomediastinitis
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: epidemiological process
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: carbapenemaza
metadata.lang: en_GB
metadata.name: dc.subject
metadata.value: hypervirulence
metadata.lang: en_GB
metadata.name: dc.title
metadata.value: Epidemiological and clinical features of the course of postoperative sternomediastinitis (clinical case)
metadata.lang: en_GB
metadata.name: dc.type
metadata.value: Article
metadata.lang: en_GB
resources.filename: 56-73.pdf
resources.url: https://dspace.spbu.ru/bitstream/11701/32937/1/56-73.pdf
resources.format: Adobe PDF
resources.size: 641,32 kB