Сведения об авторахШаймарданкулов Ф.Н., клинический ординатор (очная форма) на кафедре травматологии, ортопедии, ВПХ с курсом анестезиологии и реаниматологии УО «Гомельский государственный медицинский университет».Карамышев А.М., ассистент кафедры травматологии, ортопедии, ВПХ с курсом анестезиологии и реаниматологии УО «Гомельский государственный медицинский университет».
Objective: to study the features of the clinical course of purulent spondylodysitis (SD). Material and methods . We have studied the general somatic and neurological status, the results of laboratory tests and instrumental methods of examination of 35 patients with SD. The median age of the patients was 57 years, 57.14 % were men, 42.86 % were women. Results. Spondylodiscitis of the cervical spine was detected in 3 (8.57%) patients, thoracic - in 14 (40 %) and lumbar - in 18 (51.43 %). Leukocytosis with a left shift and increased ESR are characteristic changes in general blood test in 100 % SD cases. Conclusion. Severe back pain (100 %), fever (80 %), and neurologic deficit (42.86 %) as motor disorders are the main clinical symptoms in patients with SD. S. aureus in 62.5% cases is the causative agent of SD and has a moderate ability to form biofilms. The presence of available abscesses in SD is an indication for their puncture under the supervision of ultrasound followed by bacteriological study before the beginning of antibiotic therapy. Сarbapenems are the most effective antibacterial drugs for SD.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.