[Peculiarities of wound infections in severe burns].

Infections in patients with burns remain as a one of the main unsolved problems. The present work is based on the analysis of the data obtained from the 642 patients with burns (adults and children) during 2000-2005. The staphylococcus infection is still the leading. At the same time the percent of the gram-positive infection increased. The basic risks-factors that promote the development of the nosocomial infection in the case of burns were revealed. The antibacterial therapy in the severely burned patients has to be based on the individual peculiarities of an every patient. The more severe pathology the less possibility using the standard regimen. The short and ultra-short preventive antibiotic in the patients with severe burns are unacceptable. The "step-by-step", escalation-returnable tactics of antibiotics administration has justified itself.