Bogomolova N S
Anesteziol Reanimatol. 2013 Mar-Apr(2):66-73.
The article discusses the issues of chemotherapeutical department organization and functioning in multidisciplinary surgical hospital. In connection with a worldwide spread of antibiotic-resistant agents of surgical infections, it becomes necessary to unite efforts of surgeons, resuscitation specialists, clinical pharmacologists - chemiotherapeutists and microbiologists. The main approaches in solving of surgical infection problems are: in-hospital epidemiological situation monitoring, the study ofmicroflora resistance to antibiotics used in the surgical and resuscitation practice, the study of antibacterial therapy clinical-pharmacological aspects (pharmacokinetics, pharmacodynamics, tolerance and efficacy of antimicrobial drugs). The development of pre-emptive antibiotics rotation principles curbs the spread ofnosocomial infections pathogens resistant strains. The 40-year experience of surgical infections prevention and treatment laboratory functioning professes this.
本文讨论了多学科外科医院化疗科室的组织和运作问题。鉴于外科感染的抗生素耐药菌在全球范围内传播,有必要联合外科医生、复苏专家、临床药理学家(化疗专家)和微生物学家的力量。解决外科感染问题的主要方法包括:监测医院内的流行病学情况,研究手术和复苏实践中使用的抗生素的微生物耐药性,研究抗菌治疗的临床药理学方面(药代动力学、药效学、抗菌药物的耐受性和疗效)。先发制人的抗生素轮换原则的发展抑制了医院感染病原体耐药菌株的传播。外科感染防治实验室40年的运作经验证明了这一点。