[Problem of infections at ENT Department of Poznan University of Medical Sciences based on the material from 2006-2007 years].

INTRODUCTION

Infections at ENT wards constitute an essential clinical, organizational and economic issue.

AIM: The purpose of this work was to present the problem of infections at ENT Clinic of Poznan University of Medical Sciences based on the material from 2006-2007 years.

MATERIAL AND

METHODS

In 2006-2007 in The Department of Otolaryngology in Poznan there were treated 7052 patients. During that time 476 biological samples were taken to carry out a bacteriological examination. They came from: 74 postoperative wounds, 43 tracheotomy areas, 29 tracheoesophageal fistulas, 9 salivary fistulas, 105 ears, 71 noses, pharynxes and oral cavities, 44 body fluids, 18 paranasal sinuses, 11 central venous catheter areas, 23 urine samples, some constituted BAL, sputum, cyst content, materials from decubitus ulcer and gastrostomies areas. 21 materials were taken from abscesses and phlegmons, 32 from patients with purulent complications of chronic otitis media, 18 from patients with complications of chronic sinusitis and in 1 case there was taken in hospital conditions peritonsillar abscess content.

RESULTS

119 biological samples were aseptic, in 43 samples there were no pathological cultures, in 314 samples pathological bacterial flora was found. The most often isolated pathogens constituted: in postoperative wounds-Staphylococcus epidermidis, in tracheotomy areas-Enterococcus faecalis, in tracheoesophagal fistulas-Streptococcus viridans, in ears-Pseudomonas aeruginosa, in materials from noses, pharynxes and oral cavities-Staphylococcus aureus, while in materials from abscesses, paranasal sinuses and central venous catheter areas-Staphylococcus epidermidis.

CONCLUSIONS

All cases were analyzed in detail. There was made a correlation between isolated pathogens and: a kind of pathology, surgical procedure, general patient condition, length of hospitalization.