Abstract
The work deals with the results of wound discharge microbiological investigation in patients with open fractures, who were treated at RISC "RTO". The microflora of infected wounds has been established to differ depending on fracture localization, and this dependence is reflected in both - the different composition of species and the ratio of founded gram-positive and gram-negative bacterial monocultures and their associations as well. The greatest number of the wounds, complicated by infection, has been found in patients with open fractures of foot bones (90%). The microflora of gunshot fractures and those of foot bones is characterized by the presence of the great number of bacterial associations. There were no reliable differences found in the number of gram-positive bacterial cultures isolated depending on fracture localization. At the same time, wounds in patients with leg and foot fractures were found to be disseminated with gram-negative bacteria to the greatest extent (17,5% and 14,2%, respectively).
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