Wound infection

Of specific infections practical importance diphtheria, often affecting the operating wound after tracheotomy in patients with laryngeal diphtheria. Signs of diphtheria wounds - massive lay-films of fibrin, firmly fixed on the bottom of the wound, the appearance of paralysis of the muscles in the wounds. Confirms the diagnosis bacteriological examination.
Infection with anthrax (see) may be wound received during the removal of the skin and the cuts of beef, patient anthrax. Signs of infection - necrosis wound edges, pimples around the wound, the swelling of tissues, the overall condition. The wound serves as an entrance gate for the infection, tetanus (see), rabies (see).
Prevention of wounds and wound infection is part injury prevention is an important part of the surgery. Our country is great work on the comprehensive prevention of various injuries (see), based on: 1) the registration and analysis of corruption in a particular area of production, household; 2) the study of the nature, causes indoor and outdoor damage.
A large role in the prevention of wound infection belongs to feldshers and nurses working in agriculture, in industry and among the child population (in kindergartens, orphanages, schools, summer camps , and so on). Well organized work of the middle and Junior medical staff to spread among people the basics of medical knowledge brings considerable benefit in the prevention of bacterial contamination and infection of wounds.

Practical importance diphtheria wounds, most often affecting the operating wound after tracheotomy in patients with laryngeal diphtheria; wounded another origin this infection is rare.
Clinically, it flows like a festering wound infection, but in typical cases differs from it by the formation of a particularly massive layers of fibrin, are firmly fixed to the subject tissues, which are usually undergo necrosis. These "lobar raids" is not mandatory and is not quite reliable sign. Clinical diagnosis of diphtheria wound becomes reliable only when the paralysis of the muscles in the area of destruction, which is also not always observed. Accurate early diagnosis provides only bacteriological examination of the wound on the presence of sticks Leffler; this research needs in all suspected cases.
Under favorable period for rejection of films and necrosis areas should granulating wounds, often slow.
The presence of diphtheria bacilli on the granulation is one of the causes long delays wound healing.
Anthrax infection wounds - a rarity; may arise, for example, accidental injury hands while Stripping the skin of an animal carcass, fallen from anthrax. Signs: skin necrosis wound edges, the appearance of pustules around her, a very large collateral swelling, severe General condition. May develop anthrax sepsis (see anthrax).
The crucial role of brine as gateway using such General infections, like tetanus, developing more often at random and combat, especially gunshot wounds, and rabies (see) - if bite wounds. Neither the disease cannot be treated as a wound infection. For rabies virus wound only serves as a point of entry into the body; the causative agent of tetanus vegetates in the injured tissues but does not cause significant changes in the course of the wound process and does not exclude wound healing without local complications. Unlike rabies, in the prevention and even treatment of tetanus very important place debridement.
Through the wound is infecting "disease of rat bite (see Sodoku) and occasionally syphilis.