Prophylaxis and treatment of the traumatic injuries of maxillo-facial region, complicated with surgical infections

Teona Danelia

Department of Surgical Dentistry, Tbilisi State Medical University, Georgia

Based on the 135 patients with mechanical injuries of maxillo-facial region, have been identified the “risk-factors” of the infection of the soft tissues and bones, including the gunshot wounds with necrotic and lacerated tissues, penetrated in the cavities; in adequate primary delayed closure of the wound; delayed admittance; severe complex injuries. Have been studied primary contaminated wound micro flora during the admittance and character of the transformation of the infectious agent. Have been identified the nosocomial strains of the germ, their susceptibility towards the 35 antibiotics using the serial dilution technique. Depending on the severity of injuries, some authors suggest the short 3 days course of antibiotic administration using the second generation cephalosporins and hemi-synthesized antibiotics. During the severe complex traumas, the method of choice should be considered desquamated therapy using the carbapenems, phthorchynoles, (3rd and 4th generation) or cephalosporins of 4th generation. The good preventive and curative effects have been achieved using the bacteriophage (liquid or immobilized on the biodegradative polymere – “Phagobioderme”).

Keywords:  maxillo-facial region, trauma, infection, complication