Септические заболевания в Акушерстве

This presentation covers septic diseases in obstetrics, including their classification, etiology, diagnosis, and treatment. It also addresses relevant topics such as septic shock, principles of emergency care, surgical interventions, extracorporeal detoxification methods, and effectiveness criteria for intensive therapy. The content also details relevant information about antimicrobial therapy, including specific types of antibiotics like penicillin and macrolides, specific examples of antibiotics, with their dosages and pharmacodynamics. The document also discusses a list of recommendations, and guidelines for treating septic shock, and other related complications.

Asosiy mavzular

• Classification of Septic Diseases: This section defines and classifies septic diseases including sepsis, severe sepsis, septic shock, and multiple organ failure, using the Bone R.S. classification.
• Etiology of Septic Diseases: Explains that septic diseases are caused by polymicrobial infections, especially those involving aerobic and anaerobic bacteria, with Enterobacteriacae (E. coli, Proteus spp., Streptococci, Klebsiella spp.) and Gardnerella vaginalis being common agents.
• Diagnosis of Septic Shock: Details the diagnostic criteria for septic shock, focusing on clinical signs like septic focus, fever, arterial hypotension, tachycardia, tachypnea, altered consciousness, oliguria, hypoxemia, and petechial rashes.
• Principles of Intensive Therapy: Outlines the key principles in the intensive care management of septic diseases, including hemodynamic support, adequate ventilation, surgical removal of the infection source, timely correction of metabolic disturbances, normalization of gut function, and appropriate antibiotic therapy.
• Extracorporeal Detoxification Methods: Introduces techniques such as plasmapheresis, hemosorption, and lymphosorption to eliminate toxins from the blood.
• Macrolide Antibiotics: Details the properties and effectiveness of both old and new macrolides in the treatment of septic diseases. It further gives dosages, as well as brand names for drugs such as Clamed, Sumamed, and Klacid.