A5062488573- Sepsis Diagnosis and Treatment
- Antibiotic Use and Resistance
- Nosocomial Infections in ICU
- Hemodynamic Monitoring and Therapy
- Burn Injury Management and Outcomes
- Wound Healing and Treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Clinical Reasoning and Diagnostic Skills
- Clostridium difficile and Clostridium perfringens research
- Neurological Disorders and Treatments
- Medical and Biological Ozone Research
- Airway Management and Intubation Techniques
- Pneumonia and Respiratory Infections
- Nausea and vomiting management
- Anesthesia and Pain Management
- Venous Thromboembolism Diagnosis and Management
- Microscopic Colitis
- Diagnosis and Treatment of Venous Diseases
- Bacterial Identification and Susceptibility Testing
- Thermal Regulation in Medicine
- Gastrointestinal Bleeding Diagnosis and Treatment
- Peripheral Artery Disease Management
- Intramuscular injections and effects
- Video Analysis and Summarization
- Intestinal Malrotation and Obstruction Disorders
City Clinical Hospital
2018-2022
Children's City Clinical Hospital №11
2005-2022
Ural State Medical University
2018-2022
City Hospital No. 40
2018-2020
Moscow State University of Environmental Engineering
2009
Troitsk Institute for Innovation and Fusion Research
2005
The objective of the study: to find peri-operative risk factors myocardial infarction during intra-operative period in patients undergoing non-cardiac surgery. Subjects and methods. 85 case histories were analyzed, all those developed after surgeries (non-cardiac) post-operative period. Clinical electrocardiogram parameters, outcomes its analyzed. comparison group included 80 who had with favorable course Results: 72.9% cases infection 1st day surgery blurring clinical signs it: it was not...
An analysis of current trends in the prevalence nosocomial infections, their etiology and antibiotic resistance pathogens was performed. Social economic consequences antimicrobial as well a medical community’s response were shown. A role AMRmap Internet resource monitoring Russia demonstrated. The results our own approaches to therapy stewardship intensive care service large hospital evaluated.
The idea of using the eosinophil count (EC) as a diagnostic marker for clarifying nature systemic inflammatory response syndrome (SIRS) belongs to K Abidi, who showed that EC could be used criterion sepsis. There are no published data define role dynamic control in process intensive therapy prognostic and indicator severity condition critically ill patients. aim was determine informative value development SIRS biomarker sepsis prognosis outcome pathological process.
The objective of the study : to define informative value q SOFA score in prediction sepsis outcomes patients admitted intensive care wards medical units Russian Federation. Subjects and methods. mult i-c enter, prospective, observational trial was conducted. following data were analyzed wards: number scores, presence SIRS criteria, levels lactate, outcome admission wards. different scores lactate level using RO C -a nalysis. Results. areas under -c urves defined for a lethal with sepsis: –...
Subjects and methods. The mult i-c enter, prospective, observational trial was conducted. following data were analyzed in the patients admitted to intensive care wards: number of q SOFA scores, presence SIRS criteria, levels lactate, procalcitonin, C-r eactive protein blood, sepsis according Sepsi s-3 criteria. value biomarkers for diagnostics assessed by means RO C -a nalysis. Results. areas under -c urves defined during – 0.679 (95% CI 0.646–0.712); 0.714 0.682–0.745), p = 0.099; when...
Several scoring systems are used to evaluate the severity of nonvariceal upper gastrointestinal bleeding (NVUGB) and risk rebleeding or death. The most commonly include Rockall score, Glasgow-Blatchford Forrest classification. However, use simpler definitions, such as quick Sequential Organ Failure Assessment (qSOFA) make a clinical decision is reasonable in areas with limited time and/or material resources low- middle-income countries.Patients NVUGB whose medical records included...
To identify risk factors of adverse outcomes in patients with nonvariceal upper gastrointestinal bleeding.Epidemiological observational analytical longitudinal retrospective cohort study included 312 who were hospitalized the Clinical Hospital #40 Yekaterinburg 2014-2016. The main inclusion criterion was bleeding.In-hospital mortality 31 (9.9%) patients. Multivariate analysis confirmed following mortality: severity blood loss (OR 22.70, 95% CI 5.08-102.00); open surgery 15.20, 2.71-74.80);...
To define the informative value of qSOFA score in prediction outcomes surgical patients admitted to Intensive Care Units.Post hoc analysis multicenter prospective observational study RISES. The following patient information was analyzed: gender, age, diagnosis, presence infection, SIRS criteria, and SOFA scores, outcomes.The included data 331 with diseases. Infection not observed 174 (52.6%) cases, 157 (47.4%) had infection. In group without area under ROC-curve for criteria 0.519 (95% CI...
Цель.Сравнение информационной ценности шкал Quick Sequential (SepsisRelated Organ Failure Assessment (qSOFA), National Early Warning Score (NEWS) и критериев Systemic Inflammatory Response Syndrome (SIRS) в прогнозе неблагоприятных исходов у пациентов приемного отделения зависимости от наличия инфекции на примере многопрофильного стационара России.Материалы методы.Проспективное наблюдательное исследование.Проанализированы данные 270 пациентов, из них 132 (48,8%) с инфекцией 138 (51,2%) без...
To present a modified technique of laparoscopic surgery (Rendezvous technique) for cholecystocholedocholithiasis.There were 41 patients with cholecystocholedocholithiasis who underwent hybrid single-stage as an alternative to conventional two-stage approach.Two (4.8%) had elevated serum amylase level without signs pancreatitis in postoperative period. Other 2 required redo transpapillary intervention due residual stones. Laparoscopic interventions successful 95.2% cases.Материал и методы....
The paper presents the results of a multicenter postmarketing study Oflomelid ointment versus levosin and levomecol ointments in 301 patients with different purulent diseases skin, soft tissues, bones, diabetic foot syndrome, trophic ulcers etiologies, postoperative wounds, chronic posttraumatic osteomyelitis, burns frostbites, acute skin tissues. shows high clinical bacteriological efficacy stages I II wound process along good analgesic activity for topical treatment processes etiologies...
Aim of investigation. To estimate proportion patients with Clostridium difficile-associated disease in the spectrum versatile hospital and reveal its risk factors. Material methods. Retrospective analysis 131 case records in-patients Yekaterinburg City Hospital No. 40 for year 2014 who developed diarrhea during antibacterial therapy was carried out. According to fecal filtrate test difficile (CD), were divided into two groups: 71 had positive test, 60 - negative. Results. Proportion C. 0,14%...
to identify risk factors for Clostridium difficile infection in patients of a therapeutic clinic multidisciplinary hospital.A retrospective analysis 110 case histories who were hospitalized departments the Municipal Autonomous Institution "City Clinical Hospital No. 40" Yekaterinburg (MAU City 40) 2014-2015 was conducted, which antibiotic therapy has developed diarrhea. According results study coprofiltrate on (CD), divided into 2 groups: 60 with positive result and 50 negative result.The...
Proper antibiotic usage education and training of medical students healthcare professionals is the cornerstone to implement antimicrobial stewardship (AMS) programs worldwide. We conducted this voluntary anonymous survey on current preferred educational provision AMS in Russia. Among 1358 polled respondents from six participating Centers located geographically remote Federal Districts Russia, majority were nurses (52.8%) doctors (42.0%). Results demonstrated better coverage an undergraduate...
Objective. To review a literature published over the past 5 years and our own data on etiology of lower respiratory tract infections (LRTI), antimicrobial resistance its relationships between sepsis choice appropriate antibiotic therapy. Materials Methods. National Nosocomial Infections Surveillance (NNIS) criteria were used to diagnose LRTI. A articles regarding LRTI from Russian international English language journals 6 was performed. Identification microorganisms performed by culture...
The aim of the study is to evaluate effectiveness a number technologies for controlling purulent-septic infections in multi-modal system prevention ICP ICU burn center. Materials and methods . Research on basis center City Clinical Hospital No. 40 (Yekaterinburg, Russia). To Pseudovac vaccine, single-center, pilot, prospective, randomized, parallel was performed. observation group consisted 48 patients, which 24 patients were included experimental group, – control group. evaluated based...
Introduction. The prevalence of nosocomial infections in Moscow hospitals is 7.61 %. In conditions almost total poly- and pan-resistance pneumonia pathogens intensive care units, the search for alternative methods antibiotic therapy urgent. One such inhaled antibiotics (IA). This publication presents results study “nhalation resuscitation” based on a questionnaire survey anesthesiologists-resuscitators. purpose this to analyze frequency use forms NP patients Russian Federation. Materials...
The objective: to analyze the validity of recommendations special research committee European Society Intensive Care Medicine ( ESICM ) and Critical SCCM concerning most important provisions for management patients with sepsis septic shock identifying predictors lon g-t erm need medical care lethality. Subjects methods. article analyses publications based on which experts in identified key above recommendations. Results . Attention is focused six issues: empirical combined antibiotic...
Aim. Determinations of concentrations total ropivacaine in venous blood with use the selected scheme prolonged analgesia postoperative wound after cesarean operation. Materials and Methods. The study involved 47 female patients operation whom during suturing laparotomy a multiperforated catheter was installed under aponeurosis abdominal muscles for analgesia. With infu-sion pump, 0.2% solution introduced at constant speed 4 ml/h amount 200.0 ml. Blood taken by puncture peripheral vein...
Introduction Community-acquired pneumonia remains a common condition worldwide.It is associated with significant morbidity and mortality.The aim of this study was to evaluate conditions that could predict poor outcome.Design Retrospective analyse 69 patients admitted the ICU from 1996 2003.Demographic data included age, sex medical history.Etiologic agents, multiorgan dysfunction, nosocomial infections, SAPS II PORT scores were recorded for each patient.For statistical analysis we used t...