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dc.contributor.author Rud, V. O. en
dc.contributor.author Salmanov, A. G. en
dc.contributor.author Vitiuk, A. D. en
dc.contributor.author Hrynchuk, S. Ya. en
dc.contributor.author Bober, A. S. en
dc.contributor.author Hrynchuk, O. B. en
dc.contributor.author Berestooy, O. A. en
dc.contributor.author Chernega, T. V. en
dc.date.accessioned 2022-11-27T19:09:23Z
dc.date.available 2022-11-27T19:09:23Z
dc.date.issued 2021
dc.identifier.citation Vaginal cuff infection after hysterectomy in Ukraine / V. O. Rud, A. G. Salmanov, A. D. Vitiuk, S. Ya. Hrynchuk, A. S. Bober, O. B. Hrynchuk, O. A. Berestooy, T. V. Chernega // Wiadomości Lekarskie. - 2021. - Vol. 74, issue 2. - Р. 196-201. en
dc.identifier.uri https://dspace.vnmu.edu.ua/123456789/5934
dc.description.abstract The aim: To obtain the first estimates of the current prevalence of vaginal cuff infection after hysterectomy and antimicrobial resistance of causing pathogens in Ukraine. Materials and methods: We performed a retrospective multicenter cohort study was based on surveillance data. The study population consisted of women who had an abdominal, vaginal or laparoscopic hysterectomy from 2017 to 2019 in 7 women hospitals of Ukraine. Definitions of vaginal cuff infections were used from the Centers for Disease Control and Prevention’s National Healthcare Safety Network, USA. Results: Total 12.6% women’s after hysterectomy had vaginal cuff infections. Of these cases, 20.3% after abdominal, 15.5% vaginal and 4.1% laparoscopic hysterectomy were identified. The predominant pathogens of VCUF infections were: Escherichia coli (18.6%), Enterobacter spp. (12.4%), Staphylococcus aureus (10.8%), Streptococcus spp. (9,7%), Klebsiella pneumoniae (8.2%), Pseudomonas aeruginosa (7.6%), Enterococcus faecalis (7,0%) and Proteus spp. (7.0%). Methicillin-resistance was observed in 12.9% of S. aureus (MRSA) and 9.7% CoNS. Carbapenem resistance was identified in 7.3% of P.aeruginosa isolates. Resistance to third- generation cephalosporins was observed in 8.9% K. pneumoniae and E.coli 11.9% isolates. The overall proportion of extended spectrum beta-lactamases (ESBL) production among Enterobacteriaceae was 22.7%. The prevalence of ESBL production among E. coli isolates was significantly higher than in K. pneumoniae (32.6%, vs 12.3%). Conclusions: Vaginal cuff infections in women after hysterectomy are common in Ukraine and most of these infections caused by antibiotic-resistant bacteria. The incidence of VCUF infections after hysterectomy differs depending on the type of surgical procedure. en
dc.language.iso en_US en
dc.publisher Wiadomości Lekarskie
dc.subject нysterectomy en
dc.subject abdominal en
dc.subject vaginal en
dc.subject laparoscopic en
dc.subject vaginal cuff infection en
dc.subject pathogens en
dc.subject antimicrobial resistance en
dc.title Vaginal cuff infection after hysterectomy in Ukraine en
dc.type Article en


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