Microbiocenosis of Skin in Military Personnel with Abscessed Furuncle of the Maxillofacial Region

Abstract

INTRODUCTION: Among non-odontogenic inflammatory diseases of the maxillofacial region, most common are abscessed furuncles. The causative agent of the disease is S. aureus (95%) mostly occurring as a monoculture. AIM: To study the microbial flora of facial skin in military personnel with abscessed furuncle of the maxillofacial region. MATERIALS AND METHODS: In 53 patients with abscessed facial furuncles (the main group) aged from 18 to 25 years, material was taken for bacteriological examination from healthy areas of the skin and from the furuncle with a sterile cotton swab. As a comparison group, a group of 30 practically healthy individuals of the same age was recruited, who also underwent a microbiological examination of facial skin areas. Examinations were performed in the bacteriological laboratory of Kirov Military Medical Academy. RESULTS: Among the representatives of the microflora of healthy skin areas in patients with abscessed furuncles of the face, S. epidermidis was detected in 58% of cases, S. saprophyticus in 33%, S. haemoliticus in 10%. In 30% of admitted patients, Propionibacterium acnes were found. In 4% of cases, S. aureus was detected by us. Fungi of the genus Candida were found in 5% of patients. The microbial composition of the wound discharge in facial furunculosis in 87% of cases was represented by pathogenic S. aureus as a monoculture, in 4% in association with S. saprophyiticus, in 3% with Pseudomonas aeruginoza, in 1% in association with Klebsiella oxytoca, in 5% by S. epidermidis as a monoculture. The species composition of the microflora of the facial skin of healthy people was represented by non-pathogenic staphylococci S. epidermidis (88.1%), S. saprophyticus (40%). In 25.3% of cases, streptococci were also detected. In 10% of cases, yeast-like fungi of Malassezia genus and in 12% of Candida genus were found. In 4% of cases, the pathogenic form of S. aureus was identified. CONCLUSION: The revealed differences in the composition of microorganisms of healthy skin areas between healthy individuals and patients with abscessed facial furuncles permitted to suggest the presence of dysbacteriosis of skin of the maxillofacial region in patients with abscessed furuncles, which led to the development of the disease.