SEVERITY AND PROGNOSIS ASSESSMENT CRITERIA FOR PURULENT-INFLAMMATORY DISEASES

Summary. The aim is to determine simple, easily accessible criteria for assessing the severity and prediction of the course of purulent processes. Materials and methods. 161 patients with purulent processes were examined. The dependence of the duration of treatment on the type of pathology, sex, age, body temperature, the number of leukocytes in the peripheral blood, the presence of pathological changes in the urine, the duration from the onset of the disease to the beginning of treatment was studied. Signs were coded in points. The rank correlation coefficient (ρ) between the duration of treatment and the above symptoms, its error (mρ) and the confidence criterion (t) were calculated. Research results and their discussion. A strong and direct relationship was noted between the nature of the pathology, body temperature, age of the patient and duration of treatment (р˂0.001). The presence of pathological changes in the urine, leukocytosis has a medium-intensity connection with the duration of treatment and a reliable correlation (р˂0.05). The average duration of treatment was 15.2±0.5 days. If this duration is taken as the limit in the case of a favorable course, then the prognosis is favorable for patients who have a total score of the specified criteria of no more than 24. In patients with a total score of more than 24, the prognosis is serious. They are shown radical surgical treatment of the abscess, combined antibiotic therapy, detoxification therapy, and intensive local treatment. Conclusions. To assess the severity of a case of purulent-inflammatory disease, determine the prognosis and develop treatment tactics, informative signs are the nature of the pathology, the temperature reaction, the age of the patient, the number of leukocytes in the peripheral blood, and pathological changes in the urine. These criteria can also be used for comparative characteristics of different groups of patients.