Department of orthopaedics

Spectrum of infections and non-infections diseases among refuges from Syria/Iraq to Hungary/ Austria in September 2015 is analyzed. Respiratory isolates from patients with pneumonia were obtained from respiratory tract secretions and tested for antimicriobial susceptibility. Majority of ID were upper and lower respiratory tract infections, scabies and other skin and soft tissue infections. However, infections represented only about one half of cases seeking medical help -the rest 40-60% were hypertension, exhaustion, depression, diabetes, neuropsychiatric disorders.

Bibza M., Koller J., Comenius University in Bratislava
Vacuum-assisted wound therapy in Bratislava- Ružinov Hospital, Department of  Burns and Reconstructive Surgery
Objective – to summarize and evaluate efficacy of NPWT therapy in Bratislava-Ružinov hospital Department of  Burns and Reconstructive Surgery
Design – retrospective study
Setting – Bratislava-Ružinov Hospital, Department of  Burns and Reconstructive Surgery
Material – 23 patients, 9 females and 15 males. Character of wounds – 8 diabetic foot ulcers, 6 traumatic wounds, 3 surgical wound dehiscence after sternotomy, 3 post-operative defects, 2 pressure ulcers, 1 frostbite, 1 decollement and fractura
Methods – collection and evaluation of following data: duration of wound before treatment, time of hospitalization, time of NPWT therapy, microbiological findings in wound bed, efficacy of NPWT treatment, complications
Results – duration of wounds before NPWT treatment: 0-14 days: 1 patient, 15 days – 1 mounth: 6 patients, 1 mounth - 3 mounths: 5 patients, 3 mounths – 6 mounths: 2 patients, 6 mounths – 1 year: 1 patient, 1 year – 3 years: 3 patients, more than 3 years: 1 patient, chronic wound without data about lasting of wound – 4 patients.   
Average time of hospitalization: 31,52 days , Maximal time of hospitalization: 73 days, Minimal time of hospitalization: 9 days. 
Average time of NPWT treatment: 12 days , Maximal time of NPWT treatment: 45 days, Minimal time of NPWT treatment: 1 day. 
Microbiological tests confirmed presence of  27 microbial species, mainly Pseudomonas aeruginosa (9 times), Enterococcus faecalis (7 times),  Acinetobacter (6 times), Staphylococcus aureus (6 times) and Escherichia coli (5 times).
Treatment was evaluated as effective in 22 cases. In 1 case, where NPWT was used only 1 day, it was not possible to evaluate treatment.
Complications – 17 patients referred no complications during therapy. 2 patients complained about pain in their wounds. In 3 patients targeted antimicrobial therapy of wound infection was necessary. 1 patient aquired left-heart failure not associated with NPWT, 1 patient showed psychomotoric  discomfort and 1 patient refused continuation of therapy.
Conclusions - Compared to other NPWT retrospective studies - we had very similar results. It was very important to preform high quality surgical debridement before institution of NPWT and comprehensive pacient care during the entire treatment period. For more relevant results randomized prospective studies would be neded.