The role and types of antibiotics, depending on the injuries of soldiers of IX and X Polish military contingent in Afghanistan

摘要

The frequency of external wounds sustained by soldiers on the modern battlefield is not declining. In particular, this concerns participants in humanitarian and stabilization missions in the third world countries, almost daily attacked with improvised booby-traps and firing missiles or multi-caliber weapons. The wound infection rate is high, which requires often the empirical use of antibiotics, both in local dressings, as well as the overall dose. The knowledge of the probable causative agent of a wound infection, its theoretical susceptibility to the antibiotic and spectrum antibiotics that are currently available, is a factor which is conditional in the success of treatment. In order to investigate, how the supply of PKW Afghanistan in antibiotics and chemotherapeutic drugs is presented and whether this supply range is suitable for medical problems, we analyzed the consumption of these drugs. Data for the years: 2010-2011 were available. The supply structure was dominated by antibiotics penicillin, cephalosporin, amino glycoside and macrolide. It was stated that each year the supply and consumption of antibiotics increased by 127.9%, with a stable number of serving people and a stable number of sustained injuries. Compared to 2010, in 2011 there were purchases of antibiotics used in severe, complicated infections caused by opportunistic multi-drug-resistant pathogens. This proves that the epidemiological situation was deteriorating on the area of PKW Afghanistan service mission.