The application devices for intermittent pneumatic compression for lymphotropic injection of antibiotics in the treatment of peritonitis

The results of treatment of 385 patients with peritonitis caused by diseases and injuries of the urinary tract are analyzed. Patients of the main group (n = 137), in addition to conventional therapies, underwent lymphotropic administration of amikacin and abdominal treatment with exogenous nitrogen monoxide. Lymphotropic administration of amikacin (at a rate of 7.5 mg / kg) was performed according to the method of I.V. Jarema in the subcutaneous tissue of the anterior-external surface of the thigh. For the lymphotropic administration of the antibiotic, a system of intermittent pneumatic compression is used. The use of lymphotropic antibiotic administration by the system of intermittent pneumatic compression in patients with peritonitis, allowed to reduce the lethality from 17.8% to 10.2%; Reduce the length of stay of the patient on the bed from 24.8 ± 10.3 bed a day, up to 18.9 ± 7.8 bed a day. Clinical and economic analysis showed that the use of the "Lymph-E” device does not increase the cost of treatment of one case, leads to the saving of material means of the health facility and is 1.30 times more effective than using the "classical” treatment regimen.