[Infectious complications of polytraumas: microbiological and epidemiological aspects].

The authors discuss problems of terminology and definition of terms associated with surgery of injuries, polytrauma and a conception of wound dystrophy. Great statistical material (about 5000 casualties with polytrauma) was used to show the structure and frequency of infectious complications of severe associated injuries systematized according to the original classification of this pathology. The classification is based on a universal pathophysiological process developing in response to any extraordinary influence--a systemic inflammatory response. The mechanisms of the appearance of infectious complications of severe injuries are described. The authors propose new organizational and epidemiological accesses to prophylactics of infectious complications of polytraumas.