[The etiological diagnosis of nonclostridial anaerobic organic infection of the hepatobiliary system in military medical institutions]. / Etiologicheskaia diagnostika neklostridial'noi anaérobnoi infektsii organov gepatobiliarnoi sistemy v voennykh lechebnykh uchrezhdeniiakh.

The results of B-bile bacterial examinations of patients who had undergone operations on biliary tract for acute or chronic cholecystitis in the military medical institutions of the USSR and the USA were retrospectively compared. Distinctive and similar features were revealed. The leading role of bacteroids, anaerobic found bacteria and clostridia was ascertained during the studies of etiological structure of anaerobic biliary infection. As for nonclostridial anaerobic infection of biliary tract, the polymicrobiotic process of aerobic and anaerobic associations is more typical. The centralization of bacteriological examinations in specialized "anaerobic" laboratory may improve the efficiency of microbiological diagnostics of nonclostridial anaerobic infection.

[Surgical treatment of acute bacteroid purulent cholangitis]. / Khirurgicheskoe lechenie bakteroidnogo ostrogo gnoinogo kholangita.

The results of treatment of 40 patients with acute purulent cholangitis developed against the background of choledocholithiasis are presented. Bacteroid of the kind B. fragilis (67.5% of cases), Fusobacterium, Lactobacillus sp. (30%) are the leading etiological factor of cholangitis. The indications for external and internal drainage of the bile ducts are substantiated. The ineffectiveness of internal drainage in this disease is demonstrated.

[Clinico-microbiological diagnosis of non-clostridial anaerobic infections in diseases of the biliary tract and liver abscess]. / Kliniko-mikrobiologicheskaia diagnostika neklostridial'noi anaerobnoi infektsii pri zabolevaniiakh zhelchnykh putei i abstsesse pecheni.

The three-years experience of clinico-experimental examinations of 150 patients with various surgical diseases of bile ducts and abscesses of the liver is summed up. In 24 of them (16%) participation of non-sporulating anaerobes in the infection process was shown. The greatest etiological role of these pathogenic agents was found in purulent cholangitis and cholangitic abscesses of the liver. It was noted that the efficiency and reliability of microbiological diagnostics of biliary infection greatly depended on perfection of the methods used.