ASSESSMENT OF THE QUALITY OF PRE-HOSPITAL CARE IN PRIMARY WOUND TREATMENT IN RELATION TO INFLUENCE ON THE OUTCOMES OF TREATMENT OF NON-GUNSHOT WOUNDS OF SOFT TISSUE

The study assessed the quality of a newly developed method for primary treatment of non-gunshot soft tissue wounds and its impact on treatment outcomes at the pre-hospital and specialized stages of medical care. The research included 455 patients divided into two groups: the main group (treated with a multi-stage antiseptic gel application) and the comparison group (treated with standard wound care protocols). Stepwise microbiological monitoring was performed to analyze wound colonization dynamics and the association between intraoperative microbiological status and postoperative complications. The findings demonstrated that the presence of microbial contamination during surgery significantly increased the risk of postoperative microbial growth (56.5% vs. 20.8%) and complication rates (48.4% vs. 12.5%). Military personnel showed a higher rate of early microbial colonization compared to civilians. These results highlight the critical role of high-quality primary antiseptic wound care and early decontamination in preventing complications, supporting the need for improved pre-hospital care approaches for non-gunshot injuries.