Superficial swab cultures in open fracture management: insights from a resource-poor setting.
Objective: To identify bacterial isolates from superficial swabs of open fracture wounds at presentation and after infection has been established, and to determine if there are correlations between them. Method: Patients who presented with open fractures at the Wesley Guild Hospital, Ilesa, Nigeria...
| Published in: | Journal of Wound Care Vol. 19; no. 10; pp. 432 - 439 |
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| Main Authors: | , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Mark Allen Holdings Limited
Oct2010
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105118083&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105118083 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09690700 H3U jtl: Journal of Wound Care issn: 09690700 maglogo: N pubinfo: dt: Oct2010 vid: 19 iid: 10 pid: 11383 pub: Mark Allen Holdings Limited artinfo: ui: 105118083 54485916 10.12968/jowc.2010.19.10.79090 NLM20948491 105118083 ppf: 432 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Superficial swab cultures in open fracture management: insights from a resource-poor setting. aug: au: Ojo O Oluwadiya K Ikem I Oginni L Ako-Nai A Daniel F affil: Consultant Orthopedic Surgeon, Department of Surgery, Federal Medical Centre, Ido-Ekiti, Nigeria sug: subj: Fractures Infection Prevention and Control Trauma Microbial Culture and Sensitivity Tests Nigeria Confidence Intervals Fractures Classification Prospective Studies Bacteria Data Analysis Software T-Tests Equipment and Supplies ab: Objective: To identify bacterial isolates from superficial swabs of open fracture wounds at presentation and after infection has been established, and to determine if there are correlations between them. Method: Patients who presented with open fractures at the Wesley Guild Hospital, Ilesa, Nigeria between December 2004 and May 2006 were recruited into this prospective study. Superficial wound swabs were taken at presentation and if patient showed evidence of wound infection. Results: Sixty patients had open fractures. The initial bacteria culture of wound swabs taken on the day of presentation was positive in 41 (68.3%) patients. Of these, 19 (46.3%) yielded one bacteria isolate, 17 (41.5%) yielded two and 5 (12.2%) yielded three, making a total of 68 organisms. The most common organism was Staphylococcus aureus. However, as a group, more aerobic Gram-negative rods were isolated than any other bacteria groups. Eleven (18.3%) patients developed wound infections, all of which were polymicrobial. In 10 (90.9%) of these, the microbial isolate of the final wound swab included at least one organism that was present in the initial wound culture. No patient with an initial negative culture went on to develop a wound infection. The mean presentation interval of patients with wounds that became infected was 15.2 ± 7.9 hours (95% CI 9.8-20.5 hours) compared with 2.9 ± 3.1 hours (95% CI 2.0-3.8 hours) for those who did not develop a wound infection (p>0.01). Conclusion: In a resource-poor setting, where pre-hospital care is unavailable and patients present late, superficial wound swabs are effective in predicting subsequent organisms that may cause wound infections. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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