| Autor: |
Diac I; Mina Minovici National Institute of Legal Medicine, 042122 Bucharest, Romania., Keresztesi AA; 'Fogolyan Kristof' Emergency County Hospital Sfantu Gheorghe, Covasna County Institution of Forensic Medicine, 520045 Covasna, Romania., Cerghizan AM; Medical Clinic, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540043 Mures, Romania., Negrea M; Department of Public Health, Faculty of Political, Administrative and Communication Science, 'Babeș Bolyai' University, 400084 Cluj Napoca, Romania., Dogăroiu C; Mina Minovici National Institute of Legal Medicine, 042122 Bucharest, Romania.; Department of Legal Medicine and Bioethics, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania. |
| Abstrakt: |
Postmortem bacteriology examinations have been a controversial topic over the years, though the value of postmortem bacteriology cultures remains promising. The aim of this study was to review the postmortem bacteriological sampling procedures and results in a single centre in Bucharest over a period of 10 years. Material and methods: The present study was a retrospective, single-center study, performed at the Mina Minovici National Institute of Legal Medicine in Bucharest, Romania, from 2011-2020. Results: Postmortem bacteriology was requested 630 forensic autopsies, 245 female (38.9%) and 385 male (61.1%), age range 0 and 94 years, median age of 52 years. Deaths occurred in hospital for 594 cases (94.3%) and out-of-hospital for 36 cases (5.7%-field case). Blood cultures were requested in the majority of cases, followed by tracheal swabs and lung tissue. In-hospital and out of hospital deaths did not differ significantly regarding the number of microorganisms identified in a positive blood culture. Postmortem bacteriology cultures of the respiratory tract showed a statistically significant association to microscopically confirmed lung infections. Conclusions Postmortem sampling for bacteriology testing in our center in Bucharest is heterogeneous with a high variation of patterns. A positive blood culture result for Staphylococcus species without the identification of a specific microorganism is more likely due to postmortem contamination. |
