A Comparison of Superficial and Deep Bacterial Presence in Open Fractures of the Lower Extremities
| Autor: | I.C. Ikem, L.M. Oginni, D.O. Ojo, A.K. Ako-Nai, F.V. Daniel |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male Open fracture medicine.medical_specialty Adolescent Microbial Sensitivity Tests medicine.disease_cause Fractures Open Young Adult Staphylococcus epidermidis Female patient medicine Humans Leg Bones Tibia Child Grade IIIa Aged Aged 80 and over Bacteria biology business.industry Incidence (epidemiology) General Medicine Middle Aged biology.organism_classification Surgery Staphylococcus aureus Female University teaching business |
| Zdroj: | The International Journal of Lower Extremity Wounds. 8:197-202 |
| ISSN: | 1552-6941 1534-7346 |
| DOI: | 10.1177/1534734609350549 |
| Popis: | This open prospective study compared the bacterial flora of superficial and deep-wound biopsies and swabs over a 2-year period in 4 different samples cultured from open fracture wounds at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. Samples were taken from 47 patients with factures graded according to Gustilo and Anderson’s classification as grade 1 (2.1%), grade II (29.8%), grade IIIA (36.2%), and grade IIIB (31%). A total of 248 samples were cultured using standard techniques. The incidence of open fracture wounds was 78.7% in male patients and 21.3% in female patients. Tibia fractures constituted 66.1%. A total of 203 bacterial isolates were cultured from 248 samples. Gram-negative bacteria constituted 53.2% of isolates, with Escherichia coli being predominant (12.8%). Staphylococcus aureus were the predominant Gram-positive cocci (15.3%), and Staphylococcus epidermidis (13.3%) may be considered to be the major source of open fracture wound contamination. The bacterial species cultured from superficial and deep-wound swabs and biopsies were similar. Resistance to antimicrobials was high for penicillins (amoxicillin and cloxacillin), with values of 68.6% and 58.3%, respectively, for superficial bacterial species and 58.2% and 31.9%, respectively, for deep-wound biopsies. |
| Databáze: | OpenAIRE |
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