Bacteriology of pressure ulcers in individuals with spinal cord injury: What we know and what we should know
| Autor: | William A. Bauman, Ali N. Dana |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Staphylococcus aureus
medicine.medical_specialty Microbiological culture Population Review Enterococcus faecalis Wound care medicine Bacteriology Humans Microbiome education Intensive care medicine Proteus mirabilis Spinal cord injury Spinal Cord Injuries Pressure Ulcer education.field_of_study biology business.industry Microbiota Skin Diseases Bacterial medicine.disease biology.organism_classification Pseudomonas aeruginosa Neurology (clinical) Anaerobic bacteria business |
| Zdroj: | The Journal of Spinal Cord Medicine. 38:147-160 |
| ISSN: | 2045-7723 1079-0268 |
| Popis: | Individuals with spinal cord injury (SCI) are at increased risk for the development of pressure ulcers. These chronic wounds are debilitating and contribute to prolonged hospitalization and worse medical outcome. However, the species of bacteria and the role that specific species may play in delaying the healing of chronic pressure ulcers in the SCI population has not been well characterized. This study will review the literature regarding what is known currently about the bacteriology of pressure ulcers in individuals with SCI. An electronic literature search of MEDLINE (1966 to February 2014) was performed. Eleven studies detailing bacterial cultures of pressure ulcers in the SCI population met inclusion criteria and were selected for review. Among these studies, bacterial cultures were often polymicrobial with both aerobic and anaerobic bacteria identified with culture techniques that varied significantly. The most common organisms identified in pressure ulcers were Staphylococcus aureus, Proteus mirabilis, Pseudomonas aeruginosa, and Enterococcus faecalis. In general, wounds were poorly characterized with minimal to no physical description and/or location provided. Our present understanding of factors that may alter the microbiome of pressure ulcers in individuals with SCI is quite rudimentary, at best. Well-designed studies are needed to assess appropriate wound culture technique, the impact of bacterial composition on wound healing, development of infection, and the optimum medical and surgical approaches to wound care. |
| Databáze: | OpenAIRE |
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