Assessment of Burn Wound Infection By Swab and Biopsy Culture: A Comparative Study

Background: Wound infection is a frequent and severe complication in burn patients accounting for a high number of mortalities. There are some reports comparing swab and biopsy cultures of wounds of various etiologies or chronic wounds.Objectives: The aim of the study was to evaluate burn wound infe...

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Main Authors: Somaye Abdollahi Sabet, Ali Kabir, Mahshid Hormazdi, Siamac Esfandi, Mohammad Ali Bahar, Ali Manafi, Nosratollah Bouduhi, Hamid Karimi
Format: Article
Language:English
Published: Iran University of Medical Sciences 2008-08-01
Series:Medical Journal of The Islamic Republic of Iran
Subjects:
Online Access:http://mjiri.tums.ac.ir/browse.php?a_code=A-10-1-47&slc_lang=en&sid=1
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author Somaye Abdollahi Sabet
Ali Kabir
Mahshid Hormazdi
Siamac Esfandi
Mohammad Ali Bahar
Ali Manafi
Nosratollah Bouduhi
Hamid Karimi
author_facet Somaye Abdollahi Sabet
Ali Kabir
Mahshid Hormazdi
Siamac Esfandi
Mohammad Ali Bahar
Ali Manafi
Nosratollah Bouduhi
Hamid Karimi
author_sort Somaye Abdollahi Sabet
collection DOAJ
description Background: Wound infection is a frequent and severe complication in burn patients accounting for a high number of mortalities. There are some reports comparing swab and biopsy cultures of wounds of various etiologies or chronic wounds.Objectives: The aim of the study was to evaluate burn wound infection by different bacteriologic methods of surface swab and tissue biopsy culture and see if   they can predict the outcome.Methods: Aprospective study was conducted in Shahid Motahari Burn Center,Tehran ,on patients suffering from burns with more than 20% of TBSAadmitted in 2001-2002. Wound swab and biopsy specimens were collected within the second week.Patients were followed to the point of their discharge or death.Results: Bacterial growth was reported in 100% of swabs, in 89.3% of the biopsies   in differential culture media,and in 18.7% of the biopsies in selective culture media.These different cultures had similar pathogen reports. Of the 75 studied patients,78.7% died. The frequency rates of positive tissue cultures and bacterial load were not different between the dead and those who survived.Conclusion: Bacteriologic methods do not have enough predictive value to assess clinical outcome.
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spelling doaj.art-f9b7bb70899a4e53b2da735b37c9b5e52022-12-22T00:27:39ZengIran University of Medical SciencesMedical Journal of The Islamic Republic of Iran1016-14302251-68402008-08-012228085Assessment of Burn Wound Infection By Swab and Biopsy Culture: A Comparative StudySomaye Abdollahi SabetAli KabirMahshid HormazdiSiamac EsfandiMohammad Ali BaharAli ManafiNosratollah BouduhiHamid KarimiBackground: Wound infection is a frequent and severe complication in burn patients accounting for a high number of mortalities. There are some reports comparing swab and biopsy cultures of wounds of various etiologies or chronic wounds.Objectives: The aim of the study was to evaluate burn wound infection by different bacteriologic methods of surface swab and tissue biopsy culture and see if   they can predict the outcome.Methods: Aprospective study was conducted in Shahid Motahari Burn Center,Tehran ,on patients suffering from burns with more than 20% of TBSAadmitted in 2001-2002. Wound swab and biopsy specimens were collected within the second week.Patients were followed to the point of their discharge or death.Results: Bacterial growth was reported in 100% of swabs, in 89.3% of the biopsies   in differential culture media,and in 18.7% of the biopsies in selective culture media.These different cultures had similar pathogen reports. Of the 75 studied patients,78.7% died. The frequency rates of positive tissue cultures and bacterial load were not different between the dead and those who survived.Conclusion: Bacteriologic methods do not have enough predictive value to assess clinical outcome.http://mjiri.tums.ac.ir/browse.php?a_code=A-10-1-47&slc_lang=en&sid=1BurnInfectionSwabBiopsy.
spellingShingle Somaye Abdollahi Sabet
Ali Kabir
Mahshid Hormazdi
Siamac Esfandi
Mohammad Ali Bahar
Ali Manafi
Nosratollah Bouduhi
Hamid Karimi
Assessment of Burn Wound Infection By Swab and Biopsy Culture: A Comparative Study
Medical Journal of The Islamic Republic of Iran
Burn
Infection
Swab
Biopsy.
title Assessment of Burn Wound Infection By Swab and Biopsy Culture: A Comparative Study
title_full Assessment of Burn Wound Infection By Swab and Biopsy Culture: A Comparative Study
title_fullStr Assessment of Burn Wound Infection By Swab and Biopsy Culture: A Comparative Study
title_full_unstemmed Assessment of Burn Wound Infection By Swab and Biopsy Culture: A Comparative Study
title_short Assessment of Burn Wound Infection By Swab and Biopsy Culture: A Comparative Study
title_sort assessment of burn wound infection by swab and biopsy culture a comparative study
topic Burn
Infection
Swab
Biopsy.
url http://mjiri.tums.ac.ir/browse.php?a_code=A-10-1-47&slc_lang=en&sid=1
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