Correlation of quantitative burn wound biopsy culture and surface swab culture to burn wound sepsis

Tahlan, R.N.; Keswani, R.K.; Saini, Santosh; Miglani, O.P.

doi:10.1016/0305-4179(84)90033-0

Cited by 18 publications

(22 citation statements)

References 9 publications

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“…Freshwater and Su (145) also found that the results of quantitative burn wound cultures needed to be interpreted in conjunction with clinical observations of burn wound infection in order to be a useful guide to the management of burn patients with large TBSA burns. Tahlan and colleagues (423), in a study comparing surface swabs and burn wound biopsy cultures in 17 patients with second-and third-degree burns, found no difference in the types of microorganisms cultured from swabs versus those cultured from biopsies. Levine and colleagues (247) additionally noted a linear numerical relationship between quantitative surface swab and biopsy sample counts of viable bacteria from burn wounds, whereby counts of 10 5 bacteria per gram of biopsy sample were equated with counts of 10 6 bacteria obtained from surface swab samples.…”

Section: Best Approach For Burn Wound Infection Surveillancementioning

confidence: 98%

“…Conflicting results have been obtained by different studies for the following reasons: burn patients do not have homogenous injuries (e.g., the severity and extent of burn injury vary greatly from patient to patient), various sampling techniques and laboratory methods have been used, and most comparative studies were done before the advent of early excision therapy (41,48,247,254,255,282,399,407,408,423). Steer and colleagues (407,408) have reported the largest recent studies that compared the results of surface swab versus biopsy cultures.…”

Section: Best Approach For Burn Wound Infection Surveillancementioning

confidence: 99%

“…Clinical microbiology laboratories routinely provide semiquantitative or qualitative results from cultures of superficial wound samples. A number of techniques for the collection of burn wound surface cultures have been described over the last several decades, including the collection of swabs or contact plates and capillarity gauze sampling (48,160,247,399,407,408,423,459). Although each of these methods is described for historical completeness, modern burn units universally rely on the collection of surface swabs.…”

Section: Burn Wound Sampling Techniquesmentioning

confidence: 99%

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Burn Wound Infections

Church

Elsayed

Reid³

et al. 2006

Clin Microbiol Rev

1,584

1,345

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SUMMARYBurns are one of the most common and devastating forms of trauma. Patients with serious thermal injury require immediate specialized care in order to minimize morbidity and mortality. Significant thermal injuries induce a state of immunosuppression that predisposes burn patients to infectious complications. A current summary of the classifications of burn wound infections, including their diagnosis, treatment, and prevention, is given. Early excision of the eschar has substantially decreased the incidence of invasive burn wound infection and secondary sepsis, but most deaths in severely burn-injured patients are still due to burn wound sepsis or complications due to inhalation injury. Burn patients are also at risk for developing sepsis secondary to pneumonia, catheter-related infections, and suppurative thrombophlebitis. The introduction of silver-impregnated devices (e.g., central lines and Foley urinary catheters) may reduce the incidence of nosocomial infections due to prolonged placement of these devices. Improved outcomes for severely burned patients have been attributed to medical advances in fluid resuscitation, nutritional support, pulmonary and burn wound care, and infection control practices.

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Section: Best Approach For Burn Wound Infection Surveillancementioning

confidence: 98%

Section: Best Approach For Burn Wound Infection Surveillancementioning

confidence: 99%

Section: Burn Wound Sampling Techniquesmentioning

confidence: 99%

See 1 more Smart Citation

Burn Wound Infections

Church

Elsayed

Reid³

et al. 2006

Clin Microbiol Rev

1,584

1,345

View full text Add to dashboard Cite

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“…Common criticisms of swab techniques include frequent contamination, drying, inadequate specimen quantity, and the superiority of other isolation techniques 9–11 . Despite its limitations, numerous studies on swab culture have been done on chronic wounds, 12,13 diabetic foot infection, 14 burns, 15,16 and postoperative wound infections 17 . The studies have shown good correlation between the isolation of microorganism with swabs and tissue biopsy culture in chronic wounds and in the initial evaluation of limb‐threatening infections 12–14 .…”

Section: Introductionmentioning

confidence: 99%

The Role of Swab and Tissue Culture in the Diagnosis of Implantable Cardiac Device Infection

Chua¹,

Abdul‐Karim

Mawhorter

et al. 2005

Pacing Clinical Electrophis

118

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“…Youngobserved progressively changing profile of wound flora (15). Tahlan et alfound pseudomonas as the most common organism followed by staphylococci in their study (16). Lawrencereported higher incidence of gram negative bacteria than gram positive ones as noted inpresentstudy (17).…”

Section: Discussionmentioning

confidence: 50%

Bacteriological Profile and Antibiogram of Aerobic Burn Wound Isolates At A Tertiary Care Institute in Northern India

Sharma¹,

Kaur²,

Sambyal³

2016

IOSR

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Background: Infection is the commonest and the most serious problem in patients who survive the initial shock phase of major thermal injury. It is an important cause of mortality in burns. Rapidly emerging nosocomial pathogens and the problem of multi-drug resistance in burn patients providing a important periodic review of isolation patterns and Antibiograms in the burn ward. Aim and Objective: The present retrospective study from wounds of patients admitted to burns unit was undertaken to determine the bacteriological profile and the resistance pattern from the burn ward over a period of one year and four months (January 2012 to April 2013). Materials and Methods: 450 wound swabs were taken from burn patients and were cultured on Blood-agar and MacConkey-agar .Out of 450 samples only 400 showed growth and so its isolates were identified by conventional biochemical methods and antimicrobial susceptibility was performed. Isolates were tested for susceptibility to antimicrobials using the Kirby Bauer Disc diffusion method. Result: During the period from January2012 to April 2013 study is done.450 aerobic bacterial isolates were recovered from 400 patients. Pseudomonasaeruginosa was the commonest pathogen isolated (35.55%) followed by Klebsiellaspecies (23.34%),Acinetobacter species (22.22%), Staph. aureus (9.11%), (5.56%), Proteus species (1.78%), Citrobacter species (1.33%) and E.coli (1.11%). Ampicillin, Piperacillin was most resistant drugs in case of Gram-negative bacteria.Piperacillin-tazobactum was (100%) sensitive antibiotic in all Gram negative bacteria. Amoxicillin and Penicillin G were the resistant antibiotics in case of Gram-positive bacteria. Conclusion: The growth of multidrug-resistant organisms should be considered as a serious risk in burn units. Aggressive infection control measures should be applied to limit the emergence and spread of multidrugresistant pathogens.

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Correlation of quantitative burn wound biopsy culture and surface swab culture to burn wound sepsis

Cited by 18 publications

References 9 publications

Burn Wound Infections

Burn Wound Infections

The Role of Swab and Tissue Culture in the Diagnosis of Implantable Cardiac Device Infection

Bacteriological Profile and Antibiogram of Aerobic Burn Wound Isolates At A Tertiary Care Institute in Northern India

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