Comparative evaluation of surface swab and quantitative full thickness wound biopsy culture in burn patients

Abstract A total of 100 cases of burn were examined and screened bacteriologically for evidence of infection by surface swab culture, quantitative full thickness punch biopsy culture and blood culture. Gram negative organisms predominates the gram positive ones. Surface swab was found to correlate w...

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Bibliographic Details
Published in:Burns 2007-06, Vol.33 (4), p.460-463
Main Authors: Uppal, Sanjeev K, Ram, Shobha, Kwatra, Bharti, Garg, Sumit, Gupta, R
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Bacteremia - diagnosis
Bacterial diseases
Bacterial flora
Bacterial sepsis
Biological and medical sciences
Biopsy - methods
Burns
Burns - microbiology
Burns - pathology
Child
Child, Preschool
Critical Care
Female
Human bacterial diseases
Humans
Infant
Infectious diseases
Male
Medical sciences
Middle Aged
Quantitative culture and systemic sepsis
Surface swab
Surgical Sponges
Thermally injured patients
Traumas. Diseases due to physical agents
Wound Infection - microbiology
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Summary:Abstract A total of 100 cases of burn were examined and screened bacteriologically for evidence of infection by surface swab culture, quantitative full thickness punch biopsy culture and blood culture. Gram negative organisms predominates the gram positive ones. Surface swab was found to correlate well with the biopsy as far the identification of causative organism is concerned. However, the latter technique was found to be more valuable as it also gives the critical load (>105 CFU/g of tissue) of the organism beyond which metastatic invasion of the organism takes place ( p < 0.01), thus obviating the repeated need for blood culture in burn patients.
ISSN:0305-4179
1879-1409
DOI:10.1016/j.burns.2006.08.015