Use of tissue culture in determining infection agent in pressure sore cases [Basi yaralarinda enfeksiyon ajanini belirlemede doku kültürünün kullanimi]
Küçük Resim Yok
Tarih
2012
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Pressure sore is the ischemic tissue damage due to the long-term exposure to the pressure. In pressure sore regions, infection development is common. In pressure sore cases, tissue cultures are recommended instead of swab cultures in determination of the pathogen to start accurate antibiotic treatment. We planned a study to determine the correct place to take the tissue cultures. We also aimed to compare the tissue culture results with the swab culture and blood culture results. Material and Methods: 18 superficial and 18 deep tissue cultures were received from 14 patients who had pressure sores. Besides, 9 swab cultures were received from 6 patients, simultanously. 16 blood cultures were received from 13 patients, simultanously. Blood samples were received from all patients for hemogram study. Results: Out of 36 tissue cultures taken either superficially or deeply from 14 patients, one type of bacteria was isolated in 19 tissue cultures, more than two types has been isolated in 12 tissue cultures and none in 5 cultures. There was no difference in terms of isolated bacteria types between deep and superficial tissue cultures except for 2 patients. There was no istatistically significant difference between superficial and deep tissue cultures in terms of isolated bacteria types. Out of 9 superficial swab cultures was received from 6 patients, at least two types of bacteria were isolated in 8 samples and they were all assessed as contamination. When we compare tissue culture and blood culture results of 13 patients; different microorganisms were isolated in 5 patients and the same microorganism was isolated only in 1 patient (Pseudomonas). Conclusions: Isolation of average 6 types microorganisms in swab cultures and average 1-2 types microorganisms in tissue cultures indicates that tissue cultures are more reliable and accurate tests in determining the pathogen in the pressure sores. As a result, we determined that there is no istatistically significant difference in terms of isolated pathogens between superficial and deep tissue cultures taken from pressure sore zones. Because of contamination, more than one kind of bacteria were isolated in swab cultures and therefore we concluded that tissue culture should be preferred instead of swab culture in pressure sores. At this study, no correlation regarding the isolated pathogen type between the tissue culture and blood culture was detected.
Açıklama
Anahtar Kelimeler
Infection; Pressure sore; Tissue culture
Kaynak
Turk Plastik, Rekonstruktif ve Estetik Cerrahi Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
20
Sayı
3
