Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1387
5
1
gregorian
2008
8
1
22
2
online
1
fulltext
en
Assessment of burn wound infection by swab and biopsy culture: a comparative study
Burn & Reconstruction
Burn & Reconstruction
Original Research
Original Research
<p> <strong> Abstract </strong></p><p> <strong> Background: </strong>Wound infection is a frequent and severe complication in burn patients </p><p> accounting for a high number of mortalities. There are some reports comparing </p><p> swab and biopsy cultures of wounds of various etiologies or chronic wounds. </p><p> <strong> Objectives: </strong>The aim of the study was to evaluate burn wound infection by different </p><p> bacteriologic methods of surface swab and tissue biopsy culture and see if </p><p> they can predict the outcome. </p><p> <strong> Methods: </strong>Aprospective study was conducted in Shahid Motahari Burn Center, </p><p> Tehran , on patients suffering from burns with more than 20% of TBSAadmitted in </p><p> 2001-2002. Wound swab and biopsy specimens were collected within the second </p><p> week. Patients were followed to the point of their discharge or death. </p><p> <strong> Results: </strong>Bacterial growth was reported in 100% of swabs, in 89.3% of the biopsies </p><p> in differential culture media, and in 18.7% of the biopsies in selective culture </p><p> media. These different cultures had similar pathogen reports. Of the 75 studied patients, </p><p> 78.7% died. The frequency rates of positive tissue cultures and bacterial load </p><p> were not different between the dead and those who survived. </p><p> <strong> Conclusion: </strong>Bacteriologic methods do not have enough predictive value to assess </p><p> clinical outcome. </p>
burn, infection, swab, biopsy.
80
85
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-47&slc_lang=en&sid=1
Mohammad Ali
Bahar
20031947532846001599
20031947532846001599
No
Burn and Wound Reconstruction Research Center, Shahid Motahari Hospital, Iran University of Medical Sciences and Health Services, Tehran, Iran.
Ali
Manafi
20031947532846001600
20031947532846001600
No
Burn and Wound Reconstruction Research Center, Shahid Motahari Hospital, Iran University ofMedical Sciences and Health Services.
Nosratollah
Bouduhi
20031947532846001601
20031947532846001601
No
Burn and Wound Reconstruction Research Center, Shahid Motahari Hospital, Iran University ofMedical Sciences and Health Services.
Hamid
Karimi
20031947532846001602
20031947532846001602
No
Burn and Wound Reconstruction Research Center, Shahid Motahari Hospital, Iran University of Medical Sciences and Health Services.
Mahshid
Hormazdi
20031947532846001603
20031947532846001603
No
Iran University of Medical Sciences and Health Services.
Siamac
Esfandi
20031947532846001604
20031947532846001604
No
Nikan Health Researchers Institute, Tehran, Iran.
Somaye
Abdollahi Sabet
20031947532846001605
20031947532846001605
No
Nikan Health Researchers Institute, Tehran, Iran.
Ali
Kabir
aikabir@yahoo.com,
20031947532846001606
20031947532846001606
Yes
Nikan Health Researchers Institute.Address: Unit 9, No. 1, 3rd floor, 3rdBahar Alley, Ashrafi Isfahani Highway, Poonak Square, Tehran, Iran.