Document Detail

Bacterial load in tissues and its predictive value for infection in open fractures.
MedLine Citation:
PMID:  12468853     Owner:  NLM     Status:  Publisher    
The role of quantitative bacteriology is considered controversial for the prediction of infection in open fractures. A study was done in 20 patients with open fractures. Post debridement pieces of skin, muscle and periosteal tissue were obtained for quantitative bacterial counts. Among a total of 50 samples from all of the tissues, 29 showed positive bacterial counts (16 of 20 skin, 11 of 20 muscle and 2 of 10 periosteum samples). By quantitative estimation, the bacterial load was >10(5) per gram in 10 skin and 3 muscle tissue samples. Infection developed in 9 of the 20 cases within one month, and eight of these patients had contamination of >10(5) per gram in 8 of the skin but only 3 muscle samples. It was concluded that with tissue specific bacterial load estimation, prediction of subsequent infection can be made if skin tissue contains >10(5) per gram, or if muscle tissue carries any level of bacterial presence.
Ramesh K Sen; NRS Murthy; Shivinder S Gill; Onkar N Nagi
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Publication Detail:
Journal Detail:
Title:  Journal of orthopaedic surgery (Hong Kong)     Volume:  8     ISSN:  -     ISO Abbreviation:  J Orthop Surg (Hong Kong)     Publication Date:  2000 Dec 
Date Detail:
Created Date:  2002-Dec-6     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9440382     Medline TA:  J Orthop Surg (Hong Kong)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  1-5     Citation Subset:  -    
Department of Orthopaedic Surgery, Post-Graduate Institute of Medical Education and Research, Chandigarh, India.
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