A comparison of superficial and deep bacterial presence in open fractures of the lower extremities

International Journal of Lower Extremity Wounds

Volumn 8, Issue 4, 2009, Pages 197-202

  Ako Nai, A K ^a   Ikem, I C ^a   Daniel, F V ^a   Ojo, D O ^a   Oginni, L M ^a  

^a OBAFEMI AWOLOWO UNIVERSITY   (Nigeria)

Author keywords

Bacteria flora; Deep; Open fracture; Superficial; Wounds

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTICLE; BACTERIAL INFECTION; BACTERIUM CULTURE; BACTERIUM ISOLATION; CHILD; CLINICAL ARTICLE; CLINICAL TRIAL; COMPARATIVE STUDY; CONTROLLED STUDY; DISEASE CLASSIFICATION; ESCHERICHIA COLI; FEMALE; GRAM NEGATIVE BACTERIUM; GRAM POSITIVE COCCI; HUMAN; HUMAN TISSUE; LIMB FRACTURE; MALE; MULTICENTER STUDY; NIGERIA; NONHUMAN; OPEN FRACTURE; OPEN STUDY; PRIORITY JOURNAL; PROSPECTIVE STUDY; SCHOOL CHILD; SEX DIFFERENCE; SKIN BIOPSY; STAPHYLOCOCCUS AUREUS; STAPHYLOCOCCUS EPIDERMIDIS; TEACHING HOSPITAL; TIBIA FRACTURE; WOUND HEALING; WOUND INFECTION;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; BACTERIA; CHILD; FEMALE; FRACTURES, OPEN; HUMANS; LEG BONES; MALE; MICROBIAL SENSITIVITY TESTS; MIDDLE AGED; YOUNG ADULT;

EID: 73449121961     PISSN: 15347346     EISSN: 15526941     Source Type: Journal    
DOI: 10.1177/1534734609350549     Document Type: Article

References (26)

1. Sungaran J., Harris I., Maurad M. The effect of time to theatre on infection rate for open tibia fractures. ANZ J Surg 2007 ; 77: 815. 2.
2. Neubauer T., Bayer GS, Wagner M. Open fractures and infection. Acta Chir Orthop Traumatol Cech 2006 ; 73: 301-312. 3.
3. Blease R., Kanlic E. Management of open fracture. Bosn J Basic Med Sci 2005 ; 5 (4). 14-21.
4. Gossling HR, Pillsbury SL Complications of fracture management. 1st ed. Philadelphia: Lippincott ; 1984.
5. Solagberu BA, Adekanye AO, Ofoegbu CPK, Kuranga SA, Udoffa US, Abdur-Rahman LO, et al. Clinical spectrum of trauma at a university hospital in Nigeria. Eur J Trauma 2002 ; 28: 365-369. 6.
6. Gustilo RB, Anderson JT Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg Am 1976 ; 58: 453-458.
7. Patzakis MJ, Wilkins J. Factors influencing infection rate in open fracture wounds. Clin Orthop Relat Res 1989 ; 243: 36-40. 8.
8. Worlock P. Frontiers in fracture management. In: Bunker TD, Colton CL, Webb JK. editors. The prevention of infection in open fractures. London: Martin Dunitz ; 1989. p. 16-28.
9. Monson TP, Nelson CL Microbiology for orthopaedic surgeons, selected aspects. Clin Orthop Relat Res. 1984 ; 190: 14-22.
10. Lawrence RM, Hoeprich PD, Huston AC Quantitative microbiology of traumatic orthopaedic wounds. J Clin Microbiol 1978 ; 8: 673-675.
11. Skaggs LD, Friend L., Alman B., Chambers HG, Schmitz BL, Kay RM, et al. The effect of surgical delay on acute infection following 554 open fractures in children. J Bone Joint Surg Am 2005 ; 87: 8-12.
12. Robinson D., On E., Hadas N., Halperin N., Hofman S., Boldur I. Microbiologic flora contaminating open fractures: its significance in the choice of primary antibiotic agents and the likelihood of deep wound infection. J Orthop Trauma 1989 ; 3: 283-286.
13. Crowley DJ, Kankaris NK, Glannoudis PV Irrigation of the wounds in open fractures. J Bone Joint Surg Br 2007 ; 89: 580-585.
14. Ikem IC, Oginni LM, Bamgboye EA, Ako-Nai AK, Onipede AO The bacteriology of open fractures in Ile-Ife, Nigeria [published erratum appears in Niger J Med 2005;14:461]. Niger J Med 2004 ; 13: 359-365.
15. Alonge TO, Ogunlade SO, Salawu SA, Fashina AN Microbial isolates in open fractures seen in the accident and emergency unit of a teaching hospital in a developing country. West Afr J Med 2002 ; 21: 302-304.
16. Ako-Nai AK, Ikem IC, Akinloye OO, Aboderin AO, Ikem RT, Kassim OO Characterization of bacterial isolates from diabetic foot infections in Ile-Ife, Southwestern Nigeria. Foot 2006 ; 16: 158-164.
17. Hankin L., Anagnostakis SL The use of solid media for detection of enzyme production by fungi. Mycologia 1975 ; 67: 597-607.
18. Jeffries CD, Holtoman DF, Guse DG Rapid method for determining the activity of microorganisms on nucleic acids. J Bacteriol 1957 ; 73: 590-591.
19. Bauer AW, Kirby WMM, Sherris JC, Turck MA Antibiotic susceptibility testing by a standardized single disc method. Am J Clin Pathol 1966 ; 45: 493-495.
20. National Committee for Clinical Laboratory Standards. Methods for dilution antimicrobial susceptibility tests for bacteria that grow aerobically. 4 th ed. Wayne, PA: National Committee for Clinical Laboratory Standards ; 1997.
21. Ordog GJ, Sheppard GF, Wasserberger JS, Balasubramanium S., Shoemaker WC Infection in minor gunshot wounds. J Trauma 1993 ; 34: 358-365.
22. Ikem IC, Oginni LM, Bamgboye EA Open fractures of the lower limb in Nigeria. Int Orthop 2001 ; 25: 386-388.
23. DĝSouza A., Rajagopalan N., Amaravati RS The use of qualitative cultures for detecting infection in open tibia fractures. J Orthop Surg (Hong Kong) 2008 ; 16: 175-178.
24. Hammond SA, Morgan JR, Russell AD Comparative susceptibility of hospital isolates of Gram negative bacteria to antiseptics and disinfectants. J Hosp Infect 1987 ; 9: 255-264.
25. Levine NS, Lindberg RB, Mason AD, Puitt BA The quantitative swab and swear: a quick, simple method for determining the numbers of viable bacteria on open wounds. J Trauma 1976 ; 16: 89-94.
26. Lee J. Efficacy of cultures in the management of open fractures. Clin Orthop Relat Res 1997 ;(339). 71-75.