整形外科と災害外科
Online ISSN : 1349-4333
Print ISSN : 0037-1033
ISSN-L : 0037-1033
新鮮開放創及び, 感染創における検出細菌の検討
中野 哲雄鶴田 敬郎宮薗 一樹伊藤 龍太郎菊池 太朗伊藤 純
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キーワード: 開放創, 感染症, 化学療法
ジャーナル フリー

1994 年 43 巻 4 号 p. 1165-1167

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To establish a basis for the treatment of open injuries, a bacteriological study of fresh open and festering wounds following trauma was performed. Clinical specimens were directly collected from the wounds by inserting TranswabR into the wounds, followed by bacteriological examinations. Of 213 fresh open wounds, 131 cases were polluted by bacteria and compared to the control group of 57 cases of festering wounds. All 4 of the fresh open wounds that became festered were bacteriologically polluted on their first examination. Of these 4 cases, three were open fractures. On the other hand, no case festered when the wound was proven to be aseptic on the first examination. Bacteria were detected from the wounds more frequently in summer than winter. Coagulase-negative Staphylococcus was most frequently detected and Bacillus cereus, the next. Other species with clinical importance were S. aureus, S. epidermidis, S. milleri, E. faecalis, Aeromonas species, and Clostridium species. Compared with fresh wounds, S. aureus and GNR were detected more frequently in festering wounds.

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