ArticleScandinavian journal of primary health care2012
Bacterial cultures, rapid strep test, and antibiotic treatment in infected hard-to-heal ulcers in primary care.
Article in Scandinavian journal of primary health care, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 16 citations in OpenAlex.
- Bacteriophage Therapy on an In Vitro Wound Model and Synergistic Effects in Combination with Beta-Lactam Antibiotics.Antibiotics (Basel, Switzerland) · 2024Article
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- Relative Abundance and Detection ofMicroorganisms · 2023Review
- Antibiotic prescription using a digital decision support system: a register-based study of patients with hard-to-heal ulcers in Sweden.BMJ open · 2022Article
- Biofilm is a Major Virulence Determinant in Bacterial Colonization of Chronic Skin Ulcers Independently from the Multidrug Resistant Phenotype.International journal of molecular sciences · 2017Article
- A pilot study investigating lactic acid bacterial symbionts from the honeybee in inhibiting human chronic wound pathogens.International wound journal · 2016Article
- Article
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveIn-depth studies on antibiotic treatment for patients with hard-to-heal ulcers in primary care are lacking. The present study was undertaken to update the bacteriological spectrum for this patient group and to investigate antibiotic treatment. A further aim was to investigate the potential of a rapid strep test to find group A streptococci (GAS) causing ulcer infection.
designA prospective study from August 2009 to August 2010.
settingBlekinge Wound Healing Center. SUBJECTS: Patients with clinical signs of infected hard-to-heal ulcers of any etiology.
main outcome measuresA bacterial culture and a rapid strep test were taken from every ulcer to capture the bacteriological spectrum. Antibiotic treatment before and during the study period was measured.
resultsForty-one patients with 49 infected ulcers were recruited. Staphylococcus aureus, found in 68.8% of all cultures, was the most observed species. Group G streptococci (GGS) were found in 12.5%. GAS was found in one case where the rapid strep test was positive. Staphylococcus aureus was found in three patients out of four with clinical signs of erysipelas. Some 59% of the patients were treated with antibiotics before the study period compared with 44% during the study period.
conclusionAntibiotic treatment was largely reduced because of structured wound management. The current bacteriological spectrum showed high rates of GGS and erysipelas caused by Staphylococcus aureus. The rapid strep test was found useful in identifying GAS but we would not recommend its use in the clinical setting due to the low rate of GAS in this patient group.
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