ArticleJournal of natural science, biology, and medicine2015
Predebridement wound culture in open fractures does not predict postoperative wound infection: A pilot study.
Article in Journal of natural science, biology, and medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- [Prevention of postoperative infections : Risk factors and the current WHO guidelines in musculoskeletal surgery].Der Unfallchirurg · 2017Pooled it
- Culture Positivity Reflects Quantitative Bacterial Bioburden in Open Fractures.bioRxiv : the preprint server for biology · 2026Article
- Microbiota shifts in fracture-related infections and pathogenic transitions identified by 16S rDNA sequencing.Scientific reports · 2025Article
- Analysing predictors of surgical site infections in patients undergoing emergency surgery for traumatic pulmonary haemorrhage.International wound journal · 2024Article
- Management of Open Pediatric Fractures: Proposal of a New Multidisciplinary Algorithm.Journal of clinical medicine · 2023Article
- Fluorescence In Situ Hybridization as Diagnostic Tool for Implant-associated Infections: A Pilot Study on Added Value.Plastic and reconstructive surgery. Global open · 2023Article
- Current pathogens infecting open fracture tibia and their antibiotic susceptibility at a tertiary care teaching hospital in South East Asia.Infection prevention in practice · 2022Article
- [Open fractures].Der Unfallchirurg · 2021Article
- Assessment of seawater bacterial infection in rabbit tibia by Illumina MiSeq sequencing and bacterial culture.Journal of orthopaedic surgery and research · 2021Article
- Current Surgical Antibiotic Prophylaxis Practices: A Survey of Orthopaedic Surgeons in India.Indian journal of orthopaedics · 2021Article
- [Primary soft tissue management in open fracture].Operative Orthopadie und Traumatologie · 2018Review
- A Descriptive Study of Open Fractures Contaminated by Seawater: Infection, Pathogens, and Antibiotic Resistance.BioMed research international · 2017Article
- A Comparative Study of Bacteriological Culture Results Using Swab and Tissue in Open Fractures: A Pilot Study.Journal of orthopaedic case reportsArticle
- Do Post-debridement Cultures have a Role in Reduction of Infection in Open Fractures? Report of 166 Cases and Literature Review.Strategies in trauma and limb reconstructionArticle
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is confusion in the current literature regarding the value of obtaining predebridement wound cultures in the management of open fractures with several studies reporting contrasting results. We undertook a pilot study to determine the initial bacterial flora of open fractures in our environment and determine the correlation between subsequent wound infection if any, and the initial bacterial flora. MATERIALS AND
methodsInitial/predebridement wound swabs were obtained for 32 patients with open fractures. Patients underwent a debridement of the open wound and preliminary stabilization of fracture in the operating room within 24 h. Postdebridement wound cultures were obtained at 48 h and repeated subsequently, if indicated, during the follow-up period. The antibiotic therapy was modified based on the culture reports.
resultsInitial wound swab culture showed bacterial contamination in 18 patients (56%); 14 patients (44%) developed an infection in the immediate postoperative period or during follow-up. Age, gender, co-morbid medical condition, delay in presentation, and grade of open fracture were not found to be predictors of postoperative infection. No patient had an infection with the same organism, which was present in the initial culture.
conclusionThe findings of this study suggest that the initial flora are not the infecting organisms in the open fracture wounds, and predebridement wound cultures have no value in predicting postdebridement wound infection.
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