Overview of the etiology of wound infections with particular emphasis on community-acquired illnesses.
ABSTRACT Wound cultures represent a general catchall category for a group of extremely diverse anatomic samples that range from superficial specimens of cutaneous structures (folliculitis, cellulitis) to specimens revealing invasive infections involving deep fascial planes and muscle (myonecrosis). Because of the complex nature of these infective processes, the terminology associated with such infections is often imprecise and confusing. Wounds are the result of trauma, either intentionally or accidentally induced. Nosocomial wound infections result primarily from surgical procedures, the development of pressure sores, or catheterization. Community-acquired wound infections are often preceded by injuries resulting from occupational exposure or recreational activities and are associated with a greater diversity of microorganisms due to the exposure of open wounds to inhabitants of the microbial biosphere. This review provides a general overview of the categories of wound infections and describes their acquisition and clinical significance. Particular emphasis is placed on selected community-acquired wound infections and the etiologic agents associated with such conditions.
- SourceAvailable from: nih.gov[show abstract] [hide abstract]
ABSTRACT: We conducted a survey during the period from 1974 to 1976, to determine the distribution of Plesiomonas shigelloides in human faeces, the intestinal contents of cattle, swine, poultry, dogs, cats, fresh water fish, and river water and sludge from wet riverbeds in the vicinity of Tokyo. Isolation of the organisms was performed by using Salmonella-Shigella (SS) agar and deoxycholate-hydrogensulphide-lactose (DHL) agar plates. P. shigelloides was isolated from 3 (0.0078%) of 38454 healthy Tokyoites, 37 (3.8%) of 967 dogs, 40 (10.3%) of 389 cats, 25 (10.2%) of 246 fresh water fish, 64 (12;8%) of 497 river water samples, and 2 of 19 (10.5%) sludge samples. Of 302 strains isolated, from dogs, cats, fresh water fish, river water and healthy carriers, 196 were typed to 50 serovars. Most of the serovars were found to be similar to strains isolated from patients with gastroenteritis due to P. shigelloides.Journal of Hygiene 05/1980; 84(2):203-11.
Article: Hand infections.[show abstract] [hide abstract]
ABSTRACT: Special approaches are required for management of infected wounds involving the hand. Care must be taken to consider involvement of joint, bone, and tendon, or tendon sheath as well as deep fascial spaces. The hand is also prone to infections with unusual microbiology that can result from animal and human bites as well as soil, plant, and water exposures. The special anatomic and microbiologic considerations are critical for selection of proper surgical and medical therapy to preserve function of this vital structure.Emergency Medicine Clinics of North America 09/1993; 11(3):601-19. · 0.83 Impact Factor
- [show abstract] [hide abstract]
ABSTRACT: Several factors need to be considered when evaluating animal bites. These include type of animal involved, specific nature of the wound, circumstances of the attack, interval between injury and treatment, and location of the bite. Of concern are direct destruction of tissue and risk of infection. Use of antibiotic prophylaxis is controversial, but most authorities agree that it is needed for hand wounds, puncture wounds, or "dirty" wounds of any type in any location. The choice of antibiotic is also controversial, but initial empirical treatment generally relies on broad-spectrum coverage. Rabies prophylaxis is indicated for bites by carnivorous wild animals, bats, and unvaccinated domestic animals. Review of the patient's tetanus status is mandatory.Postgraduate Medicine 08/1992; 92(1):134-6, 139-46, 149. · 1.97 Impact Factor