The Australian Mid-West Coastal Marine Wound Infections Study.

Q3 Medicine Australian family physician Pub Date : 2017-12-01

Andy Foote, Robert Henderson, Andrew Lindberg, Carolyn Grigg, Charlie Greenfield, Andrew B Kirke, Kirsten Auret

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Abstract

Background: Marine organism wound infections are common in coastal regions of Western Australia. Local treatment guidelines are based on studies from elsewhere. The objective of this article was to identify the causative organisms in marine wounds sustained in the subtropical and tropical coastal waters of the Indian Ocean, Gascoyne region (north-west), Western Australia.

Methods: This was a prospective study. A single wound swab was taken from 28 consenting patients who presented with a suppurating marine wound to the emergency departments of Carnarvon and Exmouth hospitals.

Results: The wounds of 27 out of 28 patients returned a positive culture. The two most common organisms were Staphylococcus aureus (n = 18/28; 64.3%) and Vibrio species (n = 9/28; 32.1%). The culture was polymicrobial in 11 patients (39.3%).

Discussion: S. aureus or Vibrio species were frequently seen in marine wounds, and infections were often polymicrobial. Our results suggest that flucloxacillin (or clindamycin) and doxycycline (or ciprofloxacin) would be a reasonable combination for empirical oral therapy in adults.

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澳大利亚中西部海岸海洋伤口感染研究。

背景:海洋生物伤口感染在西澳大利亚沿海地区很常见。当地的治疗指南是基于其他地方的研究。本文的目的是鉴定在印度洋的亚热带和热带沿海水域，加斯科因地区(西北)，西澳大利亚持续的海洋伤口的致病生物。方法:前瞻性研究。从卡纳文和埃克斯茅斯医院急诊科提出化脓性海洋伤口的28名同意患者身上取下一根伤口拭子。结果:28例患者中27例伤口培养阳性。两种最常见的细菌是金黄色葡萄球菌(n = 18/28;64.3%)和弧菌种类(n = 9/28;32.1%)。11例(39.3%)患者为多菌培养。讨论:金黄色葡萄球菌或弧菌常见于海洋伤口，感染常为多微生物感染。我们的结果表明氟氯西林(或克林霉素)和强力霉素(或环丙沙星)将是成人经验性口服治疗的合理组合。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian family physician 医学-医学：内科

CiteScore

0.61

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： The Australian Journal of General Practice (AJGP) aims to provide relevant, evidence-based, clearly articulated information to Australian GPs to assist them in providing the highest quality patient care, applicable to the varied geographic and social contexts in which GPs work and to all GP roles as clinician, researcher, educator, practice team member and opinion leader. All articles are subject to a peer-review process before they are accepted for publication. The journal is indexed in MEDLINE, Index Medicus and Science Citation Index Expanded.

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