Superficial Tissue Swabs Versus Deep Tissue Samples in the Detection of Microbiological Profile of Infected Diabetic Foot Ulcerations.

IF 1.5 4区医学 Q3 DERMATOLOGY International Journal of Lower Extremity Wounds Pub Date : 2024-06-01 Epub Date: 2021-10-25 DOI:10.1177/15347346211053481

F Camilleri Attard, A Gatt, C Formosa

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Abstract

This study aimed to determine the most accurate microbiological test for the detection of micro-organisms in infected diabetic foot ulcerations in people living with type-2 Diabetes. For 20 eligible patients, a superficial tissue swab and a deep tissue sample were taken during a regular appointment at a Diabetes out-patient's Podiatry Clinic. Two specimens were collected from each wound for microbial culturing after debridement. Infected foot ulcerations were graded according to the Wagner's classification as per clinical protocol. This study found a significant difference [p = 0.028] between the two different samples. The deep tissue sample was found to be more accurate in identifying micro-organisms than the superficial swabs, although the latter is more widely used in clinical practice. Further studies are warranted to provide more evidence to clinicians on the best method to adopt when swabbing different types of diabetic foot ulcerations with different wound classification since, it is clearly still a matter of debate how to detect wound infection.

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浅层组织拭子与深层组织样本在检测糖尿病足溃疡感染微生物概况中的比较

这项研究旨在确定最准确的微生物检验方法，以检测 2 型糖尿病患者受感染的糖尿病足溃疡中的微生物。在糖尿病门诊足病诊所的定期预约中，为 20 名符合条件的患者采集了浅层组织拭子和深层组织样本。每个伤口采集两个样本，用于清创后的微生物培养。感染性足部溃疡根据瓦格纳分类法进行临床分级。研究发现，两种不同样本之间存在明显差异 [p = 0.028]。研究发现，深层组织样本比表层拭子样本在鉴定微生物方面更准确，尽管后者在临床实践中使用得更广泛。显然，如何检测伤口感染仍是一个争论不休的问题，因此有必要开展进一步的研究，为临床医生提供更多证据，说明在对不同类型的糖尿病足溃疡进行拭抹时，应采用哪种最佳方法。

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

International Journal of Lower Extremity Wounds DERMATOLOGY-SURGERY

CiteScore

4.60

自引率

17.60%

发文量

审稿时长

>12 weeks

期刊介绍： The International Journal of Lower Extremity Wounds (IJLEW) is a quarterly, peer-reviewed journal publishing original research, reviews of evidence-based diagnostic techniques and methods, disease and patient management, and surgical and medical therapeutics for lower extremity wounds such as burns, stomas, ulcers, fistulas, and traumatic wounds. IJLEW also offers evaluations of assessment and monitoring tools, dressings, gels, cleansers, pressure management, footwear/orthotics, casting, and bioengineered skin. This journal is a member of the Committee on Publication Ethics (COPE).