Quantitative microbiology in the management of burn patients. II. Relationship between bacterial counts obtained by burn wound biopsy culture and surface alginate swab culture, with clinical outcome following burn surgery and change of dressings

摘要: The use of quantitative bacteriology in the burns unit has been thought to be efficient predicting sepsis or graft loss. To examine relationship between clinical outcome and bacterial densities on burn wound, 69 biopsy/surface swab pairs were collected from 47 patients 64 occasions, either immediately prior excision grafting, at routine change dressings. mean per cent TBSA was 16 (range 1-65). There a significant correlation log total count by biopsy with white cell age (P = 0.028), negative 0.006). no difference counts judged success failure (72 h follow-up), after undergoing dressings, perioperative bacteraemia those without. With > 15 TBSA, subsequent loss still not demonstrated. It is suggested that wound surface does aid prediction