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KMID : 0351619770180020304
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Kyungpook Medical Journal
1977 Volume.18 No. 2 p.304 ~ p.313
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Clinical Analysis of Infection on Open Wound in Traumatic Patients
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金益東/Kim, Ik Dong
李壽永/印住哲/權宏祐/盧韓琦/Lee, Soo Young/Ihin, Joo Chul/Kwon, Kwaenh Woo/Ro, Han Gye
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Abstract
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One hundred and fifty two open wounds of extremities including open fractures were treated at the Kyungpook ;National University Hospital from March. 1977 to August 1977.
Of 152 open wounds there were 32 cases (21.5%) of wound infection even though the initial wound culture revealed bacterial growth in 44 cases (23.9%).
However, there were only 10 cases of infection among the cases with positive bacterial growth in the initial culture and the same organisms were found in the 6 cases between the initial wound culture and post infection culture.
Sensititity studies of the organisms suggested that ceplialothin currently appeared to be most effective drug as a prophylactic antibiotics. It was sensitive to ail gram positive organisms and majority of gram negative organisms including Escherichila coli.
By the bacterial culture and sensitivity studies of the 82 open fracture, gram positive and gram negative bacteria were isolated from 18 cases. The prominent organisms were staphylococcus, Esc:herichia coli, streptococcus and pseudomonas.
The infection rate was lower in the cases the wound managed within six hours from the time of injury than after six hours.
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