Newsletter
Language
Language:
 
News
Archival Issues
Volume 18, 2016
Volume 17, 2015
Volume 16, 2014
Volume 15, 2013
Volume 14, 2012
Volume 13, 2011
Volume 12, 2010
Volume 11, 2009
Volume 10, 2008
Volume 9, 2007
Volume 8, 2006
Volume 7, 2005
Volume 6, 2004
Volume 5, 2003
Volume 4, 2002
Volume 3, 2001
Volume 2, 2000
Volume 1, 1999
Search
 » 
Journal Abstract
 
Fungi and bacteria as a pathogenic factor in wound healing in patients after orthopaedic surgeries
Grażyna Raczyńska-Witońska , Dariusz Witoński
Ortop Traumatol Rehabil 2006; 8(6):646-649
ICID: 471248
Article type: Original article
IC™ Value: 6.71
Abstract provided by Publisher
 
Background: Complications of postoperative wound healing delay or limit implementation of rehabilitation therapy. In an attempt to determine the source of the delayed healing we usually focus on searching for bacteria, forgetting, however, to perform mycological tests. Local or systemic reactions to physiotherapeutic procedures may result not only from such disorders as a decreased level of plasma proteins and enzymes, vitamin deficiency, dehydration, reduction of oxygen pressure and diffusion in the wound, high doses of steroids, but also from a secondary bacterial and fungal infection, leading in consequence to deterioration of wound healing. The presence of these microorganisms in the skin adjacent to the wound or in other ontocenoses seems to be of considerable importance, as it may cause impairment of the proper course of rehabilitation. Thus, the aim of the present study was to search for bacteria and fungi in patients with delayed wound healing, subject to rehabilitation following orthopaedic surgeries of the locomotor system.
Material and Methods: Mycological investigations were carried out in 24 patients with delayed wound healing after orthopaedic surgery (alloplasty of hip and knee joints, open fracture repositions, lengthening of lower extremities). The material for assessment was taken from the wound, surrounding skin and oral cavity. The results of routinely performed laboratory examinations were used in the bacteriological analysis.
The differentiation of strains and fungi was performed on the basis of morphological and biochemical characteristics. Multifocal infections of fungi were looked for in the group of patients studied.
Results: Bacteria were detected in 10 (41.6%) patients. In 7 (29.1%) patients, they occurred in the wound ontocenosis together with fungi. Fungi were found in 19 (79.2%) patients in at least one ontocenosis. Out of the whole sample studied, fungi were isolated from the wound in 9 (37.5%) patients, from the wound-surrounding skin in 10 (41.6%) patients, and from the oral cavity in 17 (70.8%) patients. It should be emphasised that the occurrence of fungi was more frequently observed in two or three ontocenoses (89.4%) simultaneously than in one (10.6%).
Conclusions: In wound ontocenosis of orthopaedic patients with delayed wound healing, fungal infection concomitant with bacterial one should be taken under consideration.
Out of all bacteria found in the wound ontocenosis, the most frequent one was Staphylococcus aureus, whereas in fungi the most common species was Candida albicans.
In ¾ of the cases, fungi were observed simultaneously in two or three ontocenoses, which could have influence on endogenic expansion, making treatment difficult and delaying initiation of physical exercises.

ICID 471248
PMID 17581515 - click here to show this article in PubMed
 
FULL TEXT 84 KB


Related articles
  • in IndexCopernicus™
         orthopaedic surgery [2 related records]
         staphylococcus sp [1 related records]
         Candida albicans [120 related records]
         Candida [121 related records]

  • Related articlesin PubMed database
  • in PubMed database [ related records]


  •  

    Copyright © Ortopedia Traumatologia Rehabilitacja  2017
    Page created by Index Copernicus Ltd. All Rights reserved.