engleski

Contamination of accidental wounds with anaerobic bacteria in children

The purpose of our study was to determine the importance of clostridial contamination of accidental wounds in children and the need for bacteriologic diagnosis in cases when no general clinical signs of infection by anaerobic bacteria are present. we checked the medical histories of patients treated for accidental wounds in our hosiptal over the last five years and with bacteriological findings of Clostridia in wound swabs. Clostridia were isolated in liquied and solid media. identification of bacteria was performed using commercial tests (Api ANA, bioMerieux), and antibiotic susceptibility using semi quantitative tests (anaATB, bioMerieux). Clostridia were found in 18 children, 12 with wounds, and 6 with burns. In 8 of them swabs were taken during primary treatment and in 10 of them later (between 2nd and 5th day). Clostridium perfringens was the most frequently isolated species (12), followed by Clostridium butiricum (1), Clostridium ramosum (1) and other Clostridia sp(4). in 12 wound swabs polymicrobial contamination was found. antibiotics were administrated in 14 patients. no clinical manifestation of any severe infection was found in 17 children. one child showed the clinical picture of gas gangrene. Although severe infections caused with Clostridia are rare in children, we consider bacteiologacal examination of accidental wounds necessary.

wound infection; clostridium; clostridium infections

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