Abstract
Model Study: A special analytical observational prospective longitudinal and controlled study of concurrent cohort was conducted from April 2013 to November 2014. Objective: To evaluate the microbiota present in the secretion of venous ulcer patients with “Unna Boot” and their resistance to antimicrobials. Methods: secretion samples were collected from wounds of patients with and without the use of “Unna Boot” and topic therapy during the dressing change and after seven days. The isolated microorganisms were identified and tested for antimicrobial susceptibility: Result: The isolated Gram-positive microorganisms were: S. aureus, E. faecalis, S. haemolyticus and S. xylosus. Gram-negative microorganisms were E. coli, P. aeruginosa, S. plymuthica, P. mirabilis, K. pneumoniae, K. oxytoca, P. stuartii, P. vulgaris, A. hydrophila, S. marcescens, A. baumannii, E. cloacae and Tatumella sp. The growth percentage and the microbiota in the secretion of the ulcer after seven days was not significant between the two types of dressing. The resistance of Gram-positive cocci to antimicrobials in patients using the “Unna Boot” was higher than in patients without boot (p = 0.0093). Conclusion: The number of microorganisms in microbial secretion venous ulcer after dressing change is higher regardless of the type of dressing. The positive cocci increased antimicrobial resistance in patients using the “Unna Boot”.
Highlights
Model Study: A special analytical observational prospective longitudinal and controlled study of concurrent cohort was conducted from April 2013 to November 2014
Os micro-organismos Gram positivos de exsudato de úlcera venosa isolados de pacientes com “Bota de Unna” foram: S. aureus, E. faecalis e S. xilosus
Os micro-organismos Gram positivos de exsudato de úlcera venosa isolados de pacientes sem “Bota de Unna” foram: S. aureus, E. faecalis e S. haemolyticus
Summary
Flávio Antônio de Melo[1], Carlos Américo Veiga Damasceno[2], Mauricéia Lins de Medeiros[1], Rogério Cássio Fernandes[3], Adriana Rodrigues dos Anjos Mendonça[4], Ana Beatriz Alkmim Teixeira Loyola4*. Objetivo: Avaliar a microbiota presente no exudato da úlcera venosa de pacientes com “Bota de Unna” e a sua resistência aos antimicrobianos. Métodos: Foram coletadas amostras do exudato de feridas de pacientes com o uso de “Bota de Unna” e de terapia tópica durante a troca do curativo e após sete dias. O percentual de crescimento e a microbiota no exudato da úlcera após sete dias não foi significante entre os dois tipos de curativo. O aumento de resistência dos cocos Gram positivos aos antimicrobianos testados nos pacientes que utilizam a “Bota de Unna” foi maior do que nos pacientes sem bota (p=0,0093). Conclusão: O número de micro-organismos na microbiota do exudato da úlcera venosa após troca do curativo é maior independentemente do tipo do curativo. Os cocos Gram-positivos apresentam aumento de resistência aos antimicrobianos nos pacientes que utilizam a “Bota de Unna”.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.