Abstract
A rapid quantitative bacterial screening technique was evaluated in acute traumatic wounds treated in a civilian emergency room. In 80 wounds, the infection rate was 9%. The factors found to have the greatest bearing on the development of infection were the number of bacteria in the wound and the time between wounding and repair. All wound infections occurred in wounds which contained > 10 5 organisms per gram of tissue. The rapid screening technique was accurate in predicting the critical number of bacteria in 95% of the cases. It is suggested that this quantitative bacteriological screening be used in patients presenting for treatment with wounds over 3 hr old.
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