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Chirurgia 2001 October;14(5):193-6

language: Italian

Chronic wounds. Microbiology and antibiotic resistance

Quatra F., Perri D., Cuccia G., Lo Duca N., Amadeo G., Colonna M. R., Colonna U.


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Aim of this study is to check whether antibiotic resistance may complicate the treatment of chronic wounds. An analysis of 24 swabs from chronic wounds observed at the Division of Plastic Surgery because of difficult healing, is carried out. The results showed a diffuse resistance to common antibiotics, with findings of multiresistant bacteria belonging to strains ''at risk'' like Meticillin-Resistant Staphylococcus Aureus, Vancomicin Resistant Staphylococcus and Enterococcus, and Mutiresistant Gram-negatives, together with common fecal contaminants like Escherichia coli. Such findings, and the clinical improvement after a targeted antibiotic therapy with antibiotics restricted to hospital use, show that the diffusion of antibiotic resistance is a problem relevant to the treatment of chronic wounds, too.

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