The clinical efficacy of two semi-quantitative wound-swabbing techniques in identifying the causative organism(s) in infected cutaneous wounds
MetadataShow full item record
A prospective randomised controlled trial of two paired wound-swabbing techniques (Levine versus Z) wasconducted to establish which method was more effective in determining the presence of bacteria in clinicallyinfected wounds. The Levine technique involves rotating the wound swab over a 1-cm2 area of the wound; the Ztechnique involves rotating the swab between the fingers in a zigzag fashion across the wound without touching thewound edge. Fifty patients were recruited into the study with acute (42%) and chronic wounds (58%). Overall, theLevine technique detected significantly more organisms than the Z technique (P = 0·001). When acute and chronicwounds were analysed separately, the Levine technique again detected more organisms in both acute (P = 0·001)and chronic wounds (P = 0·001). We conclude that the Levine technique is superior to the Z technique and thisresult may be because of the Levine technique’s ability to express fluid from the wound bed and thereby samplinga greater concentration of microorganisms from both the surface and slightly below the surface of the wound.
Showing items related by title, author, creator and subject.
Comparison of two semi-quantitative wound swabbing techniques to establish the clinical efficacy in identifying the causative organism(s) in infected cutaneous woundsAngel, Donna Evealyne (2009)All wounds are contaminated with bacteria; the decision to perform a wound swab is based on the presence of clinical signs and symptoms of infection. In acute wounds these include: pain, erythema, localised oedema, heat ...
Comparison between Nasal Swabs and Nasopharyngeal Aspirates for, and Effect of Time in Transit on, Isolation of Streptococcus pneumoniae, Staphylococcus aureus, Haemophilus influenzae, and Moraxella catarrhalisCarville, K.; Bowman, J.; Lehmann, Deborah; Riley, T. (2007)pmc logo image Logo of jcm Note: Performing your original search, comparison nasal swabs lehmann, in PubMed Central will retrieve 7 citations. Journal List > J Clin Microbiol > v.45(1); Jan 2007 Abstract ...
Haesler, E.; Thomas, L.; Morey, Pamela; Barker, J. (2016)There has been extensive ongoing debate on the application of aseptic technique in wound management over the previous decades and changes to the way in which theory is applied to clinical practice have occurred regularly. ...