Bonham Phyllis A
College of Nursing, Medical University of South Carolina, Charleston, SC 29425, USA.
J Wound Ostomy Continence Nurs. 2009 Jul-Aug;36(4):389-95. doi: 10.1097/WON.0b013e3181aaef7f.
Infection is a major causative factor in delayed and nonhealing wounds. Indiscriminate and routine wound cultures are not recommended, but a culture is indicated to identify the causative organisms and to guide antibiotic therapy when clinical suspicion of an infection exists. Although tissue biopsy is considered the gold standard to diagnose infection, it is rarely used in clinical settings. Swab culture is the most frequently employed method of confirming wound infection in the United States, but a standardized procedure is lacking. Properly performed swab cultures provide useful data to augment diagnostic and therapeutic decision making. The specific aim of the review is to propose a research-based guideline to perform swab cultures as a basis to improve clinical practice and encourage research to establish the reliability and validity of the swab technique.
感染是伤口延迟愈合和不愈合的主要致病因素。不建议随意进行常规伤口培养，但当临床上怀疑存在感染时，进行培养以确定致病微生物并指导抗生素治疗。虽然组织活检被认为是诊断感染的金标准，但在临床环境中很少使用。在美国，拭子培养是确认伤口感染最常用的方法，但缺乏标准化程序。正确进行的拭子培养可提供有用数据，以辅助诊断和治疗决策。本综述的具体目的是提出一项基于研究的指南，以进行拭子培养，作为改善临床实践的基础，并鼓励开展研究以确定拭子技术的可靠性和有效性。
