{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T07:12:01Z","timestamp":1793085121110,"version":"4.5.0"},"reference-count":19,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,3,13]],"date-time":"2017-03-13T00:00:00Z","timestamp":1489363200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Wound Repair Regeneration"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The primary aim of this study was to determine the effect of positive bacterial cultures at the time of closure on dehiscence rates. Pre\u2010 and post\u2010d\u00e9bridement wound cultures from patients undergoing serial surgical d\u00e9bridement of infected wounds were compared with outcomes 30 days postoperatively. One\u2010hundred patients were enrolled; 35 were excluded for incomplete culture data. Sixty\u2010five patients were evaluated for species counts, including Coagulase negative Staphylococcus (CoNS), and semiquantitative culture data for each d\u00e9bridement. The post\u2010d\u00e9bridement cultures on the date of closure had no growth in 42 patients (64.6%) of which 6 dehisced (14.3%), and 36 remained closed; with no statistically significant difference in dehiscence rates (<jats:italic>p<\/jats:italic>\u2009=\u20090.0664). Pre\u2010d\u00e9bridement cultures from the 1st d\u00e9bridement of the 65 patients showed 8 patients had no growth, 29 grew 1 species, 19 grew 2 species, and 9 had 3\u20135 species. There was a reduction in the number of species and improvement of semiquantitative cultures with each subsequent d\u00e9bridement. The dehiscence rate for those who had 2 d\u00e9bridements (<jats:italic>n<\/jats:italic>\u2009=\u200942) was 21.4% at 30 day follow\u2010up and 21.7% in those who had 3 d\u00e9bridements (<jats:italic>n<\/jats:italic>\u2009=\u200923). The number of d\u00e9bridements had no statistical significance on dehiscence rates. The presence of CoNS on the day of closure was a statistically significant risk for dehiscence within 30 days (<jats:italic>p<\/jats:italic>\u2009=\u20090.0091) postoperatively. This data demonstrates: (1) positive post\u2010d\u00e9bridement cultures (scant\/rare, growth in enrichment broth) at the time of closure did not affect overall dehiscence rates (<jats:italic>p<\/jats:italic>\u2009=\u20090.0664), (2) the number of species and semiquantitative culture results both improved with each subsequent d\u00e9bridement, (3) the number of surgical d\u00e9bridement did not influence postclosure dehiscence rates. (4) Positive cultures containing CoNS at the time of closure is a risk factor for dehiscence (<jats:italic>p<\/jats:italic>\u2009=\u20090.0091).<\/jats:p>","DOI":"10.1111\/wrr.12509","type":"journal-article","created":{"date-parts":[[2017,1,16]],"date-time":"2017-01-16T09:26:11Z","timestamp":1484558771000},"page":"210-216","source":"Crossref","is-referenced-by-count":10,"title":["Effect of semiquantitative culture results from complex host surgical wounds on dehiscence rates"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0480-6055","authenticated-orcid":false,"given":"Tammer","family":"Elmarsafi","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery MedStar Georgetown University Hospital  Washington DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caitlin S.","family":"Garwood","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery MedStar Georgetown University Hospital  Washington DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John S.","family":"Steinberg","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery MedStar Georgetown University Hospital  Washington DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen K.","family":"Evans","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery MedStar Georgetown University Hospital  Washington DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher E.","family":"Attinger","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery MedStar Georgetown University Hospital  Washington DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul J.","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery MedStar Georgetown University Hospital  Washington DC"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,3,13]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.6.1.87"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ecl.2013.08.002"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(82)90511-3"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(75)90459-6"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000001709"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.14.2.244-269.2001"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2247"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.idc.2008.10.001"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.00551-07"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-009-0277-y"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clindermatol.2010.03.009"},{"key":"e_1_2_7_13_1","first-page":"329","article-title":"Correlation of semi\u2010quantitative swab cultures to quantitative swab cultures from chronic wounds","volume":"14","author":"Ratliff CR","year":"2002","journal-title":"Wounds"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199504001-00015"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.2930020410"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.01302"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2008.06.078"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000001957"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cit278"},{"key":"e_1_2_7_20_1","unstructured":"Clinician Guide for Collecting Cultures;Ed Septimus. 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