Marine and beach bacterial wound contamination at Burapha University Hospital
Keywords:
bacterial, contamination, Wounds, Injuries, Beach, MarineAbstract
Background: Beach and marine bacterial contamination may be occurred differently from the
general wounds. The authors study incidence of bacterial contamination, result and complication
from the treatment of the beach and the marine wounds.
Objectives: To study the incidence and identification of bacterial contamination from the
beach and the marine wounds at Burapha University Hospital, impact factor and complication.
Materials and Methods: A prospective study, started from 1 March 2017-31 May 2018
(14 months). Collected general patients informations, wound informations, treatment and oral
antibiotics. Collected tissue culture from wound for aerobic and anaerobic bacteria, incidence
of bacterial contamination and analyze impact factor for bacterial contamination.
Results: One hundred patients were enrolled, 81 were male. Mean age was 28.3 years
(10-70 years). Education level associated to bacterial contamination p = 0.017. High school
level increased opportunity for detection of bacterial contamination, odds ratio = 3.67 (95%
CI 1.47-9.16), p = 0.005. Mechanism of injury associated to bacterial contamination p = 0.023.
Physical contact with other person injury increased opportunity for detection of bacterial
contamination, odds ratio = 4.5 (95% CI 1.46-14.36), p = 0.009. Duration associated to bacterial
contamination p = 0.037. Duration less than 30 minutes increased opportunity for detection of
bacterial contamination, odds ratio = 2.9 (95% CI 1.11-7.71), p = 0.029. Incidence of bacterial
contamination from the beach and the marine wounds was 30 percent: Staphylococcus
epidermidis 63.3 percent, viridans group streptococci (VGS) 20 percent, Staphylococcus aureus
10 percent and Proteus vulgaris 6.7 percent. No wound complication in the present study.
Conclusion: High school level, physical contact with other person injury and duration less than
30 minutes increased opportunity for detection of bacterial contamination from the beach
and the marine wounds. Incidence of bacterial contamination from the beach and the marine
wounds were mostly contaminated from skin normal flora and environmental bacteria like
general wound contamination. The typical oral antibiotic prophylaxis play the important role
for prevention of wound infection for the beach and the marine wounds without the need of
the atypical group of antibiotic
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a persistent threat to public health. Korean
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Nat Rev Microbiol. 2011; 9: 244-53.
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Immunopathol. 2012; 34: 201-14.
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principles and practice of infectious
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of Vibrio vulnificus Infection Risk When
Consuming Depurated Raw Oysters. J Food
Prot. 2015; 78: 1113-8.
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Vibrio vulnificus: An Environmental and
Clinical Burden. Front Microbiol. 2017; 8:
997.
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a persistent threat to public health. Korean
J Intern Med. 2018; 33: 1070-8.
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a source of disease or defence? Br J
Dermatol. 2008; 158: 442-55.
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2009; 7: 555-67.
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Nat Rev Microbiol. 2011; 9: 244-53.
22. Otto M. Molecular basis of Staphylococcus
e p i d e r m i d i s i n f e c t i o n s . S e m i n
Immunopathol. 2012; 34: 201-14.
