Value of needle aspiration in bacteriologic diagnosis of cellulitis in adults
Value of needle aspiration in bacteriologic diagnosis of cellulitis in adults
复制标题
针吸活检在成人蜂窝织炎细菌学诊断中的价值
DOI：
10.1128/jcm.26.3.401-404.1988
复制
发表时间：
1988
影响因子：
9.4
通讯作者：
C. Norden
中科院分区：
文献类型：
--
作者：
Pauline M. Newell;C. Norden
我们前瞻性研究了30例蜂窝织炎成人患者，其中许多人因重大潜在医疗问题住院。针吸两个中央和前缘地区的病变进行了尝试，以建立细菌学诊断。通过该技术，仅在10%的患者中分离出潜在病原体。在培养产量方面，两个抽吸部位均无明显的上级优势。因为吸出物革兰氏染色和培养很少提供有用的细菌学信息，所以它们很少有助于指导抗生素的选择或影响大多数患者的治疗结果。然而，临床信息，以及原发病灶培养的结果，可用于成功地选择治疗在大多数情况下，成人蜂窝织炎。根据我们的研究结果，针吸活检可能不适合作为所有成人蜂窝织炎的常规诊断程序，尽管它在某些患者中仍然有用。
We prospectively studied 30 adult patients with cellulitis, including many who were hospitalized with significant underlying medical problems. Needle aspiration of both central and leading edge areas of their lesions was performed in an attempt to establish a bacteriologic diagnosis. Potential pathogens were isolated by this technique in only 10% of the patients. Neither site of aspiration was clearly superior in terms of culture yield. Because aspirate Gram stains and cultures so rarely provided useful bacteriologic information, they were seldom helpful in guiding antibiotic selection or in influencing the outcome of treatment in most patients. However, clinical information, as well as results of primary lesion cultures when obtainable, may be used to successfully select therapy in most cases of adult cellulitis. On the basis of our results, needle aspiration may not be justified as a routine diagnostic procedure for all adults with cellulitis, though it may still be useful in selected patients.