Microbiological investigations

We believe that it is important to make a microbiological diagnosis and ascertain the organisms that are responsible for the infection. This involves either taking a deep ulcer swab or curettings, or tissue scrapings after debridement. How to take a deep ulcer swab/curettings:

• The ulcer is debrided of surrounding callus and superficial slough

• The ulcer is washed out with sterile normal saline

• The base of the wound is then curetted (or scraped with a scalpel blade) and the curettings/scrapings sent for culture without delay. If curetting is not possible then a deep swab is taken from the base of the ulcer.

If the patient subsequently undergoes operative debridement then deep infected tissue rather than a swab should be sent to the laboratory.

Bone fragments removed by debridement should be sent for culture.

Blood cultures should also be taken if there is fever and systemic toxicity.

Diabetes Sustenance

Diabetes Sustenance

Get All The Support And Guidance You Need To Be A Success At Dealing With Diabetes The Healthy Way. This Book Is One Of The Most Valuable Resources In The World When It Comes To Learning How Nutritional Supplements Can Control Sugar Levels.

Get My Free Ebook


Post a comment