Post-traumatic bone infection

摘要

A prospective study was carried out to demonstrate the bacteriology of post-traumatic bone infections with particular attention to the role of anaerobic microorganisms. Compound fracture was found to be the most common predisposing factor for infection. Seventy-seven patients were studied and a total of 155 organisms was recovered (117 aerobes and 38 anaerobes). The most frequently isolated organisms were Pseudomonas aeruginosa and Klebsiella species. Bacteroides spp and Peptostreptococcus spp were the most common anaerobes isolated from 29 patients (37.7%). In five patients, anaerobes were the only organisms isolated (6.5% of total cases). It is concluded from this study that anaerobic bacteria play a role in post-traumatic osteomyelitis and routine anaerobic culture for all cases is recommended.