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Cited by 164Wound Healing and TreatmentsDiagnosis and Treatment of Venous DiseasesDiabetic Foot Ulcer Assessment and Management

The DOI matches its Crossref record; 13 of the 13 references it cites were found in a registry or an index.

Bacterial colonization and healing of venous leg ulcers

Madsen, SøRen Munk, Westh, Henrik, Danielsen, Lis, Rosdahl, Vibeke Thamdrup·1996·APMIS
DOI 10.1111/j.1699-0463.1996.tb04955.x
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Abstract

The aim of the study was to evaluate a possible influence of selected bacterial species on healing of venous leg ulcers. Fifty‐nine patients with venous leg ulcers were followed via frequent semiquantitative culture of bacteria from the ulcer surface and determination of the ulcer area over a period of 180 days. Occurrences of cellulitis were treated with systemic antibiotics. There was a significant difference in relative areas on days 90 and 180 when ulcers with growth of Pseudomonas aeruginosa were compared to those without (p=0.0080 and 0.0133, respectively). Ulcers with P. aeruginosa were characterized to a great extent by enlargement in contrast to those without. Ulcers with growth of Staphylococcus aureus or haemolytic streptococci healed significantly more slowly than those without when relative areas were compared on day 180 (p=0.0079 and 0.0492, respectively). Complete healing within the observation period of 180 days was observed in 10.5% of patients with P. aeruginosa and 35% of those without (p=0.0631), in 21.6% of patients with S. aureus and 62.5% of those without (p=0.0278), and in 10.5% of patients with haemolytic streptococci and 35% of those without (p = 0.0631). The initial areas of ulcers colonized with P. aeruginosa or 5. aureus were significantly larger than those without, but no significant correlation between initial areas and ulcer healing was revealed. Conclusion: Our results suggest that P. aeruginosa in venous leg ulcers can induce ulcer enlargement and/or cause a healing delay. The results also suggest a healing delay caused by 5. aureus and haemolytic streptococci. However, conclusions have to be treated with caution since P. aeruginosa was found in combination with haemolytic streptococci in 15.3% of the patients.

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Crossref · 10.1111/j.1699-0463.1996.tb04955.x

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Citations

Cites

Research works printed but not linked: 2

  1. Storey D. G., 1995, Comparison of Pseudomonas aeruginosa virulence factor expression to the clinical presentation of a pediatric population of cystic fibrosis patients, Pediatr. Pulmonol., A239
  2. Westh H., Cellulitis in chronic leg ulcers: Microbiology and influence of different local treatment regimes, In preparation

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Metadata

Authors
Madsen, S. M., Westh, H., Danielsen, L., & Rosdahl, V. T.
Affiliations
  • Bispebjerg Hospital (DK)
  • Statens Serum Institut (DK)
Corresponding author
Danielsen, Lis
ORCID
Westh, Henrik
Venue
APMIS
Publisher
Wiley
Published
1996-07-08
Volume
104
Issue
7-8
Pages
895-899
ISSN
  • 0903-4641 (ISSN-L)
  • 1600-0463
DOI
10.1111/j.1699-0463.1996.tb04955.x
OpenAlex
W1990659092
Cited by
164
References
13
Citations by year
2026: 2 · 2025: 2 · 2024: 5 · 2023: 6 · 2022: 6 · 2021: 4 · 2020: 8 · 2019: 6 · 2018: 3 · 2017: 5 · 2016: 13 · 2015: 8 · 2014: 16 · 2013: 15 · 2012: 7
FWCI
4.19
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 4786 d)
Locations
  • Apmis (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Wound Healing and Treatments
  • Health Sciences › Medicine › Surgery › Diagnosis and Treatment of Venous Diseases
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetic Foot Ulcer Assessment and Management
Keywords
venous leg ulcers, bacterial colonization, ulcer healing, Pseudomonas aeruginosa, Staphylococcus aureus, hemolytic streptococci, cellulitis, wound infection
MeSH terms
Bacterial Infections, Cellulitis, Humans, Pseudomonas Infections, Staphylococcal Infections, Streptococcal Infections, Varicose Ulcer, Wound Healing

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