title: Wound fluid bacterial levels exceed tissue bacterial counts in controlled porcine partial-thickness burn infections.
abstract: In the present study, an established controlled burn wound model was used to test the hypothesis that controlled surface contamination with is capable of generating a noninvasive method for the creation of a reproducible deep tissue burn wound infection. Using a liquid tight-wound chamber in Yorkshire pigs, partial-thickness burns were inoculated with saline-immersed for 24 hours. Noninoculated burns and unwounded skin immersed in normal saline served as controls. Bacterial cultures of wound fluid were performed daily, and tissue biopsies for bacteriological and histological evaluations were performed on days 1, 3, and 5. was only recovered from -inoculated wounds (tissue and fluid), whereas all controls contained endogenous only. The number of colony-forming units per gram of wound tissue did not correlate with the bacterial counts found in the overlying wound fluid for any wounds. Fluid counts were consistently higher than tissue counts by two logs. -inoculated wounds showed three times deeper tissue destruction than control wounds. Obtaining consistently deep tissue colonization without cross-contamination among wounds, this study introduces a noninvasive model for controlled burn wound infection suitable for future investigations regarding the efficacy of topical antibiotic wound treatment in experimental burns.
authors.affiliation: Division of Plastic Surgery, Brigham and Women's Hospital and Children's Hospital, Boston, Mass 02115, USA. kbreuing@partners.org
authors.forename: Karl
authors.initials: K
authors.lastname: Breuing
authors.forename: Stuart
authors.initials: S
authors.lastname: Kaplan
authors.forename: Paul
authors.initials: P
authors.lastname: Liu
authors.forename: Andrew B
authors.initials: AB
authors.lastname: Onderdonk
authors.forename: Elof
authors.initials: E
authors.lastname: Eriksson
mesh_terms: D000818:Animals; D002056:Burns / Q000382:microbiology* / Q000473:pathology; D015169:Colony Count, Microbial; D004195:Disease Models, Animal; D005122:Exudates and Transudates / Q000382:microbiology*; D012867:Skin / Q000382:microbiology / Q000473:pathology; D012884:Skin Window Technique; D013203:Staphylococcal Infections / Q000382:microbiology* / Q000473:pathology; D013211:Staphylococcus aureus; D013212:Staphylococcus epidermidis; D013552:Swine; D014946:Wound Infection / Q000382:microbiology* / Q000473:pathology