Respiratory physician Lutz Beckert considers chronic obstructive pulmonary disease management, including the prevention of COPD, the importance of smoking cessation and pulmonary rehabilitation, and the lifesaving potential of addressing treatable traits. He also discusses the logic of inhaler therapy, moving from single therapy to dual and triple therapy when indicated, as well as other aspects of management
Wound swab culture often adds little value – be mindful to use it only when indicated
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In print
FROM THE LAB
Wound swab culture often adds little value – be mindful to use it only when indicated
Wednesday 3 March 2021, 12:45 AM

Figure 1. Heavy pure growth of Staphylococcus aureus from an acute wound
Superficial wound cultures are among the most difficult to interpret in the laboratory, even when essential clinical details are supplied. This means swab samples should be reserved for specified clinical scenarios
Key points, Microbiological analysis of wound specimens should only be requested with an appropriate indication.
Pus aspirates and tissue samples are superior , Pract Green w Pale Yellow
Kia ora and welcome to New Zealand Doctor Rata Aotearoa
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References
- Marchand-Senécal X, Brasg IA, Kozak R, et al. Impact of rejection of low-quality wound swabs on antimicrobial prescribing: A controlled before–after study. Open Forum Infect Dis 2020;8(1):ofaa609.
- Garcia LS, Isenberg HD. Clinical microbiology procedures handbook, 3rd edition. Washington, DC: ASM Press; 2010.
- BPACnz. Microbiological assessment of infected wounds: when to take a swab and how to interpret the results. 2013. https://bit.ly/3d1YQB4