Bacteriological pathogen spectrum of chronic leg ulcers: Results of a multicenter trial in dermatologic wound care centers differentiated by regions

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Bacteriological pathogen spectrum of chronic leg ulcers: Results of a multicenter trial in dermatologic wound care centers differentiated by regions. / Jockenhöfer, Finja; Gollnick, Harald; Herberger, Katharina; Isbary, Georg; Renner, Regina; Stücker, Markus; Valesky, Eva; Wollina, Uwe; Weichenthal, Michael; Karrer, Sigrid; Klode, Joachim; Dissemond, Joachim.

in: J DTSCH DERMATOL GES, Jahrgang 11, Nr. 11, 01.11.2013, S. 1057-63.

Publikationen: SCORING: Beitrag in Fachzeitschrift/ZeitungSCORING: ZeitschriftenaufsatzForschungBegutachtung

Harvard

Jockenhöfer, F, Gollnick, H, Herberger, K, Isbary, G, Renner, R, Stücker, M, Valesky, E, Wollina, U, Weichenthal, M, Karrer, S, Klode, J & Dissemond, J 2013, 'Bacteriological pathogen spectrum of chronic leg ulcers: Results of a multicenter trial in dermatologic wound care centers differentiated by regions', J DTSCH DERMATOL GES, Jg. 11, Nr. 11, S. 1057-63. https://doi.org/10.1111/ddg.12170

APA

Jockenhöfer, F., Gollnick, H., Herberger, K., Isbary, G., Renner, R., Stücker, M., Valesky, E., Wollina, U., Weichenthal, M., Karrer, S., Klode, J., & Dissemond, J. (2013). Bacteriological pathogen spectrum of chronic leg ulcers: Results of a multicenter trial in dermatologic wound care centers differentiated by regions. J DTSCH DERMATOL GES, 11(11), 1057-63. https://doi.org/10.1111/ddg.12170

Vancouver

Bibtex

@article{c2056efdf67b4adfb110a0c966e79d67,
title = "Bacteriological pathogen spectrum of chronic leg ulcers: Results of a multicenter trial in dermatologic wound care centers differentiated by regions",
abstract = "BACKGROUND: In almost every chronic wound different bacteria species can be detected.PATIENTS AND METHODS: Retrospective, multicenter evaluation of bacterial swab results from 2010 and 2011 in patients with chronic leg ulcer treated in 10 dermatologic wound care centers from 5 regions in Germany.RESULTS: Data of 970 patients were analyzed. Staphylococcus aureus was detected in 47.6 % of the patients, 8.6% of these were methicillin-resistant (MRSA). Pseudomonas aeruginosa was found in 31.1 %, enterobacteria in 28.6 % and Proteus mirabilis in 13.7 % of the patients. The regional comparison showed a significant south-north gradient for S. aureus, P. aeruginosa, and enterobacteria. Moreover, a highly significant west-east gradient for MRSA was found with detection rates of 13.5 % in the west to 4.0 % in the east. Furthermore, nationally there was a significant negative correlation between S. aureus and P. aeruginosa or P. mirabilis, respectively, as well as a positive correlation of P. aeruginosa with respect to wound size and duration. In addition to climatic and therapeutic conditions, different regional health care structures are discussed as potentially relevant reasons for these significantly different regional detection rates.CONCLUSIONS: Our data show the regional variability of the spectrum of currently detected bacteria in patients with chronic leg ulcers in Germany.",
author = "Finja Jockenh{\"o}fer and Harald Gollnick and Katharina Herberger and Georg Isbary and Regina Renner and Markus St{\"u}cker and Eva Valesky and Uwe Wollina and Michael Weichenthal and Sigrid Karrer and Joachim Klode and Joachim Dissemond",
note = "{\textcopyright} The Authors | Journal compilation {\textcopyright} Blackwell Verlag GmbH, Berlin.",
year = "2013",
month = nov,
day = "1",
doi = "10.1111/ddg.12170",
language = "English",
volume = "11",
pages = "1057--63",
journal = "J DTSCH DERMATOL GES",
issn = "1610-0379",
publisher = "Wiley-Blackwell",
number = "11",

}

RIS

TY - JOUR

T1 - Bacteriological pathogen spectrum of chronic leg ulcers: Results of a multicenter trial in dermatologic wound care centers differentiated by regions

AU - Jockenhöfer, Finja

AU - Gollnick, Harald

AU - Herberger, Katharina

AU - Isbary, Georg

AU - Renner, Regina

AU - Stücker, Markus

AU - Valesky, Eva

AU - Wollina, Uwe

AU - Weichenthal, Michael

AU - Karrer, Sigrid

AU - Klode, Joachim

AU - Dissemond, Joachim

N1 - © The Authors | Journal compilation © Blackwell Verlag GmbH, Berlin.

PY - 2013/11/1

Y1 - 2013/11/1

N2 - BACKGROUND: In almost every chronic wound different bacteria species can be detected.PATIENTS AND METHODS: Retrospective, multicenter evaluation of bacterial swab results from 2010 and 2011 in patients with chronic leg ulcer treated in 10 dermatologic wound care centers from 5 regions in Germany.RESULTS: Data of 970 patients were analyzed. Staphylococcus aureus was detected in 47.6 % of the patients, 8.6% of these were methicillin-resistant (MRSA). Pseudomonas aeruginosa was found in 31.1 %, enterobacteria in 28.6 % and Proteus mirabilis in 13.7 % of the patients. The regional comparison showed a significant south-north gradient for S. aureus, P. aeruginosa, and enterobacteria. Moreover, a highly significant west-east gradient for MRSA was found with detection rates of 13.5 % in the west to 4.0 % in the east. Furthermore, nationally there was a significant negative correlation between S. aureus and P. aeruginosa or P. mirabilis, respectively, as well as a positive correlation of P. aeruginosa with respect to wound size and duration. In addition to climatic and therapeutic conditions, different regional health care structures are discussed as potentially relevant reasons for these significantly different regional detection rates.CONCLUSIONS: Our data show the regional variability of the spectrum of currently detected bacteria in patients with chronic leg ulcers in Germany.

AB - BACKGROUND: In almost every chronic wound different bacteria species can be detected.PATIENTS AND METHODS: Retrospective, multicenter evaluation of bacterial swab results from 2010 and 2011 in patients with chronic leg ulcer treated in 10 dermatologic wound care centers from 5 regions in Germany.RESULTS: Data of 970 patients were analyzed. Staphylococcus aureus was detected in 47.6 % of the patients, 8.6% of these were methicillin-resistant (MRSA). Pseudomonas aeruginosa was found in 31.1 %, enterobacteria in 28.6 % and Proteus mirabilis in 13.7 % of the patients. The regional comparison showed a significant south-north gradient for S. aureus, P. aeruginosa, and enterobacteria. Moreover, a highly significant west-east gradient for MRSA was found with detection rates of 13.5 % in the west to 4.0 % in the east. Furthermore, nationally there was a significant negative correlation between S. aureus and P. aeruginosa or P. mirabilis, respectively, as well as a positive correlation of P. aeruginosa with respect to wound size and duration. In addition to climatic and therapeutic conditions, different regional health care structures are discussed as potentially relevant reasons for these significantly different regional detection rates.CONCLUSIONS: Our data show the regional variability of the spectrum of currently detected bacteria in patients with chronic leg ulcers in Germany.

U2 - 10.1111/ddg.12170

DO - 10.1111/ddg.12170

M3 - SCORING: Journal article

C2 - 23945189

VL - 11

SP - 1057

EP - 1063

JO - J DTSCH DERMATOL GES

JF - J DTSCH DERMATOL GES

SN - 1610-0379

IS - 11

ER -