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10.1186/s40064-016-3293-z http://scihub22266oqcxt.onion/10.1186/s40064-016-3293-z C5025406!5025406!27652151     free     free     free Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Springerplus 2016 ; 5 (1): ä Nephropedia Template TP {{tp|p=27652151|t=2016. Low sensitivity of needle aspiration cultures in patients with cellulitis/erysipelas |pdf=|usr=}}{{27652151}} gab.com Text Low sensitivity of needle aspiration cultures in patients with cellulitis/erysipelas JO: Springerplus http://www.kidney.de/pget.php?&tw=1&pmid=27652151 #FOAvip Purpose: Cellulitis is normally treated without knowledge of the responsible pathogen. Blood cultures are positive in about 2?4 %, and superficial swabs are of no value. Needle aspiration has been proposed with identifying the likely pathogen in up to 29 %, but these studies are of older date and the technique is not widely used. Methods: We prospectively evaluated the sensitivity of needle aspiration cultures in all patients with erysipelas/cellulitis. Diagnosis was made clinically by the treating physician. Needle aspiration was done with a 1 ml syringe and a 26G needle. The needle was removed and the syringe brought to the microbiological laboratory and analysed according to standard procedures. Results: 95 Patients were seen during a period of 22 month. 4 Patients were excluded, as diagnosis was not confirmed. Cellulitis was present in 10/91 and erysipelas in 81/91 patients. In the first 25 patients with needle aspiration from the margin, none was positive. In 8/66 (12 %) patients where needle aspiration was done at the site of maximum inflammation, the pathogen was identified. 4/8 Cultures were positive for S. aureus, 2/8 for streptococci and 2/8 for other bacteria. In 11/66 (16.6 %) patients, skin colonisation flora was detected. In the subgroup of patients without prior antibiotic treatment and needle aspiration from the site of maximum inflammation, sensitivity was slightly better 8/55 (14.5 %; 95 % CI 7.5?25.8 %). Conclusions: Needle aspiration culture had a low sensitivity for detecting responsible pathogen in patients with cellulitis/erysipelas. No impact in antibiotic treatment could be observed. Twit Text FOAVip Low sensitivity of needle aspiration cultures in patients with cellulitis/erysipelas ????Springerplus http://www.kidney.de/pget.php?&tw=1&pmid=27652151 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=27652151 #FOAvip English Wikipedia <ref>{{Cite pmid|27652151}}</ref> Low sensitivity of needle aspiration cultures in patients with cellulitis/erysipelas #MMPMID27652151 Piso RJ; Pop R; Wieland M; Griesshammer I; Urfer M; Schibli U; Bassetti S Springerplus 2016[]; 5 (1): ä PMID27652151show ga Purpose: Cellulitis is normally treated without knowledge of the responsible pathogen. Blood cultures are positive in about 2?4 %, and superficial swabs are of no value. Needle aspiration has been proposed with identifying the likely pathogen in up to 29 %, but these studies are of older date and the technique is not widely used. Methods: We prospectively evaluated the sensitivity of needle aspiration cultures in all patients with erysipelas/cellulitis. Diagnosis was made clinically by the treating physician. Needle aspiration was done with a 1 ml syringe and a 26G needle. The needle was removed and the syringe brought to the microbiological laboratory and analysed according to standard procedures. Results: 95 Patients were seen during a period of 22 month. 4 Patients were excluded, as diagnosis was not confirmed. Cellulitis was present in 10/91 and erysipelas in 81/91 patients. In the first 25 patients with needle aspiration from the margin, none was positive. In 8/66 (12 %) patients where needle aspiration was done at the site of maximum inflammation, the pathogen was identified. 4/8 Cultures were positive for S. aureus, 2/8 for streptococci and 2/8 for other bacteria. In 11/66 (16.6 %) patients, skin colonisation flora was detected. In the subgroup of patients without prior antibiotic treatment and needle aspiration from the site of maximum inflammation, sensitivity was slightly better 8/55 (14.5 %; 95 % CI 7.5?25.8 %). Conclusions: Needle aspiration culture had a low sensitivity for detecting responsible pathogen in patients with cellulitis/erysipelas. No impact in antibiotic treatment could be observed. äLow sensitivity of needle aspiration cultures in patients with celluli(epmc).pdf DeepDyve Pubget Overpricing