A Comparative Study Of Efficacy Of Pre And Post Debridement Cultures In Open Fractures

Objective: To compare the efficacy of pre and post debridement cultures in open fractures Methods: In 100 patients with open fractures a pre and a post debridement culture were taken. Results of pre and post-debridement cultures with respect to respective organism and the percentage of wound ultimately infected with respect to the culture report were compiled. Results: Post debridement cultures showed a sensitivity of 70% and a Specificity of 55% as compared to pre debridement cultures which showed a sensitivity of 64% and a specificity of 24% ultimately led to infection. Conclusion: The use of postdebridement culture reports have better prognostic value than perioperative cultures in predicting the incidence of infection as well as the infecting organisms in open fractures .