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Nocardia infection causing non-healing surgical wounds: A case series from Bangladesh

Afzalunnessa Binte, S. Afroz, A. Mahmud, Tasmiah Selim, Taskina Akhter, T. Sultana, Sadia Taskeen

International Journal of Infectious Diseases, 2021

4 citations

Abstract

OBJECTIVE

Nocardia can be introduced accidentally causing non-healing surgical wounds.

METHOD

From February 2017 to January 2021 samples from wounds were collected. Nocardia identification and susceptibility testing were carried out by standard procedure.

RESULTS

Seventeen (35.4 %) Nocardia spp. and 20 other pathogens (41.7%) were recovered by culture. Drug susceptibility among Nocardia was >70% to amikacin, amoxicillin-clavulanic acid, levofloxacin, linezolid, and imipenem, 47% to cephalosporins and 41% to trimethoprim/sulfamethoxazole.

CONCLUSIONS

Infections with Nocardia spp. should be considered in non-healing surgical wounds.

How strong is the evidence?

Evidence Hub reads this as a case series, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

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