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Postmortem Bacteriology in Forensic Autopsies—A Single Center Retrospective Study in Romania

Postmortem bacteriology examinations have been a controversial topic over the years, though the value of postmortem bacteriology cultures remains promising. The aim of this study was to review the postmortem bacteriological sampling procedures and results in a single centre in Bucharest over a perio...

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Autores principales: Diac, Iuliana, Keresztesi, Arthur-Atilla, Cerghizan, Anda-Mihaela, Negrea, Mihai, Dogăroiu, Cătălin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9407211/
https://www.ncbi.nlm.nih.gov/pubmed/36010374
http://dx.doi.org/10.3390/diagnostics12082024
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author Diac, Iuliana
Keresztesi, Arthur-Atilla
Cerghizan, Anda-Mihaela
Negrea, Mihai
Dogăroiu, Cătălin
author_facet Diac, Iuliana
Keresztesi, Arthur-Atilla
Cerghizan, Anda-Mihaela
Negrea, Mihai
Dogăroiu, Cătălin
author_sort Diac, Iuliana
collection PubMed
description Postmortem bacteriology examinations have been a controversial topic over the years, though the value of postmortem bacteriology cultures remains promising. The aim of this study was to review the postmortem bacteriological sampling procedures and results in a single centre in Bucharest over a period of 10 years. Material and methods: The present study was a retrospective, single-center study, performed at the Mina Minovici National Institute of Legal Medicine in Bucharest, Romania, from 2011–2020. Results: Postmortem bacteriology was requested 630 forensic autopsies, 245 female (38.9%) and 385 male (61.1%), age range 0 and 94 years, median age of 52 years. Deaths occurred in hospital for 594 cases (94.3%) and out-of-hospital for 36 cases (5.7%—field case). Blood cultures were requested in the majority of cases, followed by tracheal swabs and lung tissue. In-hospital and out of hospital deaths did not differ significantly regarding the number of microorganisms identified in a positive blood culture. Postmortem bacteriology cultures of the respiratory tract showed a statistically significant association to microscopically confirmed lung infections. Conclusions Postmortem sampling for bacteriology testing in our center in Bucharest is heterogeneous with a high variation of patterns. A positive blood culture result for Staphylococcus species without the identification of a specific microorganism is more likely due to postmortem contamination.
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spelling pubmed-94072112022-08-26 Postmortem Bacteriology in Forensic Autopsies—A Single Center Retrospective Study in Romania Diac, Iuliana Keresztesi, Arthur-Atilla Cerghizan, Anda-Mihaela Negrea, Mihai Dogăroiu, Cătălin Diagnostics (Basel) Article Postmortem bacteriology examinations have been a controversial topic over the years, though the value of postmortem bacteriology cultures remains promising. The aim of this study was to review the postmortem bacteriological sampling procedures and results in a single centre in Bucharest over a period of 10 years. Material and methods: The present study was a retrospective, single-center study, performed at the Mina Minovici National Institute of Legal Medicine in Bucharest, Romania, from 2011–2020. Results: Postmortem bacteriology was requested 630 forensic autopsies, 245 female (38.9%) and 385 male (61.1%), age range 0 and 94 years, median age of 52 years. Deaths occurred in hospital for 594 cases (94.3%) and out-of-hospital for 36 cases (5.7%—field case). Blood cultures were requested in the majority of cases, followed by tracheal swabs and lung tissue. In-hospital and out of hospital deaths did not differ significantly regarding the number of microorganisms identified in a positive blood culture. Postmortem bacteriology cultures of the respiratory tract showed a statistically significant association to microscopically confirmed lung infections. Conclusions Postmortem sampling for bacteriology testing in our center in Bucharest is heterogeneous with a high variation of patterns. A positive blood culture result for Staphylococcus species without the identification of a specific microorganism is more likely due to postmortem contamination. MDPI 2022-08-21 /pmc/articles/PMC9407211/ /pubmed/36010374 http://dx.doi.org/10.3390/diagnostics12082024 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Diac, Iuliana
Keresztesi, Arthur-Atilla
Cerghizan, Anda-Mihaela
Negrea, Mihai
Dogăroiu, Cătălin
Postmortem Bacteriology in Forensic Autopsies—A Single Center Retrospective Study in Romania
title Postmortem Bacteriology in Forensic Autopsies—A Single Center Retrospective Study in Romania
title_full Postmortem Bacteriology in Forensic Autopsies—A Single Center Retrospective Study in Romania
title_fullStr Postmortem Bacteriology in Forensic Autopsies—A Single Center Retrospective Study in Romania
title_full_unstemmed Postmortem Bacteriology in Forensic Autopsies—A Single Center Retrospective Study in Romania
title_short Postmortem Bacteriology in Forensic Autopsies—A Single Center Retrospective Study in Romania
title_sort postmortem bacteriology in forensic autopsies—a single center retrospective study in romania
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9407211/
https://www.ncbi.nlm.nih.gov/pubmed/36010374
http://dx.doi.org/10.3390/diagnostics12082024
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