CONCLUSION:

Decubitus ulcers are a significant cause of mortality in long-term bedridden patients, with the most common causative agents being gram negative enteric bacteria, staphylococcus aureus, pseudomonas aeruginosa and acinetobacter baumannii. The recommended criteria for the start of treatment in such patients is the presence of systemic signs or positive blood cultures. The causative agent of decubitus infections was found to be the agent causing bacteremia in 13.9% of the patients with decubitus ulcers in the present study.
The agent growing in the wound culture was rarely found to be the causative agent of bacteremia when deciding whether to treat decubitus ulcer infections. Accordingly, we recommend that the identification of the agent causing the decubitus ulcer infection through a swab culture alone should not be a determinant.
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Table 1. Distribution of the Diagnosis of the Patients and Laboratory Findings