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. 2015 Jan 11;13(5):880–891. doi: 10.1111/iwj.12399

Table 2.

Strengths and weaknesses of sample type and recommendations for optimisation

+++ Best, ++ better, + acceptable Inline graphicBiopsy Inline graphicSwab Inline graphicCanister/Drain fluid Inline graphicAbsorption and extraction
Ease of sample collection ++ Technique critical +++ +++
Cost +++ +++ Not considering the cost of the therapy itself +++ Depends on collection and preservation supplies
Patient comfort ++ +++ ++
Sample quality and consistency +++ Procedure most likely performed by highly trained personnel +++ When using Z technique and correct preservation methods +++ When comparing samples from the same patient over time +++ Collection and processing technique critical. Well matched to point‐of‐care diagnostics
Gene expression/PCR +++ Samples snap frozen with RNase inhibitors
Bioburden +++ Samples stored, processed and analysed for both aerobic and anaerobic organisms ++ Samples stored, processed and analysed for both aerobic and anaerobic organisms
Biomarker analysis + Samples frozen with protease inhibitors +++ Samples frozen with protease inhibitors. Take into consideration dilution of protease inhibitors over time. Samples should be compared only with other samples collected in the same manner (NPWT, surgical drain) ++ Samples frozen with protease inhibitors. Whatman paper discs, Periopaper. Would be useful to develop collection materials specific to this purpose

PCR, polymerase chain reaction; NPWT, negative pressure wound therapy.