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Korean J Leg Med > Volume 40(2); 2016 > Article
Korean Journal of Legal Medicine 2016;40(2):55-60.
DOI: https://doi.org/10.7580/kjlm.2016.40.2.55    Published online May 31, 2016.
A Comparative Study of Postmortem Bacterial Culture and Identification Methods.
Joo Young Na, Ji Hye Park, Suk Hoon Ham, Hyung Seok Kim, Jong Tae Park
1Forensic Medicine Division, National Forensic Service Gwangju Institute, Jangseong, Korea.
2Department of Forensic Medicine, Chonnam National University Medical School, Gwangju, Korea. jtpark@jnu.ac.kr
Abstract
Postmortem bacterial culture can be valuable for investigating deaths and determining the cause of death. However, there are many concerns regarding postmortem bacterial culture such as postmortem transmigration and agonal spread of bacteria. The two main methods for identification of the bacteria are biochemical and genetic methods. In Korea, the genetic method has been used for postmortem bacterial culture and identification in forensic medicine. However, there is a lack of consensus on the method to be used for postmortem bacterial culture and identification. Herein, we compared the genetic and biochemical methods of postmortem bacterial culture in autopsy practice. Both analyses were performed on the same samples. Bacteria were identified in 28 of the 34 cases (82.4%). Of the 74 comparable samples, only 28 (37.8%) showed consistent results by both methods. In addition, the biochemical method had a shorter reporting time and was more sensitive. In conclusion, we analyzed the causes of the inconsistency between the two methods and provided appropriate conditions and protocols for postmortem bacterial culture and identification.
Key Words: Postmortem, Bacteria, Biochemical processes, Genetic processes
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