Absence of bacterial fluorescence on real-time MolecuLight i:X™ images allows for confidence when skin grafting

Advanced wound treatments such as skin grafts are contraindicated when bioburden is present. Days can pass awaiting traditional microbiological reports, in which time bioburden can grow, decreasing likelihood of graft success and wasting much expense.

Clinical Synopsis: The deep burns on this patient’s leg were deemed to require a skin graft. Real-time fluorescence images were taken with the MolecuLight i:X immediately prior to grafting, and the lack of red fluorescence suggested an absence of bioburden. This real-time information confirmed earlier microbiological reports, and provided confidence when deciding to proceed with the graft. This graft was successful and the wound began to heal.

Image taken in Standard Imaging ModeTM
Image taken in Standard Imaging ModeTM
Image taken in Fluorescence Imaging ModeTM showing NPWT on the wound (absence of red colour suggests no significant bioburden)
Image taken in Fluorescence Imaging ModeTM
(absence of red colour suggests no significant bioburden)

Wound Etiology
  • Deep burns, down to bone
Anatomical Location
  • Right leg
Patient Demographics
  • Male, 58 years old
Clinician Stated Utility of the MolecuLight i:X
  • Real-time information on bioburden confirmed microbiology report (from days earlier) and allowed for confidence when skin grafting
Images provided by Lt Col Steven Jeffery, The Royal Centre for Defence Medicine, Birmingham, UK
MolecuLight Clinical Case 0055.