Bacteriology of Pyogenic Wound Infections in a Tertiary Care Hospital
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 11
Abstract
Diagnosis and treatment of wound infections is a challenge to Clinicians and the Microbiology Laboratory. The present study was undertaken to determine a clinico - bacteriological correlation of pyogenic wound infections. Cultural analysis was undertaken using solid and liquid culture media, All bacterial species isolated were subjected to antimicrobial susceptibility pattern. A total of 300 samples were processed and bacteria were isolated in 73.6% cases. Monomicrobial etiology was observed in 84.6% cases. The commonest bacteria isolated were Staphylococcus aureus (17.8%), followed by Acinetobacter baumanii and Pseudomonas aeruginosa (13.2% each). High resistance was observed to Amoxycillin (56.5%) in Gram Positive bacteria and to Cephalosporins (71.2%) among Gram Negative bacteria. Types of samples yielding bacterial growth were predominantly pus (35.3%) and slough (25.8%). Males accounted for 55.2% of the total culture positive cases. Older age group patients contributed to 37.6% of the total culture positive subjects. A large majority (93.2%) were indoor admitted patients. Patients under surgical care units were 55.7%, while 11.8% were from Burns Unit and 8.1% from Plastic Surgery. Analysis of wound microbiology is critical towards successful management. Knowledge of the antibiotic sensitivity pattern of the invading pathogens will guide the treating doctor in rational selection of antibiotics.
Authors and Affiliations
Estibeiro Mendonca Anita Sandhya, Rodrigues Savio
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