Clinicobacteriological profile of tracheostomy wound site
Journal Title: Medpulse International Journal of ENT - Year 2018, Vol 6, Issue 1
Abstract
Aims and Objectives: To study the pattern of bacterial colonization in the oropharyngeal and tracheostomy wound site on the first and third day of hospitalization. Materials and Methods: All those subjects who required tracheostomy for various reasons were included in the study. A detailed history, clinical examination, treatment data and underlying comorbid illnesses were collected. Samples from orophaynx and tracheostomy wound site were collected from 30 patients on the first and third day using sterile cotton swabs. Swabs will be inoculated onto blood agar and Mac Conkey agar and organisms were identified. Results: The study included 30 patients who underwent tracheostomy. Commonest condition requiring tracheostomy was OP poisoning followed by trauma. Acinetobacter and klebsiella were the commonest organisms isolated from the tracheostomy stoma site on the first and third day of procedure, MRSA growth was more on third day But was not found to be statisticaly significant. Acinetobacter and klebsiella were the commonest organisms isolated from the throat on the first day and Pseudomonas, klebsiella and MRSA were the commonest organisms isolated from the throat on the third day, But was not found to be statisticaly significant. Conclusion: Pathogens isolated from swabs of stoma site had no changes when compared on first and third day of the procedure, so single swab can be taken on third day to identify the pathogen. Swabs from stoma helps in detection of specific pathogen so that corresponding antimicrobial agent can be administered to the subject.
Authors and Affiliations
Divya H R, Swetha M, Veenapani M K, Anuradha K
Keywords
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