Friday , 19 April 2019

Bacteriologic Spectrum and Antibiotic Susceptibility Pattern among Patients with Skin Burns – A Retrospective Study at Tertiary care Teaching Hospital, Tirupati, Andhrapradesh, India.

Dr. Chandrakala Penagadam1*, Dr. B. Kailasanathareddy2, Dr. B. Subbulu3, Madhusudana Pulaganti
1Assistant Professor, Dept of Microbiology, S.V. Medical College, Tirupati, India-517507
2Professor & HOD, Dept of Microbiology, S.V. Medical College, Tirupati, India-517507
3Assistant Professor, Dept of Microbiology, S.V. Medical College, Tirupati, India517507
4BIF, Dept of Biochemistry, Sri Krishnadevaraya University-515003.

Abstract
Aim: To demonstrate the prevalence of isolated aerobic microorganisms in patients with skin burns and their antibiotic susceptibilities in a tertiary care teaching center. Materials and Methods: This is a retrospective study of 348 patient’s samples with skin burn wound infections at Sri Venkateswara Medical College, during the period August 2008 to August 2012. The specimens were cultured using aerobic microbiological techniques and Antimicrobial susceptibility pattern to different agents was carried out using the disc diffusion method. Results: Cultures from skin burn wound revealed Pseudomonas aeruginosae as the most common organism followed by Staphylococcus aureus, Escherichia coli and Klebsiella pneumoniae etc.. However, all the staphylococci were susceptible to Vancomycin and the gram negatives were susceptible to Imipenam. For empiric treatment Vancomycin and Imipenem appear to be a good combination in this hospital. Conclusions: Although medical centers have devoted intensive resources to improving the survival rates of burn patients, expenditures for research, prevention and education programs are to be strengthened. Our findings suggest that more attention should be paid to the importance of research, prevention and the reduction of injury severity. This study may contribute to the establishment of a nationwide burn database and the elaboration of strategies to prevent burns injury.
Keywords: Skin Burns, Infection, Common Pathogens, Antimicrobial Susceptibility pattern, Antibiotic policy.

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