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Resistance pattern of bacterial isolates from burn wounds in an Iraqi hospital
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| Author:
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RUA ALHAMDY, MANI ANEES ABBODY, ALA'A HIKMET MAHMOOD, ASEEL GHASSAN JASIM, DINA SABAH MAHDI
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| Abstract:
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Burns subject the patients to the high risk of infections because of the uncovered body surface,
immunosuppression after burning, aggressive diagnostic procedures and invasive therapeutic techniques and
elongated stay at hospital. The emergence of antimicrobial resistance among many burn wound pathogens
makes the therapeutic options for burn wound infections limited.
This study is a retrospective one that aimed to determine the bacterial pathogens frequently causing burn
infections and their antibacterial resistance pattern in an Iraqi hospital of burns in Baghdad province.
Bacterial samples were collected from thirty two hospitalized patients, and forty six wound swabs were taken
from those patients. The antimicrobial susceptibility test was performed using disk diffusion technique.
It has been found that the most predominant bacterial isolate was Klebsiella spp. (40%), followed by
Pseudomonas
spp.
(35.56%),
Escherichia
coli
(E.coli)
(8.89%),
Staphylococcus
spp.
(6.67%),
Proteus
spp.
(6.67%),
and
Acinetobacter
spp.
(2.22%).
Polymicrobial
infection was
observed
in
(45.16%) of patients. The most effective antibiotic on Gram-negative isolates was amikacin while the most
effective antibiotic on staphylococcus aureus isolates was vancomycin. Non-significant difference was found
among the tested antibiotics concerning resistance (P value >0.005). In conclusion a careful selection of
antibiotics to treat burn wound infection is required for proper management of these wounds in order to help
reduce morbidity and mortality associated with multi-resistant bacteria.
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| Keyword:
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Burn wound infection, antibacterial resistance, antimicrobial susceptibility.
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| EOI:
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-
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| DOI:
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https://doi.org/10.31838/ijpr/2020.12.02.0159
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| Download:
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