Pattern of microbial flora and antimicrobial sensitivity in burn center in Patna medical college and hospital in Patna
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 12
Abstract
Background: Burn wounds injuries continue to be prevalent and devastating form of trauma. People with burn wound are specially vulnerable to infections. The goal of systematic antibiotics is to prevent/treat infections. Infection of burn wound is a serious problem because it can delay healing, and invasive infections may lead to septicaemia that may result in the death of the patient. Antibacterial therapy is one of the several interventions that may prevent/treat burn wound infections and protect the burn patient from invasive infections which may lead to septicaemia and multiple organ failure. Objective: To access the pattern of microbial flora and sensitivity of systemic Antimicrobial Therapy in burn wound management. Materials and Methods: A Retrospective study done from evaluation of medical records of patients in Burn ward/unit of Plastic Surgery department of Patna Medical College and Hospital (P.M.C.H), Patna from May2016- July2017 was done on 300 patients. Results: Cultures from burn wound revealed Pseudomonas aeruginosa as the most common organism followed by Staphylococcus aureus, Escherichia coli, Acinetobacterbaumanniiand Klebsiellapneumoniae. There was a high rate of multidrug-resistant organisms. However, all the Staphylococci were susceptible to Vancomycin and the gram-negative organisms were susceptible to Carbapenems. Conclusion: Collection of appropriate specimens for cultures before starting of antibiotics helps in better management of burn patients. However, close follow-up and repeat specimens cultures may be necessary for appropriate change in antimicrobials in some patients.
Authors and Affiliations
Dr. Ajoy kumar, Dr. Sanjay Kumar
Keywords
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- EP ID EP428649
- DOI 10.9790/0853-1712114346.
- Views 68
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