CC BY-NC-ND 4.0 · Indian J Plast Surg 2007; 40(01): 91-93
DOI: 10.1055/s-0039-1699175
Original Article
Association of Plastic Surgeons of India

Bacterial isolates from burn wound infections and their antibiograms: A eight-year study

Mehta Manjula
Department of Microbiology, Government Medical College Hospital, Chandigarh, India
,
Dutta Priya
Department of Microbiology, Government Medical College Hospital, Chandigarh, India
,
Gupta Varsha
› Author Affiliations
Further Information

Publication History

Publication Date:
15 January 2020 (online)

ABSTRACT

Background:Infection is an important cause of mortality in burns. Rapidly emerging nosocomial pathogens and the problem of multi-drug resistance necessitates periodic review of isolation patterns and antibiogram in the burn ward. Aim:Keeping this in mind, the present retrospective study from wounds of patients admitted to burns unit was undertaken to determine the bacteriological profile and the resistance pattern from the burn ward over a period of three years (June 2002 to May 2005) and was compared with the results obtained during the previous five years (June 1997-May 2002), to ascertain any change in the bacteriological profile and antimicrobial resistance pattern. Materials and Methods:Bacterial isolates from 268 wound swabs taken from burn patients were identified by conventional biochemical methods and antimicrobial susceptibility was performed. Statistical comparison of bacterial isolates and their resistance pattern with previous five years data was done using c2 test.Results and Conclusions:During the period from 2002 to 2005 Pseudomonas species was the commonest pathogen isolated (51.5%) followed by Acinetobacter species (14.28%), Staph. aureus (11.15%), Klebsiella species (9.23%) and Proteus species (2.3%). When compared with the results of the previous five years i.e., 1997 to 2002, Pseudomonas species was still the commonest pathogen in the burns unit. However, the isolation of this organism and other gram-negative organisms had decreased in comparison to previous years. Newer drugs were found to be effective.

 
  • 1 Vindenes H, Bjerknes R. Microbial colonization of large wounds. Burns 1995; 21: 575-9
  • 2 Pruitt Jr BA, Kim SH, McManus AT, Kim SH, Goodwin CW. Burn Wound infections:current status. World J Surg 1998; 22: 135-45
  • 3 Gupta M, Gupta OK, Yaduvansh RK, Upadhyahy J. Burn epidemiology: The Pink City scene. Burns 1993; 19: 47-51
  • 4 Ananthakrishanan AN, Kanungo R, Kumar K, Badrinath S. Detection of extended spectrum beta Lactamase producers among surgical wound infections and burn patients in JIPMER. Indian J Med Microbiol 2002; 18: 160-5
  • 5 Sengupta S, Human P, Ciraj AM, Shivananda Pg. Acinetobacter bac: An emerging nosocomial pathogen in the burns unit. Manipal, India: 2001. (Burns; 27). 140-4
  • 6 Singh NP, Goyal R, Manchanda V, Das S, Kaur Z, Talwar V. Changing Trends in bacteriology of burns in the burns units. Delhi,India: 2003. (Burns; 29). 129-32
  • 7 Forbes BA, Sahm DF, Weissfeld AS, Kim SH, Kim SH. Bailley and Scott's diagnostic microbiology. 10 th. ed Louis (CV) St. Mosby; 1998
  • 8 National committee for clinical Laboratory Standards. Methods for determining bactericidal activity of antimicrobial agents. Tentative guidelines, M26-T NCCLS. Villanova: PA 1993
  • 9 Lari AR, Alaghehbandan R. Nosocomial infections in a Iranian burn care centre. Burns 2000; 26: 737-40
  • 10 Ozumba UC, Jiburum BC. Bacteriology of Burn Wounds in Enugu, Nigeria. Burns 2000; 26: 178-80
  • 11 Sengupta S, Kumar P, Ciraj AM, Shivananda PG. Acinetobacter baumannii - an emerging nosocomial pathogen in the burns unit. Manipal,India: 2001. (Burns; 27). 140-4
  • 12 Vivian A, Hinchliffe E, Fewson CA. Acinetobacter calcoaceticus, some approaches to a problem. J Hosp Infect 1981; 2: 199-203
  • 13 Agnihotri N, Gupta V, Joshi RM. Aerobic bacterial isolates from burn wound infections and their antibiograms:A five year study. Burns 2004; 30: 241-3