Volume : VII, Issue : XII, December - 2017

Bacterial profile of chronic ulcers–A study on non–diabetic patients

Dr. Sreekumary. P. K, Dr. Nimmy Paul

Abstract :

 Back Ground:

Chronic foot and leg ulcers are very common in the general population

which restricts the individual from a productive social and normal personal life. Most of the time patient needs multiple hospital admissions, treatment with multiple courses of antibiotics, surgical treatment ranging from slough cutting to amputation depending upon the severity and underlying cause. Patients with chronic ulcers come under two groups, diabetics and non diabetics.

Objectives:

To study the bacterial spectrum in non–diabetic and also to determine the antibiotic sensitivity pattern in this group.

Methods:

A descriptive study was conducted in 87 non–diabetic patients admitted in the general surgery wards of Government Medical College Kottayam, with leg and foot ulcers of more than 6 weeks duration. Samples were sent to Microbiology laboratory for culture and sensitivity. Bacteria were identified by culture, microscopy and antibiotic sensitivity was done by conventional methods.

Results:

             All the samples were culture positive   and polymicrobial  non diabetics. Staphylococci (54.14%) was the most commonly identified pathogen in non–diabetics. Gram positive cocci showed high sensitivity to Vancomycin,Cloxacillin and Amikacin but shows high resistance to Penicillin, Eythromycin and 1st generation Cephalosporins. Gram negative bacilli were highly sensitive to Imipenem, Meropenem, Piperacillin–Tazobactum, Cefoperazone sulbactam and Amikacin and they showed high resistance to Ampicillin and Ciprofloxacin.

 

Conclusions:

It is always better to do culture and sensitivity before starting antibiotics in patients with chronic ulcers. 

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr.Sreekumary.P.K, Dr.Nimmy Paul, Bacterial profile of chronic ulcers–A study on non–diabetic patients, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-7 | Issue-12 | December-2017


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