Bacteriological profile with their antibiotic sensitivity patterns in burn wound swabs- Current trend in a tertiary care center.

Dr. Rakesh Kumar Jain; Dr. Ayush Jain

Volume : X, Issue : VII, July - 2020

Bacteriological profile with their antibiotic sensitivity patterns in burn wound swabs- Current trend in a tertiary care center.

Dr. Rakesh Kumar Jain, Dr. Ayush Jain

Abstract :

Introduction: Burn is a devastating trauma with multiple acute as well as chronic complications. Infection is the most common complication affecting every patient and responsible for 70% of deaths. Burn wounds are an excellent culture medium for the growth of organisms and cause sepsis. Method and materials: Study was conducted for 1 year (March 2019–2020) in SMS medical college and Hospital, Jaipur (Rajasthan, India). Total of 400 wound swabs was cultured with positive culture in 357 isolates. Wound swabs were inoculated and incubated. Later microbiological tests were applied to identify the organisms. The modified Kirby–Bauer disc diffusion method was used for antibiotic sensitivity. Results and discussion: Almost all the isolates were Gram–negative bacilli, Pseudomonas being the most common organism (58%) followed by Enterobacter sp (38.1%). Acinetobacter baumanni and Staphylococcus aureus were found in wound swabs. Coagulase Negative Staphylococcus was the only gram–positive organism. Pseudomonas was sensitive only to Colistin while Enterobacter sp was sensitive only to Tigecyclline and Polymyxin B. E. coli and Coagulase–negative staphylococcus were the least resistant organisms. Conclusion: The golden era of antibiotics is now coming to an end. The increased incidence of resistance towards oad–spectrum antibiotics are alarming. Prevention of infection by hand washing and sterile dressings is required. This data will help the treating doctor to choose the antibiotic wisely and prevent further increases in resistance. Such studies need to be conducted at frequent intervals to look for changing trends in antibiotic sensitivity pattern.