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MGM Journal of Medical Sciences

Article Details

2017 | January-March | Issue1
ORIGINAL ARTICLE
Spectrum of Microbial Isolates from Wound Infections in Patients admitted in a Tertiary Care Hospital, Kolkata
Ashis K Saha, Suman Nandi, Payodhi Dhar
Author Affiliation
Ashis K Saha : KPC Medical College and Hospital, Jadavpur, Kolkata, West Bengal, India

Suman Nandi : KPC Medical College and Hospital, Jadavpur, Kolkata, West Bengal, India

Payodhi Dhar : KPC Medical College and Hospital, Jadavpur, Kolkata, West Bengal, India

10.5005/jp-journals-10036-1130

ABSTRACT

Increasing emergence of drug-resistant bacteria is becoming a major problem globally. A retrospective study of 790 culture and sensitivity reports on microbial isolates, from infected wounds was carried out in KPC Medical College and Hospital, Jadavpur, Kolkata, India. 504 patients were males and 286 females. Gram negative organisms were isolated in 561 and gram positive in 229. Among the gram negative organisms, Klebsiella pneumoniae, Pseudomonas aeruginosa and Escherichia coli were the most common, whereas Staph aureus was the only gram positive organism isolated. Antibiotic sensitivity tests revealed most gram negative organisms susceptible to carbapenems, polymyxin and colistin. Staphylococci showed sensitivity to tigecycline, clindamycin, vancomycin, teicoplanin and linezolid. Interesting differences in the type of organisms isolated in male and female patients were noted. For example Enterococcus faecalis was found only in female patients. Increasing resistance of microorganisms cultured from infected wounds to first line and even second line antibiotics is a matter of great concern and can be attributed to indiscriminate and irrational use of broad spectrum antibiotics. This has to stop forthwith if we want to prevent resistance to antibiotics; otherwise morbidity, mortality and health care costs in treating patients with wound infections are going to increase exponentially

Keywords: Blood culture, Gram-negative bacteria, Grampositive bacteria, Sensitivity, Tertiary hospital.

How to cite this article: Saha AK, Nandi S, Dhar P. Spectrum of Microbial Isolates from Wound Infections in Patients admitted in a Tertiary Care Hospital, Kolkata. MGM J Med Sci 2017;4(1):10-18.

Source of support: Nil

Conflict of interest: None

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