A CLINICAL AND BACTERIOLOGICAL STUDY OF PRIMARY PYODERMAS IN CHILDREN
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 49
Abstract
BACKGROUND Primary pyodermas are important and common public health problem in all sectors of the society, especially among the lower stratum in developing countries. This study was undertaken with the primary aims of studying the clinical profile of primary pyodermas in children and studying the bacteriological profile and antibiotic sensitivity. MATERIALS AND METHODS This study was a descriptive study undertaken in the Department of Dermatology and Venereology, Medical College Hospital, Thiruvananthapuram, South India, for a period of one year. The sample population included were children between 1 to 12 years who attended the outpatient wing of the department with clinical diagnosis of primary pyoderma. Clinical examination supported by Gram stain and culture with antibiotic sensitivity were the main methods to identify the causative agent and probable treatment option. Kappa co-efficient was used to measure the agreement between two diagnostic tests, Gram stain and culture. RESULTS The study population included 100 patients of the age group 1 - 12 years. The commonest type of primary pyoderma was impetigo. Gram staining was positive in 78 cases and culture yielded the probable causative agent in 84 cases. Staph. aureus was the commonest organism isolated in culture in 68 cases; 71.43% of Staph. aureus was sensitive to methicillin, whereas 9.52% were methicillin resistant. Methicillin sensitive Staph. aureus was sensitive to cloxacillin in 100% of the isolates. The MRSA isolates were sensitive to vancomycin, amikacin and linezolid. CONCLUSION Impetigo was the commonest type of pyoderma observed in the population studied. Lymphocytosis rather than neutrophilia and low frequency of raised ASO titre in streptococcal pyodermas were the unusual results obtained from this study. Methicillin sensitive Staph. aureus was the commonest aetiological agent prevalent in the population studied and there was 100% sensitivity of this agent to cloxacillin was observed. Also, the substantial agreement between Gram stain and culture highlights the importance of Gram stain in aetiological diagnosis in resource poor settings.
Authors and Affiliations
Abarna Muthulakshmi M, Abdul Samad K, Joan Felicita Samson
Keywords
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- EP ID EP219104
- DOI 10.14260/Jemds/2017/811
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