Bacterial flora and their antibiotic susceptibility patterns in open fracture wounds at a tertiary hospital of north India
Journal Title: Medpulse International Journal of Orthopedics - Year 2018, Vol 5, Issue 3
Abstract
The changes in pathogenic microbiological flora and the emergence of bacterial resistance have created major problems in the management of open fractures. A better understanding is required of the patterns or predilection of organisms and thus anticipating infection by a particular organism. Hundred and seven open fractures wounds of long bones were studied prospectively over a period of one year. Wound swabs were obtained and sent for cultures at regular intervals i.e.; at Pre-debridement, intra-operative, post debridement, at first dressing and then every week. The infecting organism and its antibiotic susceptibility were noted. Most of the infections were caused by Gram-negative organisms 64.7%, commonest being Pseudomonasspp (36%) which was resistant to most antibiotics and showed maximum sensitivity to piperacillin (85%).A shift in the bacterial flora was noted after the 2nd week from Gram-negative to predominantly Grampositive organisms. Among the Gram-positive organisms, 93.5% were Staphylococcus aureus, 58.6% of which were methicillin resistant. Use of a broad spectrum antibiotic during the initial phase of management could prevent a change in the bacterial flora in later stages and thus decreasing chances of bacterial resistance. However the final selection of antibiotic should be tailored according to the type of fracture, level of contamination, soft tissue status, and most importantly the prevailing infection and culture sensitivity patterns in the hospital.
Authors and Affiliations
Shiraz M Bhatty, Kapil Bansal, Anshul Dahuja, Rajesh Paul
Keywords
Related Articles
- EP ID EP365595
- DOI -
- Views 58
- Downloads 0
Role of Proximal Femoral Locking Plate in treatment of Subtrochanteric Fractures; Case series
Objective: The aim of our study is to evaluate the radiological and functional outcome of subtrochanteric fractures treated with PFLCP (Proximal Femoral Locking Plate). The patients evaluated for clinical and radiologica...
Humeral shaft fracture: A hospital based study
Background: Fractures of the shaft of the humerus account for 1% to 3% of all fractures in adults. The incidence of humeral shaft fracture is 14.5 per 100,000 per year and which is gradually increasing from the fifth dec...
Shaft Humerus Fractures Treated with Interlocking Nails Vs Dynamic Compression Plate - A Comparative Study
Background: Fractures of shaft humerus are very common. This study was conducted to assess the outcome of this fracture by two most common mode of treatment that is open reduction internal fixation with DCP and Close Hum...
Adhesive capsulitis of shoulder joint: A treatment protocol, our experience
Background: Adhesive capsulitis is a poorly understood musculoskeletal condition that can be disabling. Frozen shoulder is thought to have an incidence of 3%-5% in the general population and up to 20% in those with diabe...
Lumbar Root Schwannoma an entity to consider in nondiscogenicSciatica: Case Report
This case report describes lumbar schwannoma as an unusual cause of radiculopathy, presenting clinically as a lumbar disc prolapse. The diagnosis was confirmed on MRI scan. Patient had complete symptomatic recovery follo...