Bacteriological (Aerobic) Study of Deep Seated Abscess and ItsAntibiotic Susceptability Pattern in Mahatma Gandhi Memorial Hospital, Warangal
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2017, Vol 5, Issue 10
Abstract
Abstract: Pus samples from Deep Seated Abscess from various sites of a total of 332 patients in Mahatma Gandhi Memorial Hospital, Warangal are taken for my study from January 2016 to December 2016 (12 months). The objective of present study is to assess the most common microorganisms causing deep seated infections and their antimicrobial susceptibility to routinely used antibiotics in this locality. The material for present study consisted of 332 pus samples isolated from various abscess, ie. Perotinitis, Pyopneumothorax, Deep Neck Space Infections, Osteomyelitis,Pyogenic Liver Abscess, Breast Abscess, Prostatic abscess, Psoas abscess] and Parotid abscess.Samples were collected under aseptic conditions and subjected to culture and antibiotic susceptibility testing. Descriptive statistics were provided.Out of total 332 pus samples taken from various abscess 119 were culture positive. Organisms from different abscesess are concluded and the outcome of the study shows out of 332 pus samples taken 201 were males and 131 were females,and 119 were culture positive.A total of 30/119 (25.21%) Staphylococcus aureus were obtained in all the abscesess combined, 25/119 (21 %) Proteus Vulgaris, 23/119 (19.32%) Klebsiella Pneumonia, 22/119 (18.48%) Escherichia Coli, and 19/119 (15.96%) Pseudomonas aeruginosa. Among Staphylococcus aureus there are two Vancomycin resistant MRSA strains which are resistant to linezolid. Every gram negative bacilli isolated in this study are sensitive to carbapenem ie.. Meropenem. Maximum sensitivity is shown by Meropenem (100%) and least sensitivity is shown by Ceftazidime (42%).Though pus samples were brought to the dept. of Microbiology, we have collected samples in aseptic precautions mostly from operation theatres, and from Emergency Operation Theatre where Incision & Drainage is commonly done to avoid contaminants and to avoid the delay of transport of specimens to the laboratory. This helps clinicians to choose appropriate antibiotic as early as possible and helps the patients to decrease the days of Hospital stay. Keywords:Intra-abdominal infections (IAI), Deep neck space infection (DNSI), Pyogenic liver abscess (PLA), osteomyelitis, peritonitis, Psoas abscess.
Authors and Affiliations
Janakiram Rao Boothpur
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