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Indian Journal of Forensic Medicine & Toxicology
Year : 2019, Volume : 13, Issue : 4
First page : ( 1462) Last page : ( 1466)
Print ISSN : 0973-9122. Online ISSN : 0973-9130.
Article DOI : 10.5958/0973-9130.2019.00508.5

Study of Isolated Bacteria from Burn Wound of Patients Attended Plastic Surgery and Burns Unit

Al-Byti Aasem Mohamed1, Chakmakchy Saygin Abdulkadir1, Waheeb Abdulrazzaq Abbas1, Alazzawy Muhannad Abdullah2

1M.B. Ch. B.-FICM (Plastic), Tikrit University, College of Medicine, Tikrit, Iraq

2Kirkuk Health Directorate, Iraq

Online published on 27 November, 2019.

Abstract

Burns are one of the most public forms of trauma. Patients with severe thermal damage need instant focused maintenance in order to reduce morbidity and mortality. The aim of this study was to determine the prevalence of bacteria causing burin infection and their antibiotic resistance in Kirkuk city. This study carried out at the Plastic Surgery and Burns Unit in Azadi teaching hospital, Kirkuk-Iraq from January 2017-March, 2019. The study included 80 burned patient (50 females and 30 males), with age range 10–60 years. Swabs were taken from areas that seemed deep, with discharge, and the swabs were directly transported to the Microbiology Unit of the hospital. Data on age, gender and type of burn were also collected from the patients’ clinical folder. The wound swabs were instantly cultured, then the isolated bacteria were subcultured for antibiotic sensitivity. The study showed that 82.5% (66 of 80) of patients enrolled in the study had positive culture of wound swab and 17.5% was negative. The highest rate of isolated bacteria from burn infection (38.75%) were from patients within the age group 29–29 year, followed by 23.75% in patient within the age group 10–19 year while the lowest rate (7.5%) was within the age group 50–60 year. The study presented that 62.5% (50 of 80) of patients enrolled were females and 37.5% (30 of 50) were males. In this study, bacterial culture was positive in 66 of 80 cases, with the predominant bacteria being Staphylococcus aureus (33.33%) (Table 3), followed by Pseudomonas aeruginosa (31.81%), E. coli (15.15%), Klebsiella sp. (13.64%), Proteus sp. (3.03%) and (1.52%) for each of Acinetobacter sp. and Enterobacter sp. The study showed that most of S. aureus isolates were resistant to ampicillin, trimethoprim, ciprofloxacin, gentamicin and cefotaxime, most of Pseudomonas aeruginosa isolates were resistant to ampicillin, trimethoprim, ciprofloxacin and Augmentin, most of E. coli isolates were resistant to ampicillin, trimethoprim, Augmentin, trimethoprim, ciprofloxacin, ceftriaxone and tetracycline

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Keywords

Burn, burn and wound infection, Plastic surgery.

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