Wound infection still remains a significant cause of morbidly and mortality. Hence, studying the spectrum of bacterial etiological agents and their drug susceptibility profile is critical. A prospective study was conducted at Arsho Advanced Medical Laboratory from June 2016 to July 2017. Wound specimens were collected from 366 patients following standard procedures. Specimens were plated and incubated at 37°C for 48 hours. Identification and drug susceptibility testing of cultures were carried out by using the VITEK 2 compact system. Among 366 wound samples cultured, bacteria grew in 271(74%) samples. The highest (81.9%) wound infections were documented among patients with an age group of 15-64 years. Two hundred twenty one bacterial isolates were recovered of which 43.2% were Gram-negative while, 56.8% were Gram-positive. Staphylococcus aureus and Coagulase-Negative Staphylococci were major Gram-positive bacteria while Escherichia coli and Pseudomonas spp. were the commonest Gram-negative bacteria. Gram-negative bacteria had the highest overall drug resistance rate against ampicillin. Tobramycin and piperacillin/tazobactam combination were effective antimicrobial agents against Gram-negative bacteria. The highest overall resistance rate to Gram-positive bacteria was observed against erythromycin. Vancomycin and linezolid were the most active antimicrobial agents against Gram-positive bacteria. High culture positivity rate of wound infections reported in the present study initiates many similar studies to be conducted on wound in the country. High level of drug resistance to the commonly prescribed drugs dictates a search for better choices.
Published in | Clinical Medicine Research (Volume 7, Issue 1) |
DOI | 10.11648/j.cmr.20180701.12 |
Page(s) | 8-17 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2018. Published by Science Publishing Group |
Wound Infections, Drug Suscetibity Pattern, Etiological Agents, Ethiopia
[1] | Esebelahie NO, Newton-Esebelahie FO, Omoregie R. Aerobic bacteria isolated from infected wound. Afr J Clin Exp Microbial. 2013; 14:1595-689. |
[2] | Bowler PG, Duerden BI, Armstrong DG. Wound microbiology and associated approaches to wound management. Clin Microbiol Rev. 2001; 14:244-269. |
[3] | Onderdonk AB. Pharmacodynamics and microbiology of tovrafloxacin in animal models of surgical infection. Am J Surg. 1998; 176:39S–45S. |
[4] | Lipsky BA, Weigelt JA, Gupta V, Killian A, Peng MM. Skin, soft tissue, bone, and joint infections in hospitalized patients: epidemiology and microbiological, clinical, and economic outcomes. Infect Control Hosp Epidemiol. 2007; 28:1290–1298. |
[5] | Zervos MJ, Freeman K, Haque N, Pokharna H, Raut M, Kim M. Epidemiology and outcomes of complicated skin and soft tissue infections in hospitalized patients. J Clin Microbiol. 2012; 50:238–245. |
[6] | Howell-Jones RS, Wilson MJ, Hill KE, Howard AJ, Price PE, Thomas DW. A review of the microbiology, antibiotic usage and resistance in chronic skin wounds. J Antimicrob Chemother. 2005; 55: 143–149. |
[7] | Samuel SO, Kayode OO, Musa OI, Nwigwe GC, Abanerin AO. Nosocomial infections and the challenges of control in developing countries. Afr J Clin Exp Microbiol. 2010; 11:102-110. |
[8] | Sani PG, Kodwavwala MYD. Wound infections at the Kenyatta National Hospital. Pruc Assoc Surg East Afr 1991; 14: 36-38. |
[9] | De Macedo JLS, Santos JB. Bacterial and fungal colonization of burn wounds. Mem Inst Oswaldo Cruz. 2005; 100: 535-539. |
[10] | Nichols RE. Preventing surgical site infections: a surgeon’s perspective Emerg Infect Dis. 2001; 7: 220-224. |
[11] | Bitew A, Molalign T, Chanie M. Species distribution and antibiotic susceptibility of bacterial uropathogens among patients complaining of urinary tract infections. BMC infectious disease 2017; 17:654. DOI 10.1186/s12879-017-2743-8. |
[12] | Mulu A, Moges F, Tessema B, Kassu A. Pattern and multiple drug resistance of bacterial pathogens isolated from wound infection at University of Gondar Teaching Hospital, Northwest Ethiopia. Ethiop Med J. 2006; 44:251-31. |
[13] | Mulugeta KA. Bayeh AB. Bacteriology and antibiogram of pathogens from wound infections at Dessie Laboratory, North East Ethiopia. Tanzania J Health Res. 2011; 13: 1-10. |
[14] | Anguzu JR, Olila D. Drug sensitivity patterns of bacterial isolates from septic post-operative wounds in a regional referral hospital in Uganda. Afr Health Sci. 2007; 7: 148-154. |
[15] | Oladeinde BH, Omoregie R, Olley M, Anunibe JA, Onifade AA. A 5 - year surveillance of wound infections at a rural tertiary hospital in Nigeria. Afr Health Sci. 2013; 13: 351–356. |
[16] | Mohammedaman M, Alemseged A, Tsegaye S. Antimicrobial susceptibility pattern of bacterial isolates from wound infection and their sensitivity to alternative topical agents at Jimma University Specialized Hospital, South-West Ethiopia. Annals of Clin Microbiol and Antimicrob. 2014; 13: 14-10. |
[17] | Giacometti A, Cirioni O, Schimizzi AM. Epidemiology and Microbiology of Surgical Wound Infections. J Clin Microbiol. 2000; 38: 918–922. |
[18] | Karlowsky JA, Draghi DC, Jones ME, Thornsberry C, Friedland IR, Sahm D. Surveillance for antimicrobial susceptibility among clinical isolates of Pseudomonas aeruginosa and Acinetobacter baumannii from hospitalized patients in the United States, 1998–2001. Antimicrob Agents Chemother. 2003; 47: 1681–1688. |
[19] | Scott P, Deye G, Srinivasan A, Murray C, Moran M, Hulten ED. An outbreak of multidrug-resistant Acinetobacter baumannii-calcoaceticus complex infection in the US military health care system associated with military operations in Iraq. Clin Infect Dis. 2007; 44:1577–1584. |
[20] | Mohammed A, Adeshina GO, Ibrahim, YK. Incidence and Antibiotic susceptibility pattern of bacterial isolates from wound infections in a Tertiary Hospital in Nigeria. Trop J Pharm Res. 2013; 12: 617-621. |
[21] | Manikandan C, Amsath A. Antibiotic susceptibility of bacterial strains isolated from wound infection patients in Pattukkottai, Tamilnadu, India. Int J Curr Microbiol App Sci. 2013. 2: 195-203. |
[22] | Lu PL, Liu YC, Toh HS, Lee YL, Liu YM, Ho CM et al. Epidemiology and antimicrobial susceptibility profiles of Gram-negative bacteria causing urinary tract infections in the Asia-Pacific region: 2009–2010 results from the Study for Monitoring Antimicrobial Resistance Trends (SMART). 2012; Int. J Antimicrob Agents 40S1: S37–S4322. |
[23] | Bours PHA, Polak R, Hoepelman AIM, Delgado E, Jarquin A, Matute AJ. Increasing resistance in community-acquired urinary tract infections in Latin America, five years after the implementation of national therapeutic guidelines. Int. J. Infect. Dis. 2010; 4: e770-e774. |
[24] | Mojtahedzadeh M, Panahi Y, Fazeli MR, Najafi A, Pazouki M, Navehsi BM. Intensive care unit-acquired urinary tract infections in patients admitted with sepsis: etiology, risk factors, and patterns of antimicrobial resistance. Int J Infect Dis. 2008; 12: 312—318. |
[25] | Juyal D, Prakash R, Shanakarnarayan SA, Sharma M, Negi V, Sharma N. Prevalence of non‑fermenting gram negative bacilli and their in vitro susceptibility pattern in a tertiary care hospital of Uttarakhand: A study from foothills of Himalayas. Saudi J.r Health Sci. 2013; 2: 108-112. |
[26] | Sivaraman V, Umadevi S, Srirangaraj S, Kali A, Seethaks. Multidrug resistant Acinetobacer species from various clinical samples in a tertiary care hospital from South India. Australasian Med. J. 2013:12:697-700. |
[27] | Mostof S, Mirnejad R, Faramaz M. Multi-drug resistance in Acinetobacter baumannii strains isolated from clinical specimens from three hospitals in Tehran-Iran. Afr. J Microbiol Res 2011; 5: 3579–82. |
[28] | Benachinmardi KK, Padmavathy M, Malini J, Naveneeth BV. Prevalence of non-fermenting Gram-negative bacilli and their in vitro susceptibility pattern at a tertiary care teaching hospital. J. Scientific Society. 214; 41:162-166. |
[29] | Orrett FA. Antimicrobial sensitivity patterns of aerobic bacterial blood isolates: experience at a University Hospital in Trinidad. Intl J Antimicrob. Agents. 2001; 17:75–77. |
[30] | Biadgelegne, F, Abera, B, Alem A, Anagaw B. Bacterial isolates from wound infection and their antimicrobial susceptibility pattern in Felege Hiwot Referral Hospital, Northwest Ethiopia. Ethiop J Health Sci. 2009; 19: 173-177. |
[31] | Petkovsˇek Z, Elersˇicˇ K, Gubina M., Zˇ gur-Bertok D, Erjavec MS. Virulence Potential of E. coli isolates from skin and soft tissue infections. J Clin Microbiol. 2009; 47: 1811–1817. |
[32] | Tiemersma EW, Stef LAM, Bronzwaer, Lyytikäinen O, Degener JE, Schrijnemakers P. Methicillin-resistant S. aureus in Europe, 1999–2002. Emerg Infect Dis. 2004; 10: 1627-1634. |
[33] | Moses AA, Uchenna UA, Nworie O. Epidemiology of Vancomycin Resistant S. aureus among Clinical Isolates in a Tertiary Hospital in Abakaliki, Nigeria. Am J Epidemiol Infect Dis. 2013; 1: 24-26. |
[34] | Hasan R, Acharjee M, Noor R. Prevalence of vancomycin resistant S. aureus (VRSA) in methicillin resistant S. aureus (MRSA) strains isolated from burn wound infection. TzuChi Med J. 2016; 28: 49-53. |
[35] | Ten Hav R-J, Tesfaye M, ten Have WR, Nigussie M. Profiling of antibiotic resistance of bacterial species recovered from routine clinical isolates in Ethiopia. Ann Clin Microbial Antimicrob. 2017; 16:46 DOI 10 1136/s 1294-017-0221-1. |
[36] | Amare B, Abdurrahman Z, Moges B, Ali J, Muluken L, Alemayehu M. Postoperative Surgical Site Bacterial Infections and Drug Susceptibility Patterns at Gondar University Teaching Hospital, Northwest Ethiopia. J Bacteriol Parasitol. 2011; 2-8. http://dx.doi.org/10.4172/2155-9597.1000126. |
[37] | Balodea A, Volga Punda-Poli´c V, Dowzickyc JM. Antimicrobial susceptibility of Gram-negative and Gram-positive bacteria collected from countries in Eastern Europe: results from the Tigecycline Evaluation and Surveillance Trial (T.E.S.T.) 2004–2010. Int. J. Antimicrob.l Agents. 2013; 41: 527–535. |
[38] | Newman MJ, Enoch F, Asamoah-Adu A, Sampane-Donkor E. The Ghanaian- Dutch Collaboration for Health Research and Development Project Number 2001/GD/072006; Technical Repot Series No. 5. |
APA Style
Adane Bitew, Mesele Admassie, Tigist Getachew. (2018). Spectrum and Drug Susceptibility Profile of Bacteria Recovered from Patients with Wound Infection Referred to Arsho Advanced Medical Laboratory. Clinical Medicine Research, 7(1), 8-17. https://doi.org/10.11648/j.cmr.20180701.12
ACS Style
Adane Bitew; Mesele Admassie; Tigist Getachew. Spectrum and Drug Susceptibility Profile of Bacteria Recovered from Patients with Wound Infection Referred to Arsho Advanced Medical Laboratory. Clin. Med. Res. 2018, 7(1), 8-17. doi: 10.11648/j.cmr.20180701.12
AMA Style
Adane Bitew, Mesele Admassie, Tigist Getachew. Spectrum and Drug Susceptibility Profile of Bacteria Recovered from Patients with Wound Infection Referred to Arsho Advanced Medical Laboratory. Clin Med Res. 2018;7(1):8-17. doi: 10.11648/j.cmr.20180701.12
@article{10.11648/j.cmr.20180701.12, author = {Adane Bitew and Mesele Admassie and Tigist Getachew}, title = {Spectrum and Drug Susceptibility Profile of Bacteria Recovered from Patients with Wound Infection Referred to Arsho Advanced Medical Laboratory}, journal = {Clinical Medicine Research}, volume = {7}, number = {1}, pages = {8-17}, doi = {10.11648/j.cmr.20180701.12}, url = {https://doi.org/10.11648/j.cmr.20180701.12}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20180701.12}, abstract = {Wound infection still remains a significant cause of morbidly and mortality. Hence, studying the spectrum of bacterial etiological agents and their drug susceptibility profile is critical. A prospective study was conducted at Arsho Advanced Medical Laboratory from June 2016 to July 2017. Wound specimens were collected from 366 patients following standard procedures. Specimens were plated and incubated at 37°C for 48 hours. Identification and drug susceptibility testing of cultures were carried out by using the VITEK 2 compact system. Among 366 wound samples cultured, bacteria grew in 271(74%) samples. The highest (81.9%) wound infections were documented among patients with an age group of 15-64 years. Two hundred twenty one bacterial isolates were recovered of which 43.2% were Gram-negative while, 56.8% were Gram-positive. Staphylococcus aureus and Coagulase-Negative Staphylococci were major Gram-positive bacteria while Escherichia coli and Pseudomonas spp. were the commonest Gram-negative bacteria. Gram-negative bacteria had the highest overall drug resistance rate against ampicillin. Tobramycin and piperacillin/tazobactam combination were effective antimicrobial agents against Gram-negative bacteria. The highest overall resistance rate to Gram-positive bacteria was observed against erythromycin. Vancomycin and linezolid were the most active antimicrobial agents against Gram-positive bacteria. High culture positivity rate of wound infections reported in the present study initiates many similar studies to be conducted on wound in the country. High level of drug resistance to the commonly prescribed drugs dictates a search for better choices.}, year = {2018} }
TY - JOUR T1 - Spectrum and Drug Susceptibility Profile of Bacteria Recovered from Patients with Wound Infection Referred to Arsho Advanced Medical Laboratory AU - Adane Bitew AU - Mesele Admassie AU - Tigist Getachew Y1 - 2018/03/07 PY - 2018 N1 - https://doi.org/10.11648/j.cmr.20180701.12 DO - 10.11648/j.cmr.20180701.12 T2 - Clinical Medicine Research JF - Clinical Medicine Research JO - Clinical Medicine Research SP - 8 EP - 17 PB - Science Publishing Group SN - 2326-9057 UR - https://doi.org/10.11648/j.cmr.20180701.12 AB - Wound infection still remains a significant cause of morbidly and mortality. Hence, studying the spectrum of bacterial etiological agents and their drug susceptibility profile is critical. A prospective study was conducted at Arsho Advanced Medical Laboratory from June 2016 to July 2017. Wound specimens were collected from 366 patients following standard procedures. Specimens were plated and incubated at 37°C for 48 hours. Identification and drug susceptibility testing of cultures were carried out by using the VITEK 2 compact system. Among 366 wound samples cultured, bacteria grew in 271(74%) samples. The highest (81.9%) wound infections were documented among patients with an age group of 15-64 years. Two hundred twenty one bacterial isolates were recovered of which 43.2% were Gram-negative while, 56.8% were Gram-positive. Staphylococcus aureus and Coagulase-Negative Staphylococci were major Gram-positive bacteria while Escherichia coli and Pseudomonas spp. were the commonest Gram-negative bacteria. Gram-negative bacteria had the highest overall drug resistance rate against ampicillin. Tobramycin and piperacillin/tazobactam combination were effective antimicrobial agents against Gram-negative bacteria. The highest overall resistance rate to Gram-positive bacteria was observed against erythromycin. Vancomycin and linezolid were the most active antimicrobial agents against Gram-positive bacteria. High culture positivity rate of wound infections reported in the present study initiates many similar studies to be conducted on wound in the country. High level of drug resistance to the commonly prescribed drugs dictates a search for better choices. VL - 7 IS - 1 ER -