Culture and sensitivity pattern of organisms in infected wounds

Objective: To find out the common bacteria causing wound infections and their sensitivity pattern to different antibiotics

Study design: Cross-sectional study

Place and Duration of Study: Bahawal Victoria Hospital Bahawalpur, from January 2014 to March 2014

Methodology: Patients with signs and symptoms of infected wounds were enrolled. Samples were collected by doctors in ward using commercially available sterile culture sticks after washing wound with saline to prevent surface contamination. The sample was sent to microbiology laboratory within one to two hours of sample collection. Culture and sensitivity pattern was performed in all the infected wounds. Data was analyzed manually and Chi square test was used to check the association of organisms with their antibiotic sensitivity pattern

Results: There were a total of sixty patients with infected wounds. Most common organism found in patients with infected wounds was Klebsiella [40%] followed by Pseudomonas [25%], Staphylococcus aureus and Echerichia coli, both 13.33%, and then Proteus [8.33%]. All these bacteria were resistant to most of the routinely used antibiotics

Conclusions: Most common bacteria cultured from infected wounds were Klebsiella and Pseudomonas. These were found sensitive to combination of cefoperazone and sulbactam, tazobactam and ciprofloxacin

experience with the surgical management of pressure ulcers around pelvis at Bahawal victoria hospital, Bahawalpur

Background: Pressure ulcers remains a major problem in bed ridden patients, due to many diseases

Objective: To determine the outcome of surgery in the management of pressure ulcers in paralyzed patients

Patients and Methods: Study design: This was a cross-sectional study. Duration and place of study: The study was conducted from 1[st] June 2007 to 30[th] June 2013 in the Department of Plastic and Reconstructive Surgery, Bahawal Victoria Hospital, Bahawalpur. After following inclusion and exclusion criteria patients were admitted. Their serum chemistry was sent. Patients with uncontrolled diabetes, anemia and improper care were excluded. Patients and their attendants were educated about the proper care of patient and send to home for a month. After one month they were called for follow-up and patients who followed directions were selected for surgery. After surgery, the outcome was measured in terms of recurrent infection. The data was entered and analyzed by using SPSS version 10

Results: Twenty-three patients were selected for surgical management. Most common pressure ulcers were sacral sores [47.8%] followed by ischial [34%] and trochanteric ulcers [17%]. Ischial Ulcers were most difficult one to treat with 37% recurrence. Pressure ulcers have high overall recurrence rate of 26%. Different types of musculocutaneous flaps were used

Conclusion: All types of flaps used for reconstruction have comparable results