Sensitivity Pattern of Gram Negative Bacteria Contaminating Traumatic Wounds: A Retrospective Study in a Tertiary Care Hospital of Kathamandu Valley

Authors

  • Satya Narayan Suwal Department of General Practice and Emergency Medicine, Nepalese Army Institute of Health Sciences, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal
  • Sammodavardhana Kaundinnyayana Department of Pharmacology Napalese Army Institute of Health Sciences College of Medicine Sanobharayang Kathmandu Nepal
  • Krishna Govinda Prajapati Department of Microbiology, B and B Hospital, Gwarko, Lalitpur, Nepal
  • Reena Baidya Department of Pathology, B and B Hospital, Gwarko, Lalitpur, Nepal

DOI:

https://doi.org/10.3126/mjsbh.v19i2.27689

Keywords:

colistin, culture and sensitivity, gram negative bacteria, multi-drug resistance

Abstract

Introduction: Gram negative bacteria are commonly involved in wound infections and are significantly associated with morbidity and mortality because of increasing resistance to commonly used antibacterial agents. This study aims to evaluate the pattern of antibacterial sensitivity of the gram negative bacteria from wound swabs of accidental trauma cases.

Methods: This retrospective study was done by collecting all the culture positive reports for wound swabs of accidental wounds from the microbiology laboratory and analyzing the reports showing growth of gram negative bacteria for frequency of sensitivity to commonly used antibacterial agents.

Results: Culture positivity rate was 21.95% with growth of gram negative bacteria in 79.7% of cases. The most commonly isolated organism was Escherichia coli being 41.3% among gram negative isolates. Highly resistant bacteria were E. coli, Klebsiella pneumoniae and Acinetobacter spp.

Conclusions: As there is low culture positivity rate for wound swabs obtained before washing the wounds inflicted by accidental trauma, prolonged routine use of prophylactic antibiotic is not justified. Thoroughly washing the wound is very likely to decrease the rate of wound infection further and reduces the need of antibacterial agents. Culture and sensitivity test should guide the treatment when wound is infected because highly resistant gram negative organism may be involved in such cases.

Downloads

Download data is not yet available.
Abstract
250
PDF
246

Author Biographies

Satya Narayan Suwal, Department of General Practice and Emergency Medicine, Nepalese Army Institute of Health Sciences, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal

Department of General Practice and Emergency Medicine

Sammodavardhana Kaundinnyayana, Department of Pharmacology Napalese Army Institute of Health Sciences College of Medicine Sanobharayang Kathmandu Nepal

Department of Pharmacology

Assistant Professor

Krishna Govinda Prajapati, Department of Microbiology, B and B Hospital, Gwarko, Lalitpur, Nepal

Department of Microbiology

Reena Baidya, Department of Pathology, B and B Hospital, Gwarko, Lalitpur, Nepal

Department of Pathology

Downloads

Published

2020-06-26

How to Cite

Suwal, S. N., Kaundinnyayana, S., Prajapati, K. G., & Baidya, R. (2020). Sensitivity Pattern of Gram Negative Bacteria Contaminating Traumatic Wounds: A Retrospective Study in a Tertiary Care Hospital of Kathamandu Valley. Medical Journal of Shree Birendra Hospital, 19(2), 103–107. https://doi.org/10.3126/mjsbh.v19i2.27689

Issue

Section

Original Articles