Clinico- Bacteriological Study on Pyoderma in Tertiary Hospital in Biratnagar, Nepal: A Descriptive Cross Sectional Study

Abstract

Introduction: Pyoderma is one of the commonest clinical conditions encountered in dermatological practices. In almost all cases pyodermas are easily treatable, although chronicity, recurrence and complications are rarely encountered.This study was conducted to establish the Clinicobacteriological profile of pyodermas.

Materials and Methods: A Hospital based Prospective descriptive study was conducted at Department of Dermatology, Nobel medical
college, Biratnagar from April 2017 to March 2018. Total 108 patients were enrolled in this study. All the data were analyzed using SPSS version 22.

Results: Among 108 patients, 68% were male and 32% were female. Mean age was 19.18 years ± 19.43 SD. In this study the majority of cases (44.44%) were of impetigo, followed by folliculitis (39.81%), furunculosis (8.33%), ecthyma (6.48%) and bacterial dactylitis (0.92%).Sixty four cases (59%) were gram positive, one case (1%) was gram negative and in 43 (40%) cases no organism was seen. Staphylococcus (S. aureus) was the commonest organism isolated (66%) followed by CONS (Coagulase Negative Staphylococcus
Aureus) (3%), Streptococcus pyogenes (S pyogens) (1%), Pseudomonas aeruginosa (P aeuroginosa) (1%), Enterobacter species (1%) and Escherchia coli ( E Coli)(1%). Conclusion: Impetigo was the most common type of pyoderma encountered and Coagulase positive
S. aureus was the commonest organism isolated in this study.Timely recognition and prompt bacterial diagnosis is imperative for the effective management and treatment of pyoderma.