Original article
English
M.T. Husain 1, Q.N. Karim 3, S. Tajuri 2
1-Department of Plastic Surgery, College of Medicine, and King Khalid University, Hospital, Riyadh, K.S.A. 2-Department of Surgery, Al-Arab Medical University. Benghazi, G.S.P.L.A.J. 3-Department of Microbiology, St. Mary’s Medical School Paddington, London,U.K.
Garyounis Medical Journal Vol.12, No.1-2. January 1989:23-28
Abstract
A total of 172 burn wound swabs obtained from 90 patients admitted to the Aljala Hospital Burn Unit, Benghazi over a 5-month period were processed to determine the microbial flora colonizing burns and their resistance patterns to selected locally available topical and systemic agents. Approximately 84.88% of the swab specimens yielded growth of 11 bacterial genera and Candida spp; of these, Ps. aeruginosa, Staph. aureus and Klebsiella spp. predominated in order of prevalence, followed by enterobacteria. Polymyxin (100%), amikacin (90.91%) and carbenicillin (66.7%) were the most effective of 10 selected antibiotics tested against the 60 pseudomonas isolates. In vitro studies using 6 topical agents, Ps. aeruginosa strains were most sensitive, in decreasing order, to mafenide acetate, silver Sulphadiazine, acetic acid, silver nitrate and Eusol. 78% of Staph. aureus were resistant to Methicillin and Erythromycine and 93% to Tetracycline.
Keywords: An Analysis of Infection in a Burn Ward
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