Publication:

Current trend of bacteriological sensitivity patterns from superficial and deep wounds in pressure ulcers

Background To investigate the incidence of different bacteria isolates in 50 samples of superficial pus culture and deep tissue specimen from pressure ulcer in a tertiary health care centre in central India and their antibacterial susceptibility patterns.

Methods Wound swab and tissue samples were collected from grade III/grade IV pressure ulcer and cultured for bacterial isolates. The isolates were characterized and identified by standard microbiological methods. Antibiotic susceptibility testing was carried out.

Results Out of 50 specimens of superficial pus culture, 98% were infected with bacteria. Predominant isolate was of staphylococcus aureus (42%), pseudomonas (28%), streptococcus (18%) and E. coli (14%). Deep tissue culture of same specimens showed that there was no growth in 17 (34%) specimen. Pseudomonas was isolated in 14 (28%) and Klebsiella in 9 (18%).

Conclusions We suggest a multidisciplinary approach to wound management, routine microbiological surveillance of wounds, rational drug use and the institution of strong infection control policies.