Correlation Between Patients with Wounds and Isolated Pseudomonas aeruginosa and Staphylococcus aureus at Barau Dikko Teaching Hospital, Kaduna, Nigeria

M. Bobai, L. Danjuma, N. Sani, Joshua Istifanus Anekoson, Y. Nuhu
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Abstract

This study was carried out to determine the correlation between patients with wounds and isolated Pseudomonas aeruginosa and Staphylococcus aureus in clinics at Barau Dikko Teaching Hospital, Kaduna, Nigeria. The Socio-demographic, medical and drug histories and characteristics of the wounds from each consented patient were taken using a questionnaire along with sixty samples of the patient’s wound swab samples. Isolation of Pseudomonas aeruginosa and Staphylococcus aureus from the wound swab samples was carried out using standard phenotypic and genotypic procedures. Out of the 60 samples collected, 30 (50.0%) each were from general out-patient and inpatients. The higher percentage 12 (20.0%) and 39 (65.0%) were patients in the age group between 61 and above and male patients respectively. Regarding the patient’s occupations, the higher percentage 20 (33.3%) of the patients were businessmen and women. The patient’s wound location indicated that a higher percentage of 38 (63.3%) wounds were located on the leg. Also, only 13 (21.7%) patients had diabetes and 44 (73.3%) of the wound patients were receiving antimicrobials; the commonest being metronidazole 11 (18.33%), followed by mupirocin/Supirocin 9 (15.6%). A total of eleven isolates each of Pseudomonas aeruginosa and Staphylococcus aureus were isolated from the sixty wound swab samples of the in-and out-patients. Association between antimicrobial agents use and the organisms showed significant difference (P < 0.05), while the association between sex, diabetes status, duration of the wound and the isolation of Pseudomonas aeruginosa and Staphylococcus aureus from the wound of patients showed no statistically significant difference (P > 0.05).
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尼日利亚卡杜纳Barau Dikko教学医院伤口患者与分离的铜绿假单胞菌和金黄色葡萄球菌的相关性
本研究旨在确定尼日利亚卡杜纳Barau Dikko教学医院的伤口患者与分离的铜绿假单胞菌和金黄色葡萄球菌之间的相关性。通过调查表以及患者伤口拭子样本的60份样本,收集了每位同意患者的社会人口统计学、医学和药物史以及伤口特征。采用标准表型和基因型程序从伤口拭子样本中分离铜绿假单胞菌和金黄色葡萄球菌。60份样本中,普通科门诊患者和住院患者各30份(50.0%)。61岁及以上年龄组占12例(20.0%),男性占39例(65.0%)。就患者的职业而言,商人和女性患者所占比例较高(33.3%)。患者的伤口位置显示,38个(63.3%)伤口位于腿部的比例较高。仅13例(21.7%)患者患有糖尿病,44例(73.3%)伤口患者接受了抗菌药物治疗;最常见的是甲硝唑11(18.33%),其次是莫匹罗星/苏匹罗星9(15.6%)。从60例住院和门诊患者伤口拭子样本中分离出铜绿假单胞菌和金黄色葡萄球菌各11株。抗菌药物的使用与病原菌的相关差异有统计学意义(P < 0.05),而患者的性别、糖尿病状况、创面时间与创面中铜绿假单胞菌和金黄色葡萄球菌的分离差异无统计学意义(P > 0.05)。
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