A STUDY OF WOUND INFECTIONS AND MICROBIAL WOUND ISOLATES AT PRINCE SAUD BIN JALAWI HOSPITAL, SAUDI ARABIA
Mohammed AlSaleh, Mustafa AlEssa and Essa AlSaleh*
ABSTRACT
Introduction: The wound is a breach in the integrity of skin that leads
to subcutaneous tissue exposure. Wound infection is one of the
principal cause of patient morbidity and mortality. They are also
considered one of the most common nosocomial infection. The aim of
this study was to analyze the surveillance dataset in order to describe
the epidemiology of wound infection in Prince Saud Bin Jalawi
Hospital, Saudi Arabia. Materials and Methods: The surveillance
system data of the two-year period (2016 and 2017) in Prince Saud Bin
Jalawi Hospital were analyzed. Results: Three hundred ninety-nine
patients admitted to Prince Saud Bin Jalawi hospital during the period
from January 2016 to December 2017 were notified to have wound
infection. 93.7% of patient were of Saudi nationality and 6.3% of non Saudi. More than half
of patients (60.7%) were female and 39.3% were male. Age ranged from 2 to 96 years (mean
52 ± 23 SD). 27.3% of patients had surgical wound infection and 27.6% had diabetes mellitus
foot wound. Gram-negative bacilli were the most prevalent bacteria isolated from the wound
(71.2%). The most frequent type of isolated organisms was Escherichia-Coli of sensitive type
(17.3%), Staphylococcus aureus (16.8%), and Pseudomonas aeruginosa (11.8%). The
bacterial isolates in the present study exhibited a high antibiotics resistance, with most
isolates having resistance levels ranging between 20% and 100%. Acinetobacter baumanni
showed high resistance to antibiotics ranging from 77 to 100%. Conclusion: Treatment of
wound infection needs laboratory guidance to preserve antimicrobial agents to multi-drug resistant pathogens. A prospective research about wound infection is needed to study the risk
factors, prior hospitalization, mortality and outcome at AlAhsa region.
Keywords: Wound infection. Microbial wound. Isolates. Prince Saud bin Jalawi Hospital. Saudi Arabia.
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