An analysis of microorganisms isolated from wound cultures in pediatric cases

Muhammed Yusuf Ozan Avcı* and Metin Doğan

Introduction: Nowadays, thanks to the advancements in the follow-ups and treatments of diseases, more patients have been hospitalized. Especially chronic diseases such as cancers, increases infection risk. Although there is not much data in the literature about wound cultures in pediatric cases, it was found that wound infection has most commonly seen in the departments of general surgery and pediatric clinics respectively, as expected. Therefore, it is essential to know the microorganisms isolated from wounds in pediatric cases in terms of empirical treatment.

In this study, we aim to evaluate microorganisms isolated from wound cultures in pediatric cases retrospectively.

Materials and methods: Specimens accepted to the Medical Microbiology laboratory from the samples taken from the wound infections in the pediatric clinic of Necmettin Erbakan University Meram Faculty of Medicine Hospital between 01.01.2016 and 31.12.2018 were included in the study. Routinely, blood agar and Eosin methylene blue (EMB) agar were cultured at 37°C for 24 hours in an aerobic environment. Anaerobic cultures were not routinely done. Microorganisms growth and thought to be active in cultures have been identified by conventional methods and MALDI-TOF MS system/VITEC MS system (Bio Merieux, France).

Results: Of the 45 microorganisms isolated from wound cultures, the most frequent one wasPseudomonas aeruginosa with 35.5% of them (n=16). Speaking of other species, 20% were Acinetobacter baumannii (n=9), 13.3% were Candida spp.(n=6), 11% were Klebsiella pneumoniae(n=5), 8.8% were Escherichia coli (n=4), 8.8% were Staphylococcus aureus (n=4) and 2.2% were Achromobacter denitrificans (n=1).

Conclusion: Consequently, it was concluded that P. aeruginosa and A. baumanniiwere the most common germs growth in wound cultures. Hence this fact should be taken into consideration while starting empiric antibiotherapy to children with wound infection.

It is common information that isolated microorganisms may differentiate according to studying center and laboratories.

Keywords:

Published on: Jun 17, 2020 Pages: 16-18

Full Text PDF Full Text HTML DOI: 10.17352/ojpch.000025
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