DOI: http://dx.doi.org/10.18203/issn.2455-4529.IntJResDermatol20175517

A clinico-bacteriological study of pyodermas in pediatric population

Guneet Awal, Tanreet Kaur

Abstract


Background: Pyodermas are frequently confronted skin infections by dermatologists in pediatric population. While treating them recurrence and resistance to commonly used antibiotics are the major concerns.

Methods: 456 cases of pyodermas in pediatric population attending dermatology outpatient department of Sri Guru Ram Das Medical College over the period of 8 months from February 2016- October 2016 were evaluated. Samples were collected with sterile swab and sent for gram staining, culture and sensitivity.

Results: Majority of cases of pyodermas in pediatric population were due to impetigo and secondarily infected scabies. Most cases were seen in the age group of 4-7 years. Staphylococcus aureus (49.5%) was the most frequently isolated organism from these cases followed by streptococcus (29.8%). Majority of these gram positive organisms were sensitive to antibiotics like amoxiclav, ampicillin and linezolid. E. coli and enterococcus were predominantly encountered gram negative isolates with high susceptibility to aminoglycosides and ceftriaxone.

Conclusions: Bacteriological study of pyodermas and knowledge of their susceptibility pattern is imperative for appropriate management. It also helps in prevention of emergence of resistant strains.


Keywords


Bacterial skin infections, Antibiotics, Resistance, Culture

Full Text:

PDF

References


Wolff K, Goldsmith LA, Katz SI. Fitzpatrick’s Dermatology in General Medicine. 8th ed. New York: McGraw Hill; 2012.

Bhat RM. Recurrent pyoderma in children. Indian J Paediatr Dermatol. 2012;13:53-4.

Vayalumkal JV, Jadavji T. Children hospitalized with skin and soft tissue infections. A guide to antibacterial selection and treatment. Pediatr Drugs. 2006;8:99-111.

Nagaraju U, Bhat G, Kuruvila M, Pai GS, Jayalakshmi, Babu RP. Methicillin-resistant Staphylococcus aureus in community-acquired pyoderma. Int J Dermatol. 2004;43:412-4.

Furtado S, Bhat RM, Rekha B, Sukumar D, Kamath GH, Martis J, et al. The clinical spectrum and antibiotic sensitivity patterns of staphylococcal pyodermas in the community and hospital. Indian J Dermatol. 2014;59:143-50.

Malhotra SK, Malhotra S, Dhaliwal GS, Thakur A. Bacteriological study of pyodermas in a tertiary care dermatological center. Indian J Dermatol. 2012;57:358-61.

Patil R, Baveja S, Nataraj G, Khopkar U. Prevalence of methicillin-resistant Staphylococcus aureus (MRSA) in community-acquired primary pyoderma. Indian J Dermatol Venereol Leprol. 2006;72:126-8.

Khare AK, Bansal NK, Dhruv AK, A clinical and bacteriological study of pyodermas. Indian J Dermatol Venereol Leprol. 1988;54:192-5.

Chen AE, Goldstein M, Carroll K, Song X, Perl TM, Siberry GK. Evolving epidemiology of pediatric Staphylococcus aureus cutaneous infections in a Baltimore hospital. Pediatr Emerg Care. 2006;22:717-23.

Thind P, Prakash SK, Wadhwa A, Garg VK, Pati B. Bacteriological profile of community-acquired pyodermas with special reference to methicillin resistant Staphylococcus aureus. Indian J Dermatol Venereol Leprol. 2010;76:572-4.

Alabi AS, Frielinghaus L, Kaba H, Kösters K, Huson MA, Kahl BC, et al. Retrospective analysis of antimicrobial resistance and bacterial spectrum of infection in Gabon, Central Africa. BMC Infect Dis. 2013;13:455.

Mathew SM, Garg BR, Kanungo R. A clinico-bacteriological study of primary pyodermas of children in Pondicherry. Indian J Dermatol Venereol Leprol. 1992;58:183-7.

Ray GT, Suaya JA, Baxter R. Microbiology of skin and soft tissue infections in the age of community-acquired methicillin-resistant Staphylococcus aureus. Diagn Microbiol Infect Dis. 2013;76:24-30.

Baslas RG, Arora SK, Mukhija RD, Mohan L, Singh UK. Organisms causing pyoderma and their susceptibility patterns. Indian J Dermatol Venereol Leprol. 1990;56:127-9.

Sachdev D, Amladi S, Natraj G, Baveja S, Kharkar V, Mahajan S, et al. An outbreak of methicillin-resistant Staphylococcus aureus (MRSA) infection in dermatology indoor patients. Indian J Dermatol Venereol Leprol. 2003;69:377-80.