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LETTERS TO THE EDITOR
Year : 1998  |  Volume : 64  |  Issue : 3  |  Page : 156-157

Clinical and bacteriological study of pyoderma in jodhpur-western rajasthan


Department of Dermatology, Venereology and Leprology, Dr.S.N.Medical College, Jodhpur-342003, india

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PMID: 20921749

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How to cite this article:
Ahmed K, Batra A, Roy R, Kalla G, Khatri P K, Solanki A. Clinical and bacteriological study of pyoderma in jodhpur-western rajasthan. Indian J Dermatol Venereol Leprol 1998;64:156-7

How to cite this URL:
Ahmed K, Batra A, Roy R, Kalla G, Khatri P K, Solanki A. Clinical and bacteriological study of pyoderma in jodhpur-western rajasthan. Indian J Dermatol Venereol Leprol [serial online] 1998 [cited 2020 Jun 2];64:156-7. Available from: http://www.ijdvl.com/text.asp?1998/64/3/156/4679



  To the Editor: Top


Pyogenic skin infection is one of the common conditions. The universal use of antibiotics has produced changes in bacterial flora of man and increased resistance by the micro-organism.[1] In a study conducted in our department on 200 patients with purulent skin infection, various predisposing factors along with organism causing pyoderma and their sensitivity to commonly used antibiotics were considered.

Diagnosis was made on clinical grounds and those patients who had not received any antibiotics in the past 15 days were taken in this study. Laboratory investigations included smear for Gram's staining, bacteriological culture, drug sensitivity test and identification of each isolate by standard biochemical tests.

The highest incidence was observed in first decadeof life 70(30%) followed by second decade 54(27%). More than 80% were of middle and lower income groups. Clinical analysis showed that impetigo 58(27%) formed the largest clinical group followed by infectious eczematoid dermatitis 42(21%), furunculosis-42(21%), folliculitis 32 (16%) secondary pyoderma 14 (7%), cellulitis 7(3.5%), ecthyma 4(2%) and carbuncle 2(1.0%)

In our study staphylococcus was isolated as a single organism in 90 (52.6%), followed by Bhaemolytic streptococci 27 (15.7%), mixed organism 26 (13%). Similar study conducted by others showed Staphylococcus aureus isolation from 68% of cases.[2]

Complications of pyoderma were id reaction 11 (5.5%) and urticaria 7(3.5%). Acute glormerulonephritis was found as a complication of B - haemolytic streptococcal

infection in 1 (0.5%) patient. Similar observation reported streptococcal infection in 8 of the 9 acute glomerulonephritis cases.[3]

Total leucocyte count was increased in 29(14.5%) cases while impaired GTT was found in 9(4.5%) cases.

The drug sensitivity pattern showed that staphylococcus aureus was highly sensitive to ofloxacin 103 (96.2%) followed by erythromycin 100(93.45%) and gentamicin 76(71.02%) while Bhaemolytic streptococcus was also highly sensitive to ofloxacin 41 (95.3%) followed by erythromycin 38(88.3%) and gentamicin 36(88.7%).

The paucity of such a study from Western Rajasthan prompted us to report our observations.

 
  References Top

1.Dajani AS, Farah FS, Kurban AK. Bacteriological etiology of superficial pyoderma in Lebanon. J Paed 1968;73:431-435.  Back to cited text no. 1  [PUBMED]  [FULLTEXT]
2.Pasricha A. Bhujwala RA, Shrinivas. Bacteriological study of Poclerma. Ind J Path Bact 1972;15:131-138.  Back to cited text no. 2    
3.Jerath VP, Singh Rafan, Kumari Sudersnan. B haemolytic streptococci group A in the skin and throat of patients of scabies with nephritis. Ind J Med Res 1979;69:933-936.  Back to cited text no. 3    




 

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