CLINICO-MICROBIOLOGICAL PROFILE OF PYODERMAS IN PATIENTS PRESENTING TO DERMATOLOGY OUTPATIENT DEPARTMENT

Abstract

Aim: To study the clinico-microbiological profile of patients presenting with pyodermas in dermatology outpatient department.

Materials and Methods: The study was conducted in Outpatient Department of Dermatology, Venereology & Leprology, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune. The study was carried out over a period of two years, from August 2020 to July 2022. Clearance from the Institute's Ethics Committee (IEC) was obtained. In every patient, a detailed clinical history and examination with complete dermatological evaluation was done and accordingly the proforma was made. A record of all the relevant information such as period, type of lesions and their distribution over the body, progression, past and family histories were done. Pus culture and sensitivity was performed to know about the micro-organism involved & obtain its antibiotic susceptibility patterns.

Results: In our study, it was seen that majority of the patients were in the younger age group. There was male preponderance with 50 (56 %) patients presenting with pyodermas. 22 % reported school history and 18 % had family history for acquiring various pyodermas. The most commonly involved site as seen in maximum cases was multiple site involvement in 50 patients. The incidence of primary pyodermas (63%) was higher as compared to the secondary pyodermas (37%). Culture results showed that majority were positive culture results (87 %).

Conclusion: In accordance to the clinical diagnosis, primary pyoderma cases were higher as compared to the secondary pyodermas. Staphylococcus aureus was the most frequently isolated organism in majority of the cases from skin lesions of pyoderma patients. In our study, we found that vancomycin and ceftriaxone were the most effective antibiotics.