Clinico-Microbiological Profile Of Patients Presenting With Primary Pyodermas In Dermatology Outpatient Department

Abstract

Introduction: Purulent skin infection known as pyoderma is influenced by a variety of factors like Poverty, malnourishment, overcrowding, poor hygiene, and climatic conditions. Primary infections are initiated by a single organism and occur in healthy skin. Primary pyoderma causative organism and their antibiotic susceptibility trends vary region by region. The present study was carried out to get a better knowledge about primary pyodermas prevalence in patients and proper antibiotic selection guidelines for the better treatment of the patients.

Materials and Methods: A prospective observational study was conducted in the OPD of a dermatology clinic in a tertiary care hospital in western India for 1 year on 56 primary pyoderma patients. A detailed history and complete physical examination of patients were undertaken. Pus collection was done and bacterial culture along with drug susceptibility testing was carried out.

Results: Out of 56 patients, 55.35% were male and 44.64% were female. Among all primary pyoderma patients, 73.21% of patients were belonging to pediatric and teenage followed by 45 and above age 12.5%. The most frequently occurring in our study was folliculitis seen in 39.28% of patients. The most commonly encountered organisms were Staphylococcus aureus in 52.17% of patients. The highest resistance was notified against Gentamicin at 47.05% for MSSA and 100% for MRSA.

Conclusion: Pyodermas is frequently encountered in male children mainly who belong to the lower socioeconomic strata of society. Folliculitis constituted the major portion of primary pyodermas and Staphylococcus aureus was the frequently isolated organism in a majority of the cases from skin lesions of pyoderma patients.