pyodermas.
Methods:
This hospital based prospective cross-sectional study was
conducted for a period of 12 months at Department of general Medicine at Mamata
Medical College and Hospital. The study was approved by the Institutional
Ethics Committee. Within a period of seven months, a total of 1965 cases were
examined in the outpatient and inpatient wings of the Dermatology Department
and of them 200 cases were diagnosed to have pyoderma, which comprised the
study population.
Results:
Pyoderma was
found all age groups mainly affecting 0-30 yrs age group constituting 55% of
cases. There were 55% males as compared to females. There were 65%
monomicrobial and 25% were polymicrobial. 60% had primary pyoderma and 40%
secondary pyoderma. In the present study, lower limb was affected followed by
upper limb, face, trunk and scalp. In the present study, lower limb was
affected followed by upper limb, face, trunk and scalp. Majority of the
patients had nil risk factors. The predominant isolate obtained was
Staphylococcus aureus, followed by Beta hemolytic Streptococci. All the
Staphylococcus aureus strains isolated were sensitive to vancomycin and 96%
were sensitive to linezolid. Sensitivity to penicillin was 8%, to amikacin it
was 75% and to doxycycline it was 84%.
Conclusion:
Pyoderma is a
major cause of morbidity among patients. In recent times, emerging drug
resistant strains are posing difficulties in treating pyoderma. Staphylococcus
aureus is most common organism causing pyoderma. Impetigo was found to be the
most common type followed by furunculosis, folliculitis & ecthyma.
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