Prevalence of MDR Pseudomonas aeruginosa of war-related wound and burn ward infections from some conflict areas of Western Yemen

Abstract

Background and objectives

The antibiotic resistant Pseudomonas aeruginosa affecting war-related wound injuries is a serious problem with regional and global implications, which requires antibiotic susceptibility testing on a regular basis. The primary aim of this study was to determine the prevalence for multi-drug resistance Pseudomonas aeruginosa of war-related wound infections from conflict areas in Hodiedah, Western Yemen.

Methods and materials

A study was undertaken with ninety-nine wound swabs from war-related wound infections patients those were hospitalized to Wound Burn Centre at Organization The General AL-Thawra Hospital, Hodiedah Western Yemen. The isolates were cultured and identified by standard microbiological techniques and with the use of Kirby- Bauer disc diffusion antibiotic susceptibility testing was done.

Results

Out of 99 swab isolates 46 were P. aeruginosa (46.46%). Highest incidence of 63.1% was found in the age group of 20–40 years. Isolates exhibited resistance to aminoglycosides; Gentamycin (87%), Tobramycin (78.2%) and Amikacin (82.6%). Curiously, 65.2% P. aeruginosa isolates were multidrug resistance (MDR).

Conclusion

This is the first report documenting enhanced MDR P. aeruginosa from war-related wound infections from Yemen. The sampling, timing of medical intervention plays crucial role in preventing nosocomial transmission of MDR P. aeruginosa strains.