Microbiological Analysis of Pseudomonas Aeruginosa and Staphylococcus Aureus Strains Isolated From Chronic Wounds

Ö. Akgül, Gülhan Bora
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Abstract

Background: Wounds are classified as acute and chronic according to their clinical course. Although chronic wounds are rare, they can lead to death due to delays in healing. In both types of wounds, colonization with gram positive and gram negative bacteria can be observed. The diagnosis of microorganisms and antibiotic susceptibility profiles are known to be very important in treatment. Material and Method: Swabs were taken from patients diagnosed with chronic wounds in our hospital. The samples were subjected to isolation and identification methods for microbiological analysis. Phenotypic antibiotic susceptibility analysis of each isolate was performed. Target gene analysis was performed for Staphylococcus aureus and Pseudomonas aeruginosa strains. Discussion: Acute and chronic wound wounds can cause significant health problems and even death. Especially chronic wounds may cause sepsis due to their delayed healing. Wounds can be colonized with hospital and community-acquired bacteria. Wounds can also be colonized with both gram-positive and gram-negative bacteria. In our study, colonization with S. aureus and P. aeruginosa was more common. Males were more susceptible than females. Conclusion: The most frequently isolated strains from patients with chronic wounds were S. aureus and P. aeruginosa. These strains were found to have multiple drug resistance. It was observed that strains with resistance genes posed a serious risk. A good understanding of the profiles of hospital and community-acquired wounds is very important in terms of establishing the correct treatment processes.  
慢性伤口铜绿假单胞菌和金黄色葡萄球菌微生物学分析
背景:伤口根据其临床病程分为急性和慢性。虽然慢性伤口很罕见,但由于愈合迟缓,它们可能导致死亡。在这两种类型的伤口中,可以观察到革兰氏阳性和革兰氏阴性细菌的定植。众所周知,微生物的诊断和抗生素的敏感性在治疗中非常重要。材料与方法:采集本院诊断为慢性伤口的患者拭子。样品采用分离鉴定方法进行微生物学分析。对各分离株进行表型药敏分析。对金黄色葡萄球菌和铜绿假单胞菌进行靶基因分析。讨论:急性和慢性伤口伤口可引起严重的健康问题,甚至死亡。特别是慢性伤口由于愈合迟缓,容易引起败血症。伤口可被医院和社区获得性细菌定植。伤口也可能被革兰氏阳性和革兰氏阴性细菌定植。在我们的研究中,金黄色葡萄球菌和铜绿假单胞菌的定植更为常见。男性比女性更容易受到感染。结论:从慢性伤口患者中分离出最多的菌株是金黄色葡萄球菌和铜绿假单胞菌。这些菌株被发现具有多重耐药。据观察,具有抗性基因的菌株具有严重的风险。充分了解医院和社区获得性伤口的概况对于建立正确的治疗过程非常重要。
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