Abstract

A STUDY OF WOUND INFECTIONS AND MICROBIAL WOUND ISOLATES AT PRINCE SAUD BIN JALAWI HOSPITAL, SAUDI ARABIA

Mohammed AlSaleh, Mustafa AlEssa and Essa AlSaleh*

Abstract

Introduction: The wound is a breach in the integrity of skin that leads to subcutaneous tissue exposure. Wound infection is one of the principal cause of patient morbidity and mortality. They are also considered one of the most common nosocomial infection. The aim of this study was to analyze the surveillance dataset in order to describe the epidemiology of wound infection in Prince Saud Bin Jalawi Hospital, Saudi Arabia. Materials and Methods: The surveillance system data of the two-year period (2016 and 2017) in Prince Saud Bin Jalawi Hospital were analyzed. Results: Three hundred ninety-nine patients admitted to Prince Saud Bin Jalawi hospital during the period from January 2016 to December 2017 were notified to have wound infection. 93.7% of patient were of Saudi nationality and 6.3% of non Saudi. More than half of patients (60.7%) were female and 39.3% were male. Age ranged from 2 to 96 years (mean 52 ± 23 SD). 27.3% of patients had surgical wound infection and 27.6% had diabetes mellitus foot wound. Gram-negative bacilli were the most prevalent bacteria isolated from the wound (71.2%). The most frequent type of isolated organisms was Escherichia-Coli of sensitive type (17.3%), Staphylococcus aureus (16.8%), and Pseudomonas aeruginosa (11.8%). The bacterial isolates in the present study exhibited a high antibiotics resistance, with most isolates having resistance levels ranging between 20% and 100%. Acinetobacter baumanni showed high resistance to antibiotics ranging from 77 to 100%. Conclusion: Treatment of wound infection needs laboratory guidance to preserve antimicrobial agents to multi-drug resistant pathogens. A prospective research about wound infection is needed to study the risk factors, prior hospitalization, mortality and outcome at AlAhsa region.

Keywords: Wound infection. Microbial wound. Isolates. Prince Saud bin Jalawi Hospital. Saudi Arabia.