Prevalence and antibiotic susceptibility of bacteria from acute and chronic wounds in Malaysian subjects

Introduction: Chronic wounds represent a major health burden worldwide. It has been hypothesized that the polymicrobial nature of wounds plays an important role in their healing process. Thus, a review of pathogen frequency and susceptibility patterns in wounds is necessary to provide appropriate gu...

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Main Authors: Wong, S.Y., Manikam, R., Muniandy, S.
Format: Article
Published: Journal of Infection in Developing Countries 2015
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Online Access:http://eprints.um.edu.my/19442/
http://dx.doi.org/10.3855/jidc.5882
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spelling my.um.eprints.194422018-09-28T02:09:55Z http://eprints.um.edu.my/19442/ Prevalence and antibiotic susceptibility of bacteria from acute and chronic wounds in Malaysian subjects Wong, S.Y. Manikam, R. Muniandy, S. R Medicine Introduction: Chronic wounds represent a major health burden worldwide. It has been hypothesized that the polymicrobial nature of wounds plays an important role in their healing process. Thus, a review of pathogen frequency and susceptibility patterns in wounds is necessary to provide appropriate guidelines for antimicrobial usage. Methodology: In this study, microbiota and antimicrobial resistance in both acute and chronic wound patients treated at the University of Malaya Medical Centre, Malaysia, were compared. Wound swabs from 84 patients with acute wounds and 84 patients with chronic wounds were collected. The specimens were cultured using standard microbiological techniques. Isolates were then tested for antibiotic sensitivity with the broth microdilution method. Results: Of 210 pathogenic bacteria isolates, Staphylococcus aureus (49; 23.3%) and Pseudomonas aeruginosa (31; 14.8%) were the most prevalent bacteria found in wounds. Staphylococcus aureus was found significantly more often in patients with chronic wounds (41; 48.8%) than in patients with acute wounds (8; 9.5%), while Staphylococcus epidermidis was found predominantly in acute wounds (15; 17.9%). At the time of study, patients with chronic wounds (58.3%) had received more antibiotic treatments in the past previous 12 months compared with patients with acute wounds (16.7%). In the antibiotic susceptibility test, Staphylococcus spp. revealed highest resistance towards penicillin and ampicillin. Isolates showed no decrease in susceptibility against a number of newly developed antibiotics (linezolid, daptomycin, and tigecycline). Conclusions: Our finding showed that bacteria diversity and antimicrobial-resistant strains are more frequently found in chronic wounds than in acute wounds. Journal of Infection in Developing Countries 2015 Article PeerReviewed Wong, S.Y. and Manikam, R. and Muniandy, S. (2015) Prevalence and antibiotic susceptibility of bacteria from acute and chronic wounds in Malaysian subjects. Journal of Infection in Developing Countries, 9 (09). pp. 936-944. ISSN 2036-6590 http://dx.doi.org/10.3855/jidc.5882 doi:10.3855/jidc.5882
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic R Medicine
spellingShingle R Medicine
Wong, S.Y.
Manikam, R.
Muniandy, S.
Prevalence and antibiotic susceptibility of bacteria from acute and chronic wounds in Malaysian subjects
description Introduction: Chronic wounds represent a major health burden worldwide. It has been hypothesized that the polymicrobial nature of wounds plays an important role in their healing process. Thus, a review of pathogen frequency and susceptibility patterns in wounds is necessary to provide appropriate guidelines for antimicrobial usage. Methodology: In this study, microbiota and antimicrobial resistance in both acute and chronic wound patients treated at the University of Malaya Medical Centre, Malaysia, were compared. Wound swabs from 84 patients with acute wounds and 84 patients with chronic wounds were collected. The specimens were cultured using standard microbiological techniques. Isolates were then tested for antibiotic sensitivity with the broth microdilution method. Results: Of 210 pathogenic bacteria isolates, Staphylococcus aureus (49; 23.3%) and Pseudomonas aeruginosa (31; 14.8%) were the most prevalent bacteria found in wounds. Staphylococcus aureus was found significantly more often in patients with chronic wounds (41; 48.8%) than in patients with acute wounds (8; 9.5%), while Staphylococcus epidermidis was found predominantly in acute wounds (15; 17.9%). At the time of study, patients with chronic wounds (58.3%) had received more antibiotic treatments in the past previous 12 months compared with patients with acute wounds (16.7%). In the antibiotic susceptibility test, Staphylococcus spp. revealed highest resistance towards penicillin and ampicillin. Isolates showed no decrease in susceptibility against a number of newly developed antibiotics (linezolid, daptomycin, and tigecycline). Conclusions: Our finding showed that bacteria diversity and antimicrobial-resistant strains are more frequently found in chronic wounds than in acute wounds.
format Article
author Wong, S.Y.
Manikam, R.
Muniandy, S.
author_facet Wong, S.Y.
Manikam, R.
Muniandy, S.
author_sort Wong, S.Y.
title Prevalence and antibiotic susceptibility of bacteria from acute and chronic wounds in Malaysian subjects
title_short Prevalence and antibiotic susceptibility of bacteria from acute and chronic wounds in Malaysian subjects
title_full Prevalence and antibiotic susceptibility of bacteria from acute and chronic wounds in Malaysian subjects
title_fullStr Prevalence and antibiotic susceptibility of bacteria from acute and chronic wounds in Malaysian subjects
title_full_unstemmed Prevalence and antibiotic susceptibility of bacteria from acute and chronic wounds in Malaysian subjects
title_sort prevalence and antibiotic susceptibility of bacteria from acute and chronic wounds in malaysian subjects
publisher Journal of Infection in Developing Countries
publishDate 2015
url http://eprints.um.edu.my/19442/
http://dx.doi.org/10.3855/jidc.5882
_version_ 1643690989749010432
score 13.211869