Department of Dermatology, Medical Teaching Institute Lady Reading Hospital Peshawar.
DHQ Hospital, Landikotal.
J Ayub Med Coll Abbottabad. 2023 Oct-Dec;35(4):588-592. doi: 10.55519/JAMC-04-11896.
Vesiculobullous disorders are among the leading causes of admission to dermatology. These are characterized by distinct mucocutaneous involvement and by the development of vesicles and bullae (i.e. blisters). Methicillin-resistant Staphylococcus aureus (MRSA) is a group of gram-positive bacteria distinct from other strains of Staph aureus. As the susceptibility of bacteria to antibiotics varies from region to region and from time to time, this study will determine the pattern of antimicrobial susceptibility of MRSA isolates to the commonly prescribed antibiotics in our population. The objective is to determine the frequency of methicillin-resistant Staphylococcus aureus and its antibiotic sensitivity pattern in patients with vesiculobullous disorders admitted to the Dermatology unit of Lady Reading Hospital (LRH), Peshawar. It was Cross-sectional and carried out in study Department of Dermatology, Lady Reading Hospital, Peshawar from Oct 23, 2020, to Apr 22, 2021.
This study was carried out over 132 patients. After consent, Swabs of pus from the Vesiculobullous disorders were taken from all the patients and sent to a laboratory for culture. Staphylococcus aureus (MRSA) was labelled as Staphylococcus aureus bacteria by Kirby-Bauer disc diffusion method using oxacillin (1 μ gm.) disc on Mueller-Hinton agar (HiMedia Labs, Mumbai) with 24 hours incubation at 35 °C.
In this study, 132 patients were observed. The average age was 44.44 years ±13.74 SD. Male to female ratio was 1.30:1. There were 44(33.33%) patients who showed Methicillin Resistant Staphylococcus aureus (MRSA) in vesiculobullous disorders patients.
In our population, the frequency of staphylococcus aureus bacteria in vesiculobullous disorders is high so it will be considered while treating such patients.
水疱性疾病是导致皮肤科住院的主要原因之一。这些疾病的特征是明显的黏膜皮肤受累以及水疱和大疱(即水疱)的发展。耐甲氧西林金黄色葡萄球菌(MRSA)是一组不同于其他金黄色葡萄球菌菌株的革兰氏阳性细菌。由于细菌对抗生素的敏感性因地区和时间而异,因此本研究将确定我们人群中 MRSA 分离株对常用抗生素的抗菌药物敏感性模式。目的是确定耐甲氧西林金黄色葡萄球菌在我院皮肤科住院的水疱性疾病患者中的频率及其抗生素敏感性模式。这是一个横断面研究,于 2020 年 10 月 23 日至 2021 年 4 月 22 日在巴基斯坦白沙瓦的 Lady Reading 医院皮肤科进行。
这项研究共纳入了 132 名患者。在征得同意后,从所有患者的水疱性疾病脓疱中采集拭子,并将其送到实验室进行培养。使用 oxacillin(1 μ gm.)纸片,根据 Kirby-Bauer 纸片扩散法,在 Mueller-Hinton 琼脂(希麦迪实验室,孟买)上对金黄色葡萄球菌(MRSA)进行标记,孵育 24 小时,温度为 35°C。
在这项研究中,观察到 132 名患者。平均年龄为 44.44 岁±13.74 岁标准差。男女比例为 1.30:1。在水疱性疾病患者中,有 44(33.33%)例显示耐甲氧西林金黄色葡萄球菌(MRSA)。
在我们的人群中,水疱性疾病中金黄色葡萄球菌的频率很高,因此在治疗此类患者时需要考虑这一点。