Clinico- Bacteriological Study on Pyoderma in Tertiary Hospital in Biratnagar, Nepal: A Descriptive Cross Sectional Study
Introduction: Pyoderma is one of the commonest
clinical conditions encountered in dermatological
practices. In almost all cases pyodermas are
easily treatable, although chronicity, recurrence
and complications are rarely encountered.This
study was conducted to establish the Clinicobacteriological profile of pyodermas.
Materials and Methods: A Hospital based
Prospective descriptive study was conducted
at Department of Dermatology, Nobel medical
college, Biratnagar from April 2017 to March 2018.
Total 108 patients were enrolled in this study. All
the data were analyzed using SPSS version 22.
Results: Among 108 patients, 68% were male
and 32% were female. Mean age was 19.18 years
± 19.43 SD. In this study the majority of cases
(44.44%) were of impetigo, followed by folliculitis
(39.81%), furunculosis (8.33%), ecthyma (6.48%)
and bacterial dactylitis (0.92%).Sixty four cases
(59%) were gram positive, one case (1%) was
gram negative and in 43 (40%) cases no organism
was seen. Staphylococcus (S. aureus) was the
commonest organism isolated (66%) followed
by CONS (Coagulase Negative Staphylococcus
Aureus) (3%), Streptococcus pyogenes (S pyogens)
(1%), Pseudomonas aeruginosa (P aeuroginosa)
(1%), Enterobacter species (1%) and Escherchia
coli ( E Coli)(1%).
Conclusion: Impetigo was the most common type
of pyoderma encountered and Coagulase positive
S. aureus was the commonest organism isolated in
this study.Timely recognition and prompt bacterial
diagnosis is imperative for the effective management
and treatment of pyoderma.