Etiological profile of pyodermas in a tertiary care hospital in North-East India and their antibiotic sensitivity pattern
Keywords:Pyoderma, Predisposing factors, Bacterial isolate, Antimicrobial susceptibility
Background: Hypermelanoses involving predominantly the face and the neck is relatively common and often presents a complex diagnostic problem. The present study was done in the study population of 500 patients of facial pigmentation, attending the skin outpatient department in AarupadaiVeedu Medical College and Hospital from October 2015 to September 2017. Aim and objective of the study was to study various clinical patterns of facial pigmentation, their clinical characteristics, their association with other pigmentary disorders and to evaluate the different etiotogical and precipitating factors.
Methods: In this study, a special proforma was prepared. Patients were thoroughly interviewed and examined to find out dermatological and systemic diseases and they were subjected to investigations to evaluate different etiological factors and diagnose the clinical type of facial pigmentation.
Results: The present study showed a strong female preponderance. Among the total study population there were 55% cases of melasma, 20% cases of Riehls melanosis, 10% cases of periorbital pigmentation and 5% of miscellaneous causes.
Conclusions: Facial pigmentation was commonly seen in the females. 21-30 years age group was the most commonly affected age group in all types of facial pigmentation. Melasma, Riehls melanosis and periorbital pigmentation were the most common clinical types of facial pigmentation observed.
Coulson IH, Benton EC, Ogden S. Diagnosis of skin disease. In: Griffiths C, Barker J, Bleiker T, Chalmers R, Creamer D, eds. Rook’s Text Book of Dermatology. 9th ed. Blackwell Publication; 2016: 4.1-4.26.
Thapa DM. Bacerial Infections. In: Nashim S, Khanna M, eds. Clinical Pediatric Dermatology. Noida, India: Elsevier; 2009: 43-49.
Venkatesh BS, Nagaraju K, Vivekananda N. Bacteriological profile and antibiotic susceptibility of pyodermas at a tribal tertiary care Hospital. Sch J App Med Sci. 2016;4(8E):3087-91.
Maibach HI, Aly R. Bacterial infections of the skin. In: Moschella S, Hurley HJ, eds. Dermatology. 3rd ed. Philadelphia: WB Saunders; 1992: 710-750.
Gandhi S, Ojha AK, Ranjan N. Clinical and bacteriological aspects of pyoderma. North Am J Med Sci. 2012;4(10):492.
Badabagni P, Malkud S. Clinico-etiological study of pyodermas in a tertiary care hospital. Indian J Clin Exp Dermatol. 2016;2(2):53-7.
Nandihal NW, Ravi GS. A clinico-bacterial profile of pyoderma. Int J Curr Microbiol App Sci. 2017;6(3):1575-80.
Sonaya T, Javadekar T, Patel S, Kinariwala D, Govind N. Clincobacteriological study of pyoderma with special reference to community acquired methicillin resistant Staphylococcus aureus. Natl J Integr Res Med. 2012;3(1):21-5.
Ghadage DP, Sali YA. Bacteriological study of pyoderma with special reference to antibiotic susceptibility to newer antibiotics. Indian J Dermatol Venereol Leprol. 1999; 65(4):177-81.
Ahamed K, Batra A, Roy R, Kalla G. Clinical and bacteriological study of pyoderma in Jodhpur-western Rajasthan (1e). Indian J Dermatol Venereol Leprol. 1998;64(3): 156-7.
Kakar N, Kumar V, Mehta G, Sharma RC, Koranne RV. Clinico-bacteriological study of pyodermas in children. J Dermatol. 1999;26(5):288-93.
Hazarika N. A clinico-epidemiological study of pyoderma in children. Nat J Res Com Med. 2012;1(4):178-24.
Thind P, Prakash SK, Wadhwa A, Garg VK, Pati B. Bacteriological profile of community-acquired pyodermas with special reference to methicillin resistant Staphylococcus aureus. Indian J Dermatol Venereol Leprol. 2010;76(5):572-4.
Methews MS, Garg BR, Kanungo R. A clinico-bacteriological study of primary pyodermas in children in Pondicherry. Indian J Dermatol Venereol Leprol. 1992;58 (3):183-7.
Soumya R, Jayalekha B, Sreekumar PK; Bacteriological profile of pyoderma in tertiary care centre in Kerala India. Int J Res Dermatol. 2016;1(2):1-11.
Kar PK, Sharma NP, Shah BH. Bacteriological study of pyodermas in children. Indian J Dermatol. 1985;51:325-7.
Singh N, Devi S, Singh B. Bacteriological study of pyoderma in RIMS Hospital. JMS. 2005;19(3):109-12.
Syeed N. E-medicine. Bacteriological study of pyoderma. N Am J Med Sci. 2010;4(10):492–5.
Ramana KV, Mohanty SK, Kumar A. In-vitro activities of current antimicrobial agents against isolates of pyoderma. Indian J Dermatol Venereol Leprol. 2008;74:430.