Effect of Most Common Antibiotics Against Bacteria Isolated From Surgical Wounds in Aden Governorate Hospitals, Yemen

Abstract

Objective: The increased antibiotics resistance of pathogenic bacteria isolated from surgical wound is the major health threats challenge the patients especially in developing countries like Yemen. This work was aimed to determine and identify the bacteria associated with surgical wound infections and their resistance to commonly used antibiotics. Methods: One hundred and twenty swabs were sampled from surgical wound patients at Aden City, Yemen. The pathogenic bacteria were isolated and identified according to standard microbiological methods. Also, antibiotic susceptibility tests were determining by using Kirby-Bauer disc diffusion technique. Results: The results showed that out of 120 samples, 68 (56.67%) showed bacterial growth. It was found that the most isolated bacteria was Sylococcus aureus 27 (39.70%) followed by Escherichia coli 19(27.94%), Pseudomonas aeruginosa 13 (19.12%), and Proteus mirabilis 9 (13.24%). All isolated bacteria were recorded to be extremely resistant to the most tested antibiotics. S. aureus was reported to be susceptible to cefotaxime, vancomycin, and ciprofloxacin and highly resistant to ceftazidime, nalidixic acid, erythromycin, and tetracycline. The E. coli isolates showed resistance (100%) to vancomycin and tetracycline and moderately sensitive to ceftazidime and gentamycin. P. aeruginosa showed from high to moderate resistance to most tested antibiotics except gentamycin and cefotaxime. Most of P. mirabilis isolates were sensitive to ceftazidime, cefotaxime, ciprofloxacin, and gentamycin and highly resistant to amoxicillin, erythromycin, and vancomycin. Conclusion: The current study findings that the reduced sensitivity of isolated bacteria to commonly used antibiotics is an alarming and threat upsurge of infections caused by antibiotic-resistant bacteria.
 Peer Review History: 
 Received 27 January 2020; Revised 15 February; Accepted 1 March, Available online 15 March 2020
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 Received file 
 
 Average Peer review marks at initial stage: 6.0/10
 Average Peer review marks at publication stage: 7.5/10
 Reviewer(s) detail:
 Name: Dr. Mujde Eryilmaz
 Affiliation: Ankara University,Turkey
 E-mail: meryilmaz@ankara.edu.tr
 
 Name: Rola Jadallah
 Affiliation: Arab American University, Palestine
 E-mail: rola@aauj.edu
 Comments of reviewer(s): 
 
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“…In developing nations such as Yemen, overcrowding conditions, lack of health awareness, food insecurity, widespread poverty, and limited access to health services contribute to the prevalence of preventable diseases in the community [13][14][15][16]. Most of earlier studies which conducted in Ymene focused the S. pyogenes among children [6,17].…”

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Surgical Site Infections: Prevalence, Associated Factors and Antimicrobial Susceptibility Patterns of the Bacterial Isolates Among Postoperative Patients in Sana’a, Yemen

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