The Prevalence and Antimicrobial Sensitivity of S. Aureus Isolated from Patient with Skin Wound Infections in Shaafi Hospital

Abstract

Staphylococcal infections still remain an important cause of mortality and morbidity worldwide despite the development of antimicrobial agents. Staphylococcus aureus the most common cause of skin and soft tissue infections, such as boils and abscesses, as well as post-operative wound infections. The objective of this study was identifying the Prevalence and antimicrobial susceptibility of S.aureus isolated from patient with skin wound infection in Shaafi hospital. The method used in this study was Cross sectional descriptive design involving using quantitative method. The swabs were collected from wound from patients attending Shaafi Hospital. Swabs were cultured and identified by using gram staining according to standard conventional methods. The isolated organisms were tested for sensitivity against the antimicrobial agents that are commonly used in hospitals. A total 50 wound swabs were collected from patients with symptoms of wound infection attending to Shaafi Hospital, in Mogadishu Somalia. Different age groups and both sexes were covered. Staphylococcus aureus strains were the predominant organism isolated 13 (26%) of total samples, and other 37 (74%). were no growth. The bacteria that isolated from the patients were resistant to Amoxyclav, Methicillin and penicillin, while 9 of them 69.2% were sensitive to Vancomycin and 4 of them 30.8% were resistant to Vancomycin so the highest frequency of sensitivity with observed with Vancomycin while Amoxyklav, Methcillin and Penicillin were highest resistant.

Bacterial species isolated were all susceptible to Vancomycin which may be selected as the drugs of choice for treatment of wound infection. The development of bacterial resistance against Penicillin among all isolates reflects the abuse of antibiotics in Somalia. We recommended the hospitals and doctors: - Bacterial culture to ensure the appropriate antibiotics, to encourage the patients coming hospital early stages of wound, since the culture is high expensive we recommended the doctor holding seminars that persuade that the culture is the best diagnosis of bacterial infections, we recommend the doctors to give the technicians seminars about swabbing, isolation and identification of bacteria