Evaluation of Pressure ulcer - A Study of 30 cases

Background of the study: Pressure sores are major cause of morbidity and mortality in the patients of the long term care facility. Infected pressure sores are very difficult to treat. Managing pressure sore needs care and expertise. Objectives: To study the bacteriological status of pressure sore and to find out the sensitivity pattern of the isolated bacteria to the various antibiotics. Methods: 30 patients were included in this study. Wound swabs were collected from pressure sore Results: Most of the patients in our study were in the 30 - 40 yr age group. Among them 85 % were males and 15 % were females. In our study group sacrum 40 % were most affected by pressure sore followed by trochanter in 30 % and ischium in 2%. In remaining cases all three sites were involved. In our study most of the pressure ulcer was in stage II ( 48 % ) followed by III ( 50 % ). In our study organisms isolated were - E coli ( 30 % ) , Proteus ( 30 % ) , klebsiella ( 2 % ) Pseudomonas ( 30 % ) , Enterococcus ( 4 % ) , Bacteroides ( 4 % ). In 2002 Nigel JL8 described a study of 23 consecutive cases bacteriological status was assessed by anaerobic culture techniques and specialised specimen transport. An average of 4 isolates ( 3 aerobic and 1 anaerobic was recovered. Bacteremia was extremely prevalent ( 80 % ) presenting with sepsis manifestation. Aerobes were most commonly isolated from the ulcers than the anerobes. Bacterial sensitivity is as follows - most of them were sensitive to Pipiracillin / tazonactum , meropenem , Amoxyclavulanic , ceftriaxone.