Maryam Meskini, Mohsen Korani , Davoud Esmaeili ,
Volume 13, Issue 4 (7-2019)
Abstract
Background and Objectives: Burns are a major global public health problem, accounting for an estimated 180,000 deaths annually. The majority of burn-related deaths occur in low- and middle-income countries. Considering the importance of treating infected burn wounds with the least adverse effects, we aimed to search the literature to find new treatments for infected wounds using medicinal plants.
Methods: The search process was carried out using various databases including Google Scholar, ScienceDirect, Web of Science, MEDLINE, PubMed, Scopus, and the Cochrane Library. We searched for relevant original and review articles (published in English or Persian) using the following keywords: herbal extract, herbal medicine, burn infection, and wound infection.
Results: Overall, we found approximately 100 articles related to the use of medicinal plants for treatment of wounds or infections. According to these studies, main constituents of plant extracts were carvacrol, flavonoids, terpenoids, phenolic diterpenes, and phenolic acids. Most studies assessed the antimicrobial activity by determining minimum inhibitory concentration and minimum bactericidal concentration using the disc diffusion method.
Conclusion: Given the favorable antimicrobial activity of medicinal plants, it is recommended to use them for treatment of burn wound infections.
Syed Majid Ali, Jalila Qayoom, Talat Masoodi, Azhar Shafi, Arshi Syed,
Volume 18, Issue 5 (9-2024)
Abstract
Background: Post-operative wound infection has been a problem since surgery was started as a treatment modality and is the third most common cause of nosocomial infections with a reported incidence rate of 14-16%. This study aimed to investigate the prevalence, isolate and identify aerobic pathogenic bacteria from surgical site infections (SSI) and to determine the antibiotic susceptibility testing (AST) pattern of pathogenic bacteria.
Methods: This study was conducted at the Department of Microbiology SKIMS-Medical College, Bemina Srinagar, over a period of six months from November 2021 to April 2022. In the study, 210 samples from patients with SSI were included. Isolation, identification, and AST of the isolates were performed by standard microbiological techniques.
Results: Out of 210 SSI samples, 163 bacterial isolates were recovered and infection rate was more in 21-30 years age group (24.2%). Gram-negative bacteria were isolated in 50.4% (82/163) cases and E. coli was the most common organism (59.75%, 49/82). Gram-negative bacteria were sensitive to imipenem and none were resistant to polymyxin-B and colistin. E. coli was mostly resistant to cefoperazone, Acinetobacter and Klebsiella species were resistant to ceftazidime, Pseudomonas and Citrobacter were resistant to ceftriaxone. Gram-positive bacteria constituted 49.6% (81/163) and Methicillin-resistant Staphylococcus aureus (MRSA) was a frequently isolated species (66.6%, 54/81). MRSA- and methicillin-sensitive Staphylococcus aureus (MSSA) were mostly sensitive to amikacin, gentamycin, and tetracycline. Moreover, none of the Gram-positive isolates were resistant to linezolid, vancomycin, and teicoplanin. Enterococcus spp was mostly resistant to gentamycin.
Conclusion: This study developed an insight into post-operative wound infections and their incidence, organisms’ prevalence, and their antibiogram. Culture positivity in suspected cases of SSI was high (77.6%). MRSA and E. coli were frequently isolated from Gram-positive and Gram-negative bacteria.
