Original Article

Antibiotic resistance of bacteria responsible for postoperative wound infections seen in the laboratory of the University Hospital of Befelatanana

Zafindrasoa D. Rakotovao-Ravahatra, Fidiniaina M. Randriatsarafara, Joely N. Rakotovao-Ravahatra, Andriamiadana L. Rakotovao
Journal of Public Health in Africa | Vol 14, No 9 | a103 | DOI: https://doi.org/10.4081/jphia.2023.2307 | © 2024 Zafindrasoa D. Rakotovao-Ravahatra, Fidiniaina M. Randriatsarafara, Joely N. Rakotovao-Ravahatra, Andriamiadana L. Rakotovao | This work is licensed under CC Attribution 4.0
Submitted: 03 April 2024 | Published: 30 September 2023

About the author(s)

Zafindrasoa D. Rakotovao-Ravahatra, Laboratory of the University Hospital of Joseph Raseta Befelatanana, Medical Biology Department, Faculty of Medicine, University of Antananarivo, Madagascar
Fidiniaina M. Randriatsarafara, National Institute of Public and Community Health, Department of Public Health, Faculty of Medicine, University of Antananarivo, Madagascar
Joely N. Rakotovao-Ravahatra, Doctoral School ‘Engineering of Industrial, Agricultural and Food Processes and Systems’, Graduate School of Agronomic Sciences, University of Antananarivo, Madagascar
Andriamiadana L. Rakotovao, Laboratory of the University Hospital of Joseph Raseta Befelatanana, Medical Biology Department, Faculty of Medicine, University of Antananarivo, Madagascar

Abstract

The management of postoperative wound infections is a major problem in hospitals due to the frequent ineffectiveness of antibiotic treatment. The objectives of this study are to identify the bacteria responsible for postoperative wound infections and to describe these antibiotic resistances in order to improve the management of these infections. It is a prospective study of 52 bacteriological results of postoperative wounds for a period of six months from January 2021 to June 2021 in the laboratory of the University Hospital of Befelatanana. This study showed 26 (50%) isolates of staphylococci, 17 (32.7%) isolates of enterobacteria, 6 (11.5%) isolates of streptococci and 3 (5.8%) isolates of nonfermenting gram‑negatif bacilli. Antibiotic resistance, varies from 0% (vancomycin) to 92.3% (penicillin G) for staphylococci isolates, 0% (imipenem, amikacin) to 94.1% (amoxicillin) for enterobacteria isolates, 0% (vancomycin) to 50% (penicillin G) for streptococci isolates and 33% (imipenem, amikacin) to 100% (cotrimoxazole) for the isolates of nonfermenting gram‑negatif bacilli. The knowledge of antibiotic resistance of bacteria responsible for postoperative wound infections allows better patient management.


Keywords

pus; antibiotic resistance; imipenem; amikacin

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