Abstract
Glycosuria and bacterial infections of patients with prolonged orthopaedic wounds and the antibiotics susceptibility of the bacteria associates was studied between October 2016 and May 2017. A total of 130 male and female respondents aged 18 to 50 years were selected for this study from out – patients and in – patients at Imo State University Teaching Hospital Orlu, Federal Medical Centre Owerri and 4 major private hospitals in Orlu and Owerri. One hundred and twenty four (82.7%) respondents completed and returned their questionnaires and wound swab was collected from 101 (67.3%) respondents. Thirteen (12.9%) respondents had concomitant infections of 2 bacterial species each and 88 (87.1%) had single bacterial infection each. Five species of bacteria: Staphylococcus aureus, Streptococcus species, Pseudomonas aeruginosa, Proteus mirabilis and Escherichia coli were isolated from the patients. A total of 114 bacterial isolates were obtained. The most prevalent isolate (32.7%) was Pseudomonas aeroginosa and the least prevalent bacteria (12.8%) was Streptococcus species. Out of 124 respondents that completed and returned their questionnaires, 66 (53.2%) had wounds caused by vehicle road accident, 40 (32.3%) had wounds caused by assault / domestic violence and 16 (12.9%) had wounds caused by burn. The antibiotic susceptibility of the test isolates showed that ciprofloxacin (ciproxin) exhibited the highest growth inhibitory effect on Pseudomonas aeruginosa, Staphylococcus aureus, Streptococcus species, Proteus mirabilis and Escherichia coli. Nitrofurantoin did not exhibit any growth inhibitory effect on the test isolates except one strain of Escherichia coli. Ampiclox and Augmentin did not exhibit any growth inhibitory effect on Streptococcus species. Augmentin exhibited the lowest growth inhibitory effect on Staphylococcus aureus, Proteus mirabilis and Pseudomonas aeruginosa while Nitrofurantoin exhibited the lowest on Escherichia coli. Urine analysis of the patients showed that 54 (53.5%) out of 101 patients examined had glucose in their urine. Comparative analysis of the data showed that prevalence of long – healing orthopaedic wounds was higher amongst patients with glucose in their urine than those without glucose in their urine. This study has shown that microbial infections which complicate and contribute immensely to long time taken for orthopaedic wounds to heal are treatable with conventional antibiotics available in Nigerian markets and used in Nigerian hospitals.
Highlights
Orthopaedic wound is a wound that occurs in response to hard and/or soft tissue trauma
Out of 130 patients selected for this study, 124 (82.7%) patients completed and returned their questionnaires, 101 (67.3%) patients gave consent for wound swab to be collected from their wounds
5 species of bacteria: Staphylococcus aureus, Streptococcus species, Pseudomonas aeruginosa, Proteus mirabilis and Escherichia coli were isolated from the patients
Summary
Orthopaedic wound is a wound that occurs in response to hard and/or soft tissue trauma. This includes injuries to bone, muscle, ligament and tendons, as well as spinal cord injuries. Ifeanyi Odidika Clifford Obiajuru et al.: Assessment of Glycosuria and Bacterial Infections Amongst Prolonged – Healing. Orthopaedic Wound Patients in Hospitals Within Imo State South Eastern Nigeria for infection. Open fractures (fractures in which the skin is broken) put patients at higher risk for infection. Wound and bone infections can be disabling for patients because they can delay or prevent healing. Other workers [2, 3] reported that in wounds where oxygenation is not restored, healing is impaired. Accurate wound assessment and knowledge of nursing implications with specific wound care measures (cleansing, debridement, and dressings) is important for quality care
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