A bacteriological study of intertrigo

Abstract

The study was taken up to identify the various bacterial agents causing intertrigo of feet and to determine the antimicrobial sensitivity pattern of the isolated bacterial agents. A total of 75 pus samples were collected from infected toe, web space infection by using sterile swabs.Samples were inoculated into Blood agar and MacConkey agar for the bacterial isolation and antibiotic susceptibility testing was performed as per CLSI Guidelines. Out of 75 samples examined 38 were from male patients and 37 were collected from female patients. 101 different types of bacteria were grown in the present study. Among them38 Gram-PositiveCocci (GPC) and 63 Gram-Negative Bacilli (GNB). Of 38 Gram positive cocci isolated, Staphylococcus aureuswere19 (18.81%), followed by Coagulase negative staphylococcus (CONS) 12 (11.88%) and Streptococcus spp7 (6.93%). Of 63 Gram negative bacilli isolated Pseudomonas were19 (18.81%), followed by Proteus 16 (15.84%) and Klebsiella13 (12.87%). 25.8% Staphylococcus sppare Methecillin Resistant (MR) strains. Among the Gram negative bacteria 9.25% of the strains were showing resistance to Colistin or Tigecycline. It is known fact that different microbes and factors play very important role in lesions of toe web space. In the present study 25.8% of Staphylococcus species and 9.25% of Gram negative bacteria were multi drug resistant.Therefore, clinical and microbiologic studies are needed to help in the selection of appropriate treatment, prevention of important complications and emergence of drug resistance pathogens.