Afsar Khan, Muhammad Zahid Shah, Zeeshan Faisal, Saad Dildar Khattak, Muhammad Latif.
Common bacterial pathogens in extremity fractures due to bomb blast injuries.
Pak J Surg Jan ;36(2):177-80.

Objective: To determine common bacterial pathogens in extremity fractures due to bomb blast injuries. Study design: Descriptive study Place and duration of study: Department of Orthopedics and Trauma, Khyber Teaching Hospital, Peshawar, KPK, Pakistan from January 2014 to December 2016. Material and Methods: About 160-patients of both gender meeting the inclusion criteria were recruited in the study. All the patients showing clinical signs of infection i-e pus discharge or erythema and warmness of wound were subjected to culture test using sterile technique and were immediately sent to the hospital laboratory where culture was performed by a consultant microbiologist. All the patients with positive culture tests were put on appropriate antibiotics according to culture report. Results: Out of 160-patients, 126 (78.75%) patients were males and 34(21.25%) patients were females. Mean age was 36-years with SD +- 3.169 (Range 10 to 58-years). Among 160-patients, 49 (30.63%) patients developed clinical signs of infection and culture was aseptically taken from all these patients. 40-patients (n=40, 88.89%) shows positive result. The most common pathogen was staphylococcus aureus (45%) followed by Escherichia Coli (27.5%) and Pseudomonas Aeruginosa (15%). Conclusion: Our study concludes the most common bacterial pathogens were Staphylococcus aureus (45%) followed by Escherichia Coli (27.5%) and Pseudomonas Aeruginosa (15%).

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