Evaluation of etiological spectrum and therapeutically problems in varicose ulcer infections

Abstract

Varicose ulcers represent a major issue for both patients and health services being associated with impaired quality of patient’s life and loss of work productivity. Many of these chronic wounds are associated with infections. The study group included 662 bacterial strains isolated from secretions of the infected varicose ulcers of patients treated in the Dermatology department of the Clinical County Emergency Hospital Brasov between 2007 and 2008. The objective of our study has consisted of the evaluation of the etiological spectrum of varicose infections and resistance to antibiotics of implicated microbes. The most frequently involved germ was Staphylococcus aureus (58.3%), followed by Enterobacter spp (14.8%) and Pseudomonas aeruginosa (9.5%). Lower frequencies of isolation were registered for Escherichia coli, Proteus mirabilis, Acinetobacter spp, and Klebsiella spp. Various levels of bacterial resistance were registered for the tested antibiotics.