Distribution and Antibiotic Sensitivity Profile of Skin Infection Causing Pathogens in District Peshawar, Pakistan

Authors

  • Amair Ahmad Lady Reading Hospital, Peshawar
  • Mudassir Khan University of Peshawar
  • Zia Ullah Shah Hayatabad Medical Complex,Peshawar
  • Mohammad Eisa South City Hospital, Karachi
  • Imad Ali North West General & Research Hospital, Hayatabad, Peshawar
  • Mujahid Khan University of Malakand, Chakdara Dir Lower

Keywords:

Dermatophytes, Skin infection, Antibiotic sensitivity, Bacterial secies, Fungal species

Abstract

OBJECTIVES

The study aimed to evaluate the distribution and antibiotic sensitivity profile of dermatophytes fungi and skin infection-causing bacterial pathogens in the district of Peshawar, Pakistan.

METHODOLOGY

A cross-sectional study was conducted from February 2022 to July 2022 in Microbiology Section, Complex Medical Laboratory Peshawar, Pakistan. A total of 100 skin-infected patients’ pus, nail, and skin scraping samples were processed for the isolation of fungal and bacterial pathogens.

 

RESULTS

 

Out of 100 skin-infected patient samples, the distribution of Escherichia coli was higher at 44.23%, followed by Staphylococcus aureus at 25%, Proteus species at 21.15%, Klebsiella spp. 5.76%, and Pseudomonas aeruginosa 3.84%, respectively. Among fungal pathogens, the distribution of Candida spp. was higher at 44.44%, followed by Aspergillus spp. 22.22%, Rhizopus spp. 16.16%, Mucor spp. 11.11%, Paecilomyces lilacinus 5.55%, respectively. The E. coli showed high resistance to amoxicillin 86.95%, S. aureus was high resistance to ciprofloxacin, levofloxacin 84.61%, Klebsiella spp. was found high resistance to amoxicillin and meropenem 100%, Proteus spp. has found high resistance to ciprofloxacin, amoxicillin 81.81%, and P. aeruginosa was highly resistant to doxycycline, aztreonam 100%. The candida spp. was found high resistance to nystatin at 87%, Aspergillus spp. were founded highly resistant to nystatin at 100%, Mucor spp. was high resistance to fluconazole, ketoconazole, and clotrimazole (100%), Rhizopus spp. was found resistant to itraconazole 100%, P. lilacinus was found highly resistant to itraconazole, nystatin 100%.

CONCLUSION

The study of antibiotic resistance pattern is suggested, which help the basis for modifications in skin infection therapy. A molecular study was also needed to identify the resistance gene among these pathogens and their immunogenicity.

Author Biographies

Amair Ahmad, Lady Reading Hospital, Peshawar

Lab Technician, Pathology Department,
Lady Reading Hospital, Peshawar

Mudassir Khan, University of Peshawar

PHD Scholar, Center of Biotechnology & Microbiology,
University of Peshawar

Zia Ullah Shah, Hayatabad Medical Complex,Peshawar

Lab Technician, Pathology Department,
Hayatabad Medical Complex,Peshawar

Mohammad Eisa, South City Hospital, Karachi

Student,
South City Hospital, Karachi

Imad Ali, North West General & Research Hospital, Hayatabad, Peshawar

Lab Scientific Officer,
North West General & Research Hospital, Hayatabad, Peshawar

Mujahid Khan, University of Malakand, Chakdara Dir Lower

Student,
University of Malakand, Chakdara Dir Lower

References

Doern GV, Carroll KC, Diekema DJ, Garey KW, Rupp ME, Weinstein MP, Sexton DJ. Practical guidance for clinical microbiology laboratories: a comprehensive update on the problem of blood culture contamination and a discussion of methods for addressing the problem. Clinical Microbiology Reviews. 2019 Oct 30;33(1):e00009-19

Ferreira IG, Weber MB, Bonamigo RR. History of dermatology: the study of skin diseases over the centuries. Anais Brasileiros de Dermatologia. 2021;96:332-45

Goel S, Chaudhary AF. Study of clinical profile of dermatophytosis in a tertiary care center as per ECTODERM guidelines. Asian Journal of Medical Sciences. 2021;12(10):92-6

Araya S, Tesfaye B, Fente D. Epidemiology of dermatophyte and non-dermatophyte fungi infection in Ethiopia. Clinical, cosmetic and investigational dermatology. 2020;13:291

Bhandare P, Navya A, Ghodge R, Shukla P, Gupta T. Mortality in dermatology: A closer look. Indian Journal of Medical Specialities. 2022;13(2):105

Janagond AB, Inamadar AC. Clinical photography in dermatology: Perception and behavior of dermatologists–A pilot study. Indian Dermatology Online Journal. 2021;12(4):555

Tomé CP. Classification of dermatophytes by a multilocus phylogenetic approach based on tef-1α, beta tubulin and its genes (Doctoral dissertation) 2019

Burmester A, Shelest E, Glöckner G, Heddergott C, Schindler S, Staib P, Heidel A, Felder M, Petzold A, Szafranski K, Feuermann M. Comparative and functional genomics provide insights into the pathogenicity of dermatophytic fungi. Genome biology. 2011;12(1):1-6.

Shivam SG, Agrahari S, Maddali GK. The clinical type and etiological agents of superficial dermatophytosis: A cross sectional study. Attal RO, Deotale V, Yadav A. Tinea capitis among primary school children: A clinicomycological study in A rural hospital in central india. Int J Curr Res Rev. 2017;9(23):25

Attal RO, Deotale V, Yadav A. Tinea capitis among primary school children: A clinicomycological study in A rural hospital in central india. Int J Curr Res Rev. 2017;9(23):25

Elavarashi E, Kindo AJ, Rangarajan S. Enzymatic and non-enzymatic virulence activities of dermatophytes on solid media. Journal of clinical and diagnostic research: JCDR. 2017;11(2):DC23.

Khan M, Shah SH, Salman M. Current trends of antibiotic resistance among human skin infections causing bacteria; a cross-sectional study. J Dermat Cosmetol. 2021;5(4):88-9

Shivam SG, Agrahari S, Maddali GK. The clinical type and etiological agents of superficial dermatophytosis: A cross sectional study.

Mishra AK, Yadav P, Mishra A. A systemic review on staphylococcal scalded skin syndrome (SSSS): a rare and critical disease of neonates. The open microbiology journal. 2016;10:150

Sah P, Khanal R, Upadhaya S. Skin and soft tissue infections: bacteriological profile and antibiotic resistance pattern of isolates. Journal of Universal College of Medical Sciences. 2013;1(3):18-21

Patel KD, Mangukiya JD, Vegad MM. Prevalence of dermatophytes in skin, hair and nail at tertiary care hospital at Ahmdeabad. Natl J Med Res. 2015;5(4):278-81

Rashid A, Saqib M, Deeba F, Khan JA. Microbial profile of burn wound infections and their antibiotic sensitivity patterns at burn unit of allied hospital Faisalabad. Pak J Pharm Sci. 2019;32(1(Supplementary)):247-254. PMID: 30829200

Alexander H, Paller AS, Traidl‐Hoffmann C, Beck LA, De Benedetto A, Dhar S, Girolomoni G, Irvine AD, Spuls P, Su J, Thyssen JP. The role of bacterial skin infections in atopic dermatitis: expert statement and review from the International Eczema Council Skin Infection Group. British Journal of Dermatology. 2020;182(6):1331-42

Downloads

Published

2022-12-05

How to Cite

Ahmad, A. ., Khan, M. ., Shah, Z. U. ., Eisa, M. ., Ali, I. ., & Khan, M. . (2022). Distribution and Antibiotic Sensitivity Profile of Skin Infection Causing Pathogens in District Peshawar, Pakistan. Journal of Wazir Muhammad Institute of Paramedical Technology, 2(2), 7–12. Retrieved from https://jwmipt.org.pk/index.php/JWMIPT/article/view/45