THE CLINICAL FEATURES AND THE ANTIBIOTIC RESISTANCE OF BACTERIA CAUSING IMPETIGO AT CAN THO HOSPITAL CITY OF DERMATO-VENEREOLOGY

Trần Nguyễn Anh Thư1,, Huỳnh Văn Bá1, Nguyễn Thị Thùy Trang1, Lạc Thị Kim Ngân1, Phạm Thanh Thảo1
1 Can Tho University of Medicine and Pharmacy

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Abstract

Objective: To demonstrate clinical features and antibiotic resistance of bacteria causing impetigo in patients at Can Tho city Hospital of Dermato-Venereology from June 2020 to December 2020. Materials and methods: A descriptive cross-sectional study of 55 patients, clinical characteristics of patients with impetigo were recorded. Bacteria from impetigo pus were isolated. Antiobiogram examination with multiple antibiotics was performed. Results: 35 (63,6%) patients with impetigo had positive bacteriological cultures. Regarding clinical features, non-bullous impetigo was 61,8%, bullous impetigo was 25,5% and ecthyma was 12,7%. On the examination of biology features, S. aureus was 93.8% of cases. Penicillin-resistant S.aureus and erythromycin-resistant S.aureus was 100%; amoxicillin/acid clavulanic-resistant S. aureus was 93,5%; bacteria were sensitive to cefuroxime, oxacillin, tetracyclin, ciprofloxacin, levofloxacin, linezolid and vancomycin; the 3 case vancomycin-resistant was ecthyma. Methicillin-Resistant Staphylococcus aureus (MRSA) was 87,1%.And 2 S.pyogenes cases (8,6%) remained susceptible to penicillin. Conclusion: Non-bullous impetigo was the most common clinical feature. The main bacterium is S.aureus, which was completely resistant to penicillin and erythromycin. On the other hand, it was still highly sensitive to oxacillin,cefuroxime, and vancomycin.

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