RT Journal Article
SR Electronic
T1 Pyoderma among Hajj Pilgrims in Makkah
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 782
OP 785
VO 23
IS 7
A1 Mohamad I. Fatani
A1 Syed Z. Bukhari
A1 Khalid A. Al-Afif
A1 Talal M. Karima
A1 Magdy R. Abdulghani
A1 Mohamad I. Al-Kaltham
YR 2002
UL http://smj.org.sa/content/23/7/782.abstract
AB OBJECTIVE: Bacterial skin infections have been considered as a possible health problem of the Hajj pilgrims. Significant increase in the rate of resistance to commonly used antibiotics against gram positive organisms has been observed. The present study was planned to obtain the microbiological profile of bacterial skin infections and their susceptibility to antimicrobials.METHODS: Pyodermas were investigated clinically and bacteriologically by a prospective study conducted on patients attending the dermatology clinic at the King Faisal Hospital, Makkah, Kingdom of Saudi Arabia during 2 Hajj periods (2000 - 2001).RESULTS: Of a total of 80 pyoderma patients, 52.5% were primary and 47.5% secondary. The leading cause of primary pyoderma was found to be impetigo in 28.8% cases, and of secondary pyoderma was infected eczema in 18.8% cases. Positive cultures were found in 87.5% cases. The organisms responsible for primary pyoderma were: Staphylococcus aureus (65.6%), Streptococcus pyogenes (28.1%) or both (6.4%) while in secondary pydermas were: Staphylococcus aureus (44.7%), Streptococcus pyogenes (15.8%), or both (18.4%), and gram negative bacilli (21.1%). The resistant pattern of antimicrobials against Staphylococcus aureus was as follows: penicillin 80.85%, tetracycline 10.6%, gentamicin 6.4%, erythromycin 4.3% and cotrimaxazole 4.3%. Oxacillin and cephalothin were found least resistant (2.1%).CONCLUSION: Pyoderma appeared as one of the common health hazard of our Hajj pilgrims. Penicillin and tetracycline are found ineffective in treating skin infections caused by Staphylococcus aureus while oxacillin is recommended as first line of treatment.