Antimicrobial Resistance Patterns of Bacteria Isolated from Wounds of Diabetic Patients at Jaramogi Oginga Odinga Teaching & Referral Hospital (JOOTRH), Kenya

Abstract

The purpose of this study was to determine antimicrobial resistance patterns of bacteria isolated from wounds of diabetes mellitus patients at JOOTRH. A hospital based cross sectional study design was employed with a target population of 168 and sample size of 117 patients involving stratified random sampling. Data was collected using a structured questionnaire and a laboratory form for a period of 6 months. Pus swabs were collected for isolation of bacteria using conventional techniques and serology. Resistance was done using Kirby-Bauer disk diffusion on Mueller Hinton Agar at 37˚C for 24 hrs. High susceptibility was established for; S.aureus on amikacin and gentamicin, E.coli on imipenem and gentamicin, K. pneumoniae and Proteus species on imipenem and P.aeroginosa on ciprofloxacin. Findings provide coherent and effective chemotherapeutic alternatives for managing diabetes patients with wounds and recommends that JOOTRH to adopt susceptibility testing policy for the sake of identifying the most effective treatment regimen for better patient’s care.