@article{Bishwokarma Ghimire_Pokhrel_Shrestha_2019, title={Prevalence of Community-Acquired Pyoderma in Dermatological Outpatient Department of A Tertiary Care Hospital}, volume={57}, url={http://jnma.com.np/jnma/index.php/jnma/article/view/4430}, DOI={10.31729/jnma.4430}, abstractNote={<p><strong>Introduction</strong>: Pyoderma is defined as any purulent skin disease and represents infections in<br>epidermis and dermis or hair follicles. This study aims to find out the prevalence of communityacquired pyoderma in dermatological outpatient department of a tertiary care hospital.</p> <p><br><strong>Methods</strong>: A descriptive cross-sectional study was carried out among patients who presented at<br>dermatology outpatient department of Kathmandu Medical College Teaching Hospital between<br>December 2018 and March 2019 after ethical clearance from institutional review committee.<br>Convenience sampling method was done. Data was collected and analysis was done using SPSS<br>software, point estimate at 95% CI was calculated along with frequency and proportion for binary<br>data.</p> <p><br><strong>Results</strong>: Out of 385 cases, 72 (18%) cases were of community-acquired pyoderma. Prevalence of<br>community-acquired pyoderma is 72 (18%) at 95% CI(). Primary pyoderma was seen in 49 (12.72%)<br>mainly folliculitis 17 (4.41%), furunculosis 16 (4.15%), impetigo 6 (1.55%), abscess 6 (1.55%) and<br>bacterial paronychia 4 (1.03%). Staphylococcus aureus was the most common organism isolated in 42<br>(58.3%) cases and Staphylococcus epidermidis was isolated in 3 (4.17%) cases. Staphylococcus aureus<br>was most sensitive to Vancomycin 42 (100%) followed by Gentamycin 40 (95.2%), Ciprofloxacin 40<br>(95.2%) and Ceftriaxone 40 (95.2%). Highest resistance was seen to Azithromycin in 13 (30.95%),<br>followed by Cloxacilllin in 11 (26.19%). Males were affected predominantly in 49 (68.06%) as<br>compared to females in 23 (31.94%).</p> <p><br><strong>Conclusions</strong>: Prevalence of community-acquired pyoderma is high among patients visiting<br>dermatological outpatient departments of a tertiary care hospital compared to other studies.<br>Antibiotic resistance of commonly used antibiotics are increasing and thus proper culture<br>and sensitivity reports may be required to guide our treatment</p>}, number={217}, journal={Journal of Nepal Medical Association}, author={Bishwokarma Ghimire, Rupak and Pokhrel, Khilasha and Shrestha, Sanjubabu}, year={2019}, month={Jun.} }