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|Title: ||Surgically treated pelvic abscess: microbial and antimicrobial sensitivity patterns in Mulago Hospital Kampala-Uganda|
|Authors: ||Awor, Silvia|
|Keywords: ||Sexually tramsmitted infections|
Microbial sensitivity tests
|Issue Date: ||May-2009 |
|Abstract: ||Introduction: Pelvic abscess commonly occurs as sequelae of post-abortal sepsis, puerperal sepsis and sexually transmitted infections. Culture and sensitivity are not routinely done in Uganda to determine the microbial and antimicrobial sensitivity patterns in Pelvic abscess.
Objective: This study was undertaken to determine the microbial and antimicrobial sensitivity patterns in Pelvic abscess in Mulago Hospital, Kampala Uganda.
Methods: A case series study where forty patients with pelvic abscess who underwent exploratory laparotomy were recruited. Pus samples were taken at surgery for culture and sensitivity.
Results: The micro-organisms isolated were E. coli (32.5%), Staphylococcus aureus (22.5%), Enterococcus (12.5%), Coagulase negative staphylococcus (10%) and others.
The organisms were sensitive to meropenem, vancomycin, ciprofloxacin, gentamicin, amikacin and cloxacillin.
Conclusion and recommendation: Escherichia coli and Staphylococcus aureus are the common organisms isolated from pelvic abscess in Mulago hospital. The first line of treatment is a combination of ciprofloxacin with either gentamicin or amikacin or cloxacillin. However the best drug combination is meropenem and vancomycin and is reserved until culture and sensitivity results are available to avoid misuse.|
|Description: ||A thesis submitted in partial fulfillment of the requirements for the award of the degree of Master of Medicine in Obstetrics and Gynaecology of Makerere University.|
|Appears in Collections:||Theses & Dissertations (Sch. of Med.)|
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