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International Journal of Trend in Scientific Research and Development (IJTSRD)
Volume 4 Issue 2, February 2020 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470
@ IJTSRD | Unique Paper ID – IJTSRD30000 | Volume – 4 | Issue – 2 | January-February 2020 Page 434
A Bacteriological Study of Localized
Skin Infection in Human Beings
Abhilasha Tank1, Anand Verma1, Sunil Kumar Bourasi2
1Department of Microbiology, Harda Degree College, Harda, Madhya Pradesh, India
2Government College Raoti, Ratlam, Madhya Pradesh, India
ABSTRACT
Present paper represents the bacteriological study of localized skin infection
in human. Pathogenic bacteria are causes the various disease including skin
disease. Sample was collected from the infected person and pouring on the
specific media and observed the bacterial colony after 24- 48 hour. Skin
disease causing bacteria Staphylococcus, Streptococcus was observed in
abundance, Staphylococcus aureus was seen in abundance Streptococcus
pyogens was present and Corynebactrerium spp. and cutibacteriumacne was
seen less abundance. These are responsible for skin infection so proper
awareness and antibiotic treatment must be for prevention of the disease.
KEYWORDS: Staphylococcus, Antibiotics, Bacteriological, skin Infection,
pathogenic
How to cite this paper: Abhilasha Tank |
Anand Verma | Sunil Kumar Bourasi "A
Bacteriological Study of Localized Skin
Infection in Human Beings" Published in
International Journal
of Trend in Scientific
Research and
Development(ijtsrd),
ISSN: 2456-6470,
Volume-4 | Issue-2,
February 2020,
pp.434-437, URL:
www.ijtsrd.com/papers/ijtsrd30000.pdf
Copyright © 2019 by author(s) and
International Journal ofTrendinScientific
Research and Development Journal. This
is an Open Access article distributed
under the terms of
the Creative
CommonsAttribution
License (CC BY 4.0)
(http://creativecommons.org/licenses/by
/4.0)
INTRODUCTION
Bacteria is living organism they are found in every place of
the world but abundance of bacteria are in the place of
humus and moist. They are may be pathogenic of living
beings, it cause dangerous disease in human. Skin has
interfaces with the environment it playsanimportant role in
protecting the body against pathogens. It is also called first
line of defense of our body. The skin is a milieuforcontrolled
bacterial growth. The upper most epidermal layeriscovered
by a protective keratinous surface which allows theremoval
of microorganisms via sloughing off of keratinocytes and
acidic sebaceous secretion .Skin supports the growth of
commensal bacteria, which protects the host from
pathogenic bacteria. Skin and soft tissue infections are
among the most common infections, and may leadtoserious
local and systemic complications. Environmental and
local factors, host immunity, and organism adherence and
virulence are intricately related to cutaneous infection.
Gram-positive bacteria include Staphylococcus, and
Streptococcus spp , Corynebactrerium spp. and cutibacterium
acne. Staphylococcus aureus and Streptococcus pyogenes are
notoriously pathogenic in the skin.Inorderfor bacteria tobe
pathogenic, they must be able to adhere to grow on and
invade the host. Bacteria possess numerous virulence genes
that allow for growth in these privileged niches. In Some
cases like skin injury, cutting, damage, skin, lesions, wounds
etc. Permit the harmful bacteria for entering in to outer skin
surface in our body. Epidermal infectionscaused by S. aureus
and S. pyogenes. Some skin infections cover a small area on
the top of the skin other infection can go deep in to skin or
spread to a larger area. Harmful skin bacteria like-
Streptococcus and Staphylococcus etc. can cause local and
severe skin diseases like pimple, impetigo, cellulites,
abscesses Etc. The skin is a barrier that limits invasion and
growth of pathogenic bacteria.
What is pus- Pus is an accumulation of this dead material.
Many types of infection can cause pus. Infections involving
the bacteria staphylococcusaureusorstreptococcuspyogens
are especially prone to pus. Both of these bacteria release
toxins that damage tissue and creating pus.
What causes skin infections- skin infections are caused by
different kinds of germs for example,
Bacteria causes-cellulitis, Impetigo,andabscess,pimple, and
staphylococcal infections.
Higher risk for a skin infection are-
Have a poor circulation
Have diabetes
Are older
Have an immune system disease such as HIV/AIDS
Have a weekend immunity/immune system because of
chemotherapy or other medicines that suppress your
immune system.
Have to study in one position for a long time or you are
paralyzed.
IJTSRD30000
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD30000 | Volume – 4 | Issue – 2 | January-February 2020 Page 435
If you are malnourished
Have excessive skin folds which can happen if you have
obesity.
Symptoms of the skin infections-
The symptoms depend on the type of infections. Some
symptoms that are common to many skin infections include
rashes, swelling, redness, pain, pus and itching.
Material Method- The sample was collected from infected
person who is carrying localized skin lesionsAndaseptically
tested by standard microbiological methods APHA in a Lab
(1992). Sterile swab were used for aseptic collection of pus
sample from the lesion after cleaning the area around the
lesion with 70% ethyl alcohol. The sterile cotton swab
following puncturing of a fresh closed lesion with a sterile
needle. The swab was inoculated on to plate of Nutrientagar
media, Manitol salt agar and Blood agar media.Byrolling the
swab over the media with the help of streaking
method.These plates were incubated at 37°C for 24-48 hrs.
Result and Discussion-
In the present study many types of pathogenic bacteria
found in suspected sample, which is responsible for severe
skin infection there are three most commonly isolated
bacteria’s are Staphylococcus aureus, Streptococcus pyogen,
and micrococcus leutius. Reported that Stayphlococcus
aureus and Streptococcus pyogen was the commonestisolate
from the wound infections. staphylococcus aureus is aerobic
bacteria,which was isolated from all body sites. Bacterial
infection commonly called Pyoderma caused by
staphylococcus aureus and Streptococcus. All type of
pyoderma skin infection most commonly caused by
staphylococcus aureus maximum cases about 53% were of
Impetigo followed by Folliculitis, Furnculosis,andAbscesses
Carbuncle. Pyoderma most commonly affected in children
belonging to age group of 7 to 12 years old children.
Cutibacterium acnes is formerly called propionibacterium
acnes,it is anaerobic,Gram positive bacterium(rod).
S. No. Bacterial species Number of colonies Skin Disease
1 Streptococcus pyogens ++ Cellulitis ,impetigo
2 Staphylococcus aureus +++ Abscesses , acne
3 Corynebactrerium spp. + Pitted keratolysis
4 Cutibacterium acnes + Acne
(+)= under ten colonies, (++)= under twenty colonies, (+++)= more than thirty colonies.
Pyoderma defines as any purulent skin infection. Pyogenic infection is characterized by local inflammation present with pus
formation. This infection may be endogenous or exogenous. The human skin infections are caused by both aerobic and
anaerobic bacteria have been implicated in wound infections.
Streptococcus pyogens- streptococcus pyogens is gram positive, non motile, non spore forming, aerotolerent bacterium.
Blood agar media was added to petriplates and incubated at 35-37°c for 24 hours. plates are showing the colonies of
streptococcus pyogens with zone of Beta-hemolysis (2-3 mm zone size) appeared.
Staphylococcus aureus- staphylococcus aureus is gram positive bacteria that are cocci –shaped and that to be arranged in
clusters that are describes as grape-like clusters.Manitol salt agar media was added to petriplates and incubatedat37°cfor24
hours.plates are showing the colonies of Staphylococcus aureus of yellow colour with yellow zones.
Impetigo- Impetigo is contagious bacterial infection. Mostly affects children. It is also called school disease. It is caused by
Staphylococcus aureus , and Streptococcus Pyogen. Symptoms of these are appeared on outer layersofskinlike-Face,Arm,and
Legs.
Fig: Impetigo infection
Cellulitis-
Cellulites is a spreading bacterial infectionoftheskinCellulitesiscommonlycausedby staphylococcusaureusandStreptococcus
pyogens. Symptoms of these disease are Redness, Pain, Inflammation, abscess pus formation on outer layers of skin and fever.
Fig: Cellulitis infection
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD30000 | Volume – 4 | Issue – 2 | January-February 2020 Page 436
Abscesses-An Abscess is collection of Pus within thetissueofthe body.UsuallycausedbyStaphylococcusaureusSymptomsare
Redness, Pain, Warmth, and swelling may be filled with pus.
Fig: Abscesses infection
Cutibacterium acnes- cutibacterium acne formerly called propionibacterium acnes. Typically aerotolerent, anaerobic, gram-
positive bacterium, rod shaped, non motile and non spore forming bacterium that is part of the human skin flora. Blood agar
media was added to petriplates and incubated at 37°c for 24 hours. Plates are showing the colonies of cutibacteriumacnewith
zone of Beta-hemolysis with yellow areas.
Acne-Acne is the most common problem in humans. Acne is a chronic inflammatory disease of the skin. Acne is a disorder of
the Hair follicle commonly caused by -Acne bacteria. Symptoms are-Redness, Swelling, irritation, inflammation etc
Fig: Acne infection.
Conclusion-
The present study revealed the presence of pus filledwound
infection causing bacteria those are capable of causing
various human illness the bacterial isolate screened in
various skin & soft tissue infection collected from infected
persons. The commonest isolates of pus filled infection are
staphylococcus aureus, streptococcusPyogen.These bacterial
strain cause Pyoderma infection included impetigo abscess
furuncle, carbuncle, etc. the antimicrobial activity varies
from time to time from place to place. Minor bacterial
infection may resolve without treatment. However
persistent and serious bacterial infections are treated with
antibiotics, cream, gels, and solutions. To diagnosed a skin
infection, health care provides will do a physical exam and
ask about you symptoms. You may have Laboratory test to
identify what type of infection you have. Hence regular
monitoring of bacterial susceptibility to antibiotics in skin
and soft tissues infections is essential for appropriate
therapy, good personal hygiene, essential diagnostictest etc.
Acknowledgement-
The author is thankful to Mr. Girishsinhal andMrs.Abhilasha
sinhal Directors of Harda DegreeCollegeHarda forproviding
necessary laboratory facility and thankful to Mr. R.K.Patil
principal Harda Degree College , Harda for giving necessary
support for research work.
References-
[1] Kamble Prateek,Parihar Geeta Mahesh Kumar,
Bacteriological study of Pyogenic Skin Infection, at
Tertiary Care Hospital, Journal of Dental & Medical
Science, June -2016, vol. -15, issue- 6, ver.- I, page no.
114-121.
[2] Roy Subrat, Bacterial ProfileofPost– OperativeWound
Infection, Asian Journal of Biomedical and
Pharmaceutical Science, 2016, 6(53), 44-46.
[3] Akter Rashida,Islam , Bacteriological Profiles of Pus
with Antimicrobial Sensitivity Pattern at a Teaching
Hospital in Dhaka City, Bangladesh JournalofInfectious
Diseases, 1 june 2018, Vol. – 5, Number-1
[4] Brook Itzhak, Secondary Bcaterial Infections
Complicatin Skin Lesions, Journal of Medical
Microbiology, Vol. 51, (2002), 808-812.
[5] Sharma Ashu Gupta Sandeep , Aerobic Bacteriological
Profile of Skin and Soft Tissue Infections (SSTT’S) And
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[6] Chiller Katarina, Selkin A. Selkin , Skin Micro flora and
Bacterial Infections of the Skin, Journal of Investigating
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD30000 | Volume – 4 | Issue – 2 | January-February 2020 Page 437
Dermatology Symposium Proceedings, Vol. -6, No:3,
December 2001, 170-174.
[7] Samosir C T ,Ruslie R H , Bacterial Pattern and
Antibiotic Sensitivity in Children and adolescents with
infected atopic dermatitis, International Conference on
Tropical Medicine and Infectious Diseases, 125(2018)
012054, 1-6.
[8] Kartikeyan S, Meena N, Bacteriological Study of
Surgical Site Infections in a Tertiary care Hospital at
Miraj. Maharashtra state India, International Journalof
Research in Medical Science, July-2016, Vol-4, Issue – 7,
2630-2635.
[9] Awal Gunee, Kaur Tanreet, A Clinico- bacteriological
Study of Pyodermas in Pediatric Population,
International Journal of ResearchinDermatology, Vol-4,
Jan - March 2018, Issue-I, 29-32.
[10] Mishra Yamini, Nigam. P.K.,Clinico-microbiological
study of pyodermas and abscesses, International
Journal Of Scientific Research, May-2017 Vol.-6, Issue-5.
[11] Singh Ajit,Gupta Lalit Kuma, A clinic-bacteriological
study of pyodermas at a tertiary health center in
southwest Rajasthan, Indian Journal of Dermatology,
Vol-60, Issue-5, year-2015, 479-484.
[12] Malik S, Gupta, Antibiogram of aerobic bacterial
isolates from post-operative wound infections at a
tertiary care hospital in india, Journal of infectious
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[13] King MD, Humphrey BJ, Wang YF, Kourbatova EV, Ray
SM, Blumberg HM. Emergence of community-acquired
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[14] Frazee BW, Lynn J, Charlebois ED, Lambert L, Lowery
D, Perdreau-Remington F. High prevalence of
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A Bacteriological Study of Localized Skin Infection in Human Beings

  • 1. International Journal of Trend in Scientific Research and Development (IJTSRD) Volume 4 Issue 2, February 2020 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470 @ IJTSRD | Unique Paper ID – IJTSRD30000 | Volume – 4 | Issue – 2 | January-February 2020 Page 434 A Bacteriological Study of Localized Skin Infection in Human Beings Abhilasha Tank1, Anand Verma1, Sunil Kumar Bourasi2 1Department of Microbiology, Harda Degree College, Harda, Madhya Pradesh, India 2Government College Raoti, Ratlam, Madhya Pradesh, India ABSTRACT Present paper represents the bacteriological study of localized skin infection in human. Pathogenic bacteria are causes the various disease including skin disease. Sample was collected from the infected person and pouring on the specific media and observed the bacterial colony after 24- 48 hour. Skin disease causing bacteria Staphylococcus, Streptococcus was observed in abundance, Staphylococcus aureus was seen in abundance Streptococcus pyogens was present and Corynebactrerium spp. and cutibacteriumacne was seen less abundance. These are responsible for skin infection so proper awareness and antibiotic treatment must be for prevention of the disease. KEYWORDS: Staphylococcus, Antibiotics, Bacteriological, skin Infection, pathogenic How to cite this paper: Abhilasha Tank | Anand Verma | Sunil Kumar Bourasi "A Bacteriological Study of Localized Skin Infection in Human Beings" Published in International Journal of Trend in Scientific Research and Development(ijtsrd), ISSN: 2456-6470, Volume-4 | Issue-2, February 2020, pp.434-437, URL: www.ijtsrd.com/papers/ijtsrd30000.pdf Copyright © 2019 by author(s) and International Journal ofTrendinScientific Research and Development Journal. This is an Open Access article distributed under the terms of the Creative CommonsAttribution License (CC BY 4.0) (http://creativecommons.org/licenses/by /4.0) INTRODUCTION Bacteria is living organism they are found in every place of the world but abundance of bacteria are in the place of humus and moist. They are may be pathogenic of living beings, it cause dangerous disease in human. Skin has interfaces with the environment it playsanimportant role in protecting the body against pathogens. It is also called first line of defense of our body. The skin is a milieuforcontrolled bacterial growth. The upper most epidermal layeriscovered by a protective keratinous surface which allows theremoval of microorganisms via sloughing off of keratinocytes and acidic sebaceous secretion .Skin supports the growth of commensal bacteria, which protects the host from pathogenic bacteria. Skin and soft tissue infections are among the most common infections, and may leadtoserious local and systemic complications. Environmental and local factors, host immunity, and organism adherence and virulence are intricately related to cutaneous infection. Gram-positive bacteria include Staphylococcus, and Streptococcus spp , Corynebactrerium spp. and cutibacterium acne. Staphylococcus aureus and Streptococcus pyogenes are notoriously pathogenic in the skin.Inorderfor bacteria tobe pathogenic, they must be able to adhere to grow on and invade the host. Bacteria possess numerous virulence genes that allow for growth in these privileged niches. In Some cases like skin injury, cutting, damage, skin, lesions, wounds etc. Permit the harmful bacteria for entering in to outer skin surface in our body. Epidermal infectionscaused by S. aureus and S. pyogenes. Some skin infections cover a small area on the top of the skin other infection can go deep in to skin or spread to a larger area. Harmful skin bacteria like- Streptococcus and Staphylococcus etc. can cause local and severe skin diseases like pimple, impetigo, cellulites, abscesses Etc. The skin is a barrier that limits invasion and growth of pathogenic bacteria. What is pus- Pus is an accumulation of this dead material. Many types of infection can cause pus. Infections involving the bacteria staphylococcusaureusorstreptococcuspyogens are especially prone to pus. Both of these bacteria release toxins that damage tissue and creating pus. What causes skin infections- skin infections are caused by different kinds of germs for example, Bacteria causes-cellulitis, Impetigo,andabscess,pimple, and staphylococcal infections. Higher risk for a skin infection are- Have a poor circulation Have diabetes Are older Have an immune system disease such as HIV/AIDS Have a weekend immunity/immune system because of chemotherapy or other medicines that suppress your immune system. Have to study in one position for a long time or you are paralyzed. IJTSRD30000
  • 2. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD30000 | Volume – 4 | Issue – 2 | January-February 2020 Page 435 If you are malnourished Have excessive skin folds which can happen if you have obesity. Symptoms of the skin infections- The symptoms depend on the type of infections. Some symptoms that are common to many skin infections include rashes, swelling, redness, pain, pus and itching. Material Method- The sample was collected from infected person who is carrying localized skin lesionsAndaseptically tested by standard microbiological methods APHA in a Lab (1992). Sterile swab were used for aseptic collection of pus sample from the lesion after cleaning the area around the lesion with 70% ethyl alcohol. The sterile cotton swab following puncturing of a fresh closed lesion with a sterile needle. The swab was inoculated on to plate of Nutrientagar media, Manitol salt agar and Blood agar media.Byrolling the swab over the media with the help of streaking method.These plates were incubated at 37°C for 24-48 hrs. Result and Discussion- In the present study many types of pathogenic bacteria found in suspected sample, which is responsible for severe skin infection there are three most commonly isolated bacteria’s are Staphylococcus aureus, Streptococcus pyogen, and micrococcus leutius. Reported that Stayphlococcus aureus and Streptococcus pyogen was the commonestisolate from the wound infections. staphylococcus aureus is aerobic bacteria,which was isolated from all body sites. Bacterial infection commonly called Pyoderma caused by staphylococcus aureus and Streptococcus. All type of pyoderma skin infection most commonly caused by staphylococcus aureus maximum cases about 53% were of Impetigo followed by Folliculitis, Furnculosis,andAbscesses Carbuncle. Pyoderma most commonly affected in children belonging to age group of 7 to 12 years old children. Cutibacterium acnes is formerly called propionibacterium acnes,it is anaerobic,Gram positive bacterium(rod). S. No. Bacterial species Number of colonies Skin Disease 1 Streptococcus pyogens ++ Cellulitis ,impetigo 2 Staphylococcus aureus +++ Abscesses , acne 3 Corynebactrerium spp. + Pitted keratolysis 4 Cutibacterium acnes + Acne (+)= under ten colonies, (++)= under twenty colonies, (+++)= more than thirty colonies. Pyoderma defines as any purulent skin infection. Pyogenic infection is characterized by local inflammation present with pus formation. This infection may be endogenous or exogenous. The human skin infections are caused by both aerobic and anaerobic bacteria have been implicated in wound infections. Streptococcus pyogens- streptococcus pyogens is gram positive, non motile, non spore forming, aerotolerent bacterium. Blood agar media was added to petriplates and incubated at 35-37°c for 24 hours. plates are showing the colonies of streptococcus pyogens with zone of Beta-hemolysis (2-3 mm zone size) appeared. Staphylococcus aureus- staphylococcus aureus is gram positive bacteria that are cocci –shaped and that to be arranged in clusters that are describes as grape-like clusters.Manitol salt agar media was added to petriplates and incubatedat37°cfor24 hours.plates are showing the colonies of Staphylococcus aureus of yellow colour with yellow zones. Impetigo- Impetigo is contagious bacterial infection. Mostly affects children. It is also called school disease. It is caused by Staphylococcus aureus , and Streptococcus Pyogen. Symptoms of these are appeared on outer layersofskinlike-Face,Arm,and Legs. Fig: Impetigo infection Cellulitis- Cellulites is a spreading bacterial infectionoftheskinCellulitesiscommonlycausedby staphylococcusaureusandStreptococcus pyogens. Symptoms of these disease are Redness, Pain, Inflammation, abscess pus formation on outer layers of skin and fever. Fig: Cellulitis infection
  • 3. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD30000 | Volume – 4 | Issue – 2 | January-February 2020 Page 436 Abscesses-An Abscess is collection of Pus within thetissueofthe body.UsuallycausedbyStaphylococcusaureusSymptomsare Redness, Pain, Warmth, and swelling may be filled with pus. Fig: Abscesses infection Cutibacterium acnes- cutibacterium acne formerly called propionibacterium acnes. Typically aerotolerent, anaerobic, gram- positive bacterium, rod shaped, non motile and non spore forming bacterium that is part of the human skin flora. Blood agar media was added to petriplates and incubated at 37°c for 24 hours. Plates are showing the colonies of cutibacteriumacnewith zone of Beta-hemolysis with yellow areas. Acne-Acne is the most common problem in humans. Acne is a chronic inflammatory disease of the skin. Acne is a disorder of the Hair follicle commonly caused by -Acne bacteria. Symptoms are-Redness, Swelling, irritation, inflammation etc Fig: Acne infection. Conclusion- The present study revealed the presence of pus filledwound infection causing bacteria those are capable of causing various human illness the bacterial isolate screened in various skin & soft tissue infection collected from infected persons. The commonest isolates of pus filled infection are staphylococcus aureus, streptococcusPyogen.These bacterial strain cause Pyoderma infection included impetigo abscess furuncle, carbuncle, etc. the antimicrobial activity varies from time to time from place to place. Minor bacterial infection may resolve without treatment. However persistent and serious bacterial infections are treated with antibiotics, cream, gels, and solutions. To diagnosed a skin infection, health care provides will do a physical exam and ask about you symptoms. You may have Laboratory test to identify what type of infection you have. Hence regular monitoring of bacterial susceptibility to antibiotics in skin and soft tissues infections is essential for appropriate therapy, good personal hygiene, essential diagnostictest etc. Acknowledgement- The author is thankful to Mr. Girishsinhal andMrs.Abhilasha sinhal Directors of Harda DegreeCollegeHarda forproviding necessary laboratory facility and thankful to Mr. R.K.Patil principal Harda Degree College , Harda for giving necessary support for research work. References- [1] Kamble Prateek,Parihar Geeta Mahesh Kumar, Bacteriological study of Pyogenic Skin Infection, at Tertiary Care Hospital, Journal of Dental & Medical Science, June -2016, vol. -15, issue- 6, ver.- I, page no. 114-121. [2] Roy Subrat, Bacterial ProfileofPost– OperativeWound Infection, Asian Journal of Biomedical and Pharmaceutical Science, 2016, 6(53), 44-46. [3] Akter Rashida,Islam , Bacteriological Profiles of Pus with Antimicrobial Sensitivity Pattern at a Teaching Hospital in Dhaka City, Bangladesh JournalofInfectious Diseases, 1 june 2018, Vol. – 5, Number-1 [4] Brook Itzhak, Secondary Bcaterial Infections Complicatin Skin Lesions, Journal of Medical Microbiology, Vol. 51, (2002), 808-812. [5] Sharma Ashu Gupta Sandeep , Aerobic Bacteriological Profile of Skin and Soft Tissue Infections (SSTT’S) And It’s Antimicrsssobial Susceptibility Pattern At M.B. GOVT. Hospital In Udaipur Rajasthan, International Journal of Medical Science and Education, April – June 2016, Issue – 2, Vol-3, 141-151. [6] Chiller Katarina, Selkin A. Selkin , Skin Micro flora and Bacterial Infections of the Skin, Journal of Investigating
  • 4. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD30000 | Volume – 4 | Issue – 2 | January-February 2020 Page 437 Dermatology Symposium Proceedings, Vol. -6, No:3, December 2001, 170-174. [7] Samosir C T ,Ruslie R H , Bacterial Pattern and Antibiotic Sensitivity in Children and adolescents with infected atopic dermatitis, International Conference on Tropical Medicine and Infectious Diseases, 125(2018) 012054, 1-6. [8] Kartikeyan S, Meena N, Bacteriological Study of Surgical Site Infections in a Tertiary care Hospital at Miraj. Maharashtra state India, International Journalof Research in Medical Science, July-2016, Vol-4, Issue – 7, 2630-2635. [9] Awal Gunee, Kaur Tanreet, A Clinico- bacteriological Study of Pyodermas in Pediatric Population, International Journal of ResearchinDermatology, Vol-4, Jan - March 2018, Issue-I, 29-32. [10] Mishra Yamini, Nigam. P.K.,Clinico-microbiological study of pyodermas and abscesses, International Journal Of Scientific Research, May-2017 Vol.-6, Issue-5. [11] Singh Ajit,Gupta Lalit Kuma, A clinic-bacteriological study of pyodermas at a tertiary health center in southwest Rajasthan, Indian Journal of Dermatology, Vol-60, Issue-5, year-2015, 479-484. [12] Malik S, Gupta, Antibiogram of aerobic bacterial isolates from post-operative wound infections at a tertiary care hospital in india, Journal of infectious Diseases Antimicrobial Agents, 2011; 28:45-51. [13] King MD, Humphrey BJ, Wang YF, Kourbatova EV, Ray SM, Blumberg HM. Emergence of community-acquired methicillin-resistant Staphylococcus aureus USA 300 clone as the predominant cause of skin and soft-tissue infections. Ann Intern Med. 2006; 144:309–17. [14] Frazee BW, Lynn J, Charlebois ED, Lambert L, Lowery D, Perdreau-Remington F. High prevalence of methicillin-resistant Staphylococcus aureus in emergency department skin and soft tissue infections. Ann Emerg Med. 2005;45:311–20. [15] Eady EA, Cove JH. Staphylococcal resistance revisited: Community-acquired methicillin resistant Staphylococcus aureus –an emerging problem for the management of skin and soft tissue infections. Curr Opin Infect Dis. 2003; 16:103–24. [16] Moroney SM, Heller LC, Arbuckle J, Talavera M, Widen RH. Staphylococcal cassette chromosome mec and Panton-Valentine leukocidin characterization of methicillin-resistant Staphylococcus aureus clones. J Clin Microbiol. 2007; 45:1019–21. [17] McAdam AJ, Sharpe AH. Infectious diseases – bacterial infections. In: Kumar V, Abbas AK, Fausto N, editors. Robbins & Cotran Pathologic Basis of Disease. Philadelphia: Elsevier Inc; 2005. pp. 371–96. [18] Horowitz Y, Sperber AD, Almog Y. Gram-negative cellulitis complicating cirrhosis. Mayo Clin Proc. 2004; 79:247–50. [19] Rennie RP, Jones RN, Mutnick AH SENTRY Program Study Group (North America) Occurrence and antimicrobial susceptibility patterns of pathogens isolated from skin and soft tissue infections: Report from the SENTRY Antimicrobial Surveillance Program (United States and Canada, 2000) Diagn Microbiol Infect Dis. 2003; 45:287–93.