Etiology and Drug Resistance Pattern of Osteomyelitis Associated with Combat-Related Injuries in Iraqi Patients

Abstract

Osteomyelitis is a progressive infection of bone that results in inflammatory destruction of the bone. The aim of this study was to detemine etiological agents of osteomylitis and management of it in Iraqi Patients admitted in an Iranian Hospital. This study carried out by Doctors without Borders (MSF group) in Imam Hussein Hospital of Mehran with cooperation of Milad Hospital. Surgical debridement, bone graft, fixation and antibiotic therapy were the major management programe and. The most prevalent organisms isolated from patients included Staphylococcus aureus, E.coli and Klebseilla pneumonia. The majority of these microorganisms were resistant to third generation of cephalosporins. Colistin was the sole antibiotic which most of gram-negative rods were susceptible to it. Nearly 34 % isolates of S.aureus were resistant to methicillin .All isolates of S.aureus were susceptible to vancomycin.