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A total of 202 wound samples consisting of surgical, burn and accident/cut, collected randomly from patients in some hospitals in Lagos were examined using standard microbiological techniques. Wound infections were more prevalent in children and adolescent (0-20 years) with 96(48%) as against adults (21-40) with 64(32%) which declines from age 41-60 and above. A high incidence of bacterial isolates in wound was observed which were either pathogens or opportunistic pathogens. Pseudomonas aeruginosa, was the most frequently isolated bacterium with 128(40%), Enterobacter sp., 60(19%), Proteus mirabilis 56(18%), Escherichia coli , 20(6%) and Staphylococcus aureus, 16(5%). Accident/cut wounds constituted 52%, burn wounds, 32%, while surgical wounds accounted for only 16%. Antibiotic susceptibility studies with the disc diffusion technique on the bacterial isolates showed that most bacteria tested were resistant to amoxicillin, cotrimoxazole, nalidixic acid, augmentin, tetracycline and nitrofurantoin. However, in-vitro efficacy was shown by gentamicin and ofloxacin. Wounds independent of infection site led to hospitalization for mostly 1-2 days (72%) while very few were hospitalized for over 5 days  (10%). Cleanliness and good personal hygiene should be taken seriously and enlightenment of the general public on the consequences of wound infection by our health care delivery system is strongly advocated.

Incidence and Antibiotic Resistance pattern of Bacteria associated with Wound infection in some Hospitals in Lagos, Nigeria.