| Fractures are common in underdeveloped countries. An open fracture may result from an accident, a fall, a gunshot, an
assault, or a machine injury. It is common for open fractures to develop infections. Osteomyelitis, nonunion, function loss,
and limb amputation can be caused by deep fracture site infections. The early debridement of open fractures, wound
irrigation, and broad-spectrum antibiotics are followed by fracture stabilization. In this study, we are trying to identify
patterns of isolated bacteria in open fractures in order to develop a sensible antibiotic treatment plan. There were 50
patients of different ages and sexes with open fractures studied. Initially, the wound was evaluated and described. After
debriding the first dressing, a second culture swab was taken. We collected reports on the culture and sensitivity of
bacterial isolates. It is useless to take cultures before debridement. Antibiotic formulation requires post-debridement
cultures. Most infections are caused by Gram-negative bacteria. Among the most sensitive antibiotics for gram-positive and
gram-negative bacteria are aminoglycosides. Cephalosporin, quinolones, and aminoglycosides should be used to treat open
fractures in our area. The most common pathogen in each organization and hospital should be determined, and an antibiotic
policy should be developedddd |
