eISSN: 2299-0046
ISSN: 1642-395X
Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii
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6/2022
vol. 39
 
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abstract:
Original paper

Hidradenitis suppurativa: bacteriological study in surgical treatment

Marcin Gierek
1
,
Gabriela Ochała-Gierek
2
,
Diana Kitala
1
,
Wojciech Łabuś
1
,
Beata Bergler-Czop
3

  1. Dr Sakiel’s Centre for Burn Treatment, Siemianowice Śląskie, Poland
  2. Department of Dermatology and Venereology, Sosnowiec City Hospital, Sosnowiec, Poland
  3. Department of Dermatology, Medical University of Silesia, Katowice, Poland
Adv Dermatol Allergol 2022; XXXIX (6): 1101-1105
DOI: https://doi.org/10.5114/ada.2022.119008
Online publish date: 2022/09/09
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Introduction
Hidradenitis suppurativa (HS) is an inflammatory chronic disease of the hair follicles that presents with different lesions in the apocrine gland-bearing areas of the human body. There are many possible factors for HS. Acne inversa is not primarily considered to be an infectious disease. A variety of Gram-positive and Gram-negative bacteria have been found from the lesions sporadically.

Aim
To assess the bacteriological profile of HS before surgical treatment.

Material and methods
We collected specimens for aerobic microbiological testing from 18 patients before surgical treatment in our hospital. The specimens were obtained from abscesses, directly from skin fistulas, on day 1 of hospitalisation.

Results
The most common bacteria in HS lesions were Staphylococcus aureus and Proteus mirabilis. In 4 patients we found multi-drug-resistant bacteria (MLSB, MRSA and A. baumannii).

Conclusions
Long-term antibiotic treatment can cause multi-drug resistance in strains collected in HS lesions.

keywords:

hidradenitis suppurativa, bacteriology, MRSA
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