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Hidradenitis suppurativa: bacteriological study in surgical treatment
Marcin Gierek1, Gabriela Ochała-Gierek2, Diana Kitala1
1Dr Sakiel's Centre for Burn Treatment, Siemianowice Śląskie, Poland.
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.
