Antibiogram of Klebsiella pneumonia, Acinetobacter bumannii and Proteus mirabilis Isolated From Patients with Traumatic Wounds in Ramadi Teaching Hospital

Background:  Traumatic wounds exposed to many microbial contaminants through contaminated tools causing these types of wounds . At the same time treatment of wounds is difficult because of antimicrobial resistance to many available antibiotics and transfer between bacterial  generations.  Aims of the study: This study was done to show the bacterial  profile and the antibiogram of Proteus mirabilis , Acinetobacter bumannii and Klebsiella pneumoniae, a preserved bacterial isolates from a previous study.  Material and Methods: Twenty- seven  (27  ) deep frozen  preserved bacterial isolates Proteus mirabilis. , Acinetobacter bumannii  and klebsiella pneumonia  Obtained from Department of Microbiology, College of Medicine , University of Anbar and were used to investigate the antibiogram profile.  Frozen bacterial  isolates were reactivated on blood culture medium  at 37 C°  for overnight and re-identified  to confirm bacterial type and antibiogram findings by using  using Viteck2 system.   Results : Klebsiella pneumonia showed 100% sensitivity to Imipenium , Meropenim , Eatrapenim and Levofloxacin, while  75% of isolates were sensitive to Amikacin and Ciprofloxacin . Eighty percent  ( 80% )  of isolates were resistant to Cefotaxim  , Ceftriaxone  and Rifampicin.  All isolates of Proteus merabilis (100% ) were sensitive to Levofloxacin  and meropenem followed by 90% sensitivity to Imepenium and Amikacin. All isolates ( 100% ) were resistant to Cefotaxim followed by 90% & 70 %, resistance to Ceftriaxone , Refadin respectively.  Seventy- five  percent (75% ) of Acinetobacter bumannii isolates`were sensitive to Levofloxacin while 50% of isolates were sensitive to Ciprofloxacin and Amikacin followed by 25 % sensitivity to Imepenium , Meropenem & Gentamycin. All isolates (100%)  were resistant to Ceftriaxone ,  Augumentin ,Ampiclox and Cefotaxim . So we recommend a continuous study of bacterial profile for wound infections both traumatic and surgical wounds because the profile of infection undergo difference through year