Prevalence of Microorganisms and Antibiotic Sensitivity Among Patients with Diabetic Foot Ulcer in Sulaimani City, Iraq
نویسندگان
چکیده مقاله:
Background: Diabetic foot ulcers (DFUs) are responsible for days of costly hospitalization and are the major cause of medical lower limb amputations. Determining the appropriate antimicrobial therapy for DFUs is highly dependent on recognizing the microorganisms that cause them. Many reports have indicated that there has been a remarkable increase in antibiotic resistance. Objectives: The present study examined various cultures of patients with DFUs to detect the prevalence of microorganisms and their antibiotic sensitivity profiles. Methods: This cross-sectional study was carried out on 92 patients with DFUs admitted to Shar Teaching Hospital and Shahid Hemin Teaching Hospital. Wagner Classification was used to assess the severity and location of the DFUs. Patients were asked questions about their practices of foot care and hygiene, and their answers were recorded. Samples required for testing were taken using sterile swabs. Results: A total of 100 microorganisms were isolated from 92 patients with DFUs, 10 of which were polymicrobial and 2 were culture-negative. There was a highly significant association between the isolated gram-negative microorganisms and higher grades of DFU (P < 0.001). A highly significant association was also observed between bad patient knowledge of hygiene practices and gram-negative microorganisms (P < 0.001). Osteomyelitis was present in 40 (43.4%) patients. Conclusion: Among gram-positive and gram-negative bacteria, Staphylococcus spp. and E. coli were, respectively, the most frequent organisms isolated. The antibiotic imipenem was found to be effective against microorganisms. Tetracycline, erythromycin, and ceftriaxone, however, were highly resistant to antibiotics. To sum up, since different microorganisms are involved and multidrug-resistant strains might emerge, clinicians are recommended to take cultures into account before they initiate empirical therapy.
منابع مشابه
Prevalence of Diabetic Foot Ulcer and its Associated Risk Factors among Diabetic Patients in Jordan
Objectives: The objectives of this study were to assess the prevalence of diabetic foot ulcers and their risk factors among patients attending the National Center for Diabetes, Endocrinology, and Genetics (Amman, Jordan). Materials and Methods: A systematic random sample of 1,000 diabetic patients was selected from patients attending the diabetes clinic at the National Center for Diabetes, Endo...
متن کاملPrevalence of Diabetic Foot Ulcer and Associated Risk Factors in Diabetic Patients From North India
Objectives: This study aimed to prospectively determine risk factors for foot ulceration in diabetic cases of North India. Research Design and Method: This was an observational study where 678 diabetic patients were examined, of which 97 reported diabetic foot ulcers (DFUs). Patients were interviewed using a pre-tested structured questionnaire to document clinical history. Statistical analysis ...
متن کاملPaediatric burns in sulaimani, iraq.
Burns are the most frequent injury among paediatric patients. The injury, treatment, and rehabilitation process affect children not only physiologically but also psychologically. In this prospective study of burn victims aged 12 yr and less hospitalized in our burns centre (Emergency Hospital) between July 2001 and August 2005, three age groups were considered (0-12 months, 1-6 yr, and 7-12 yr)...
متن کاملDetermination of the incidence of osteomyelitis and risk factors in patients with diabetic foot ulcer in Birjand, Iran: Short Communication
One of the most common complications of diabetes is diabetic foot ulcer, which exposes patients to wound infection, osteomyelitis, and lower-limb amputation if left untreated. Therefore, accurate and rapid diagnosis of wound and osteomyelitis infection is an important step in treating this debilitating complication. In this regard, the present study was aimed to determine the incidence of osteo...
متن کاملSociodemographic and clinical characteristics of patients with diabetic foot ulcer.
INTRODUCTION Diabetic foot is one of the most serious complications of diabetes affecting about 15% of all diabetes patients, and it is the leading cause of nontraumatic lower limb amputations. This study presents a sociodemographic and clinical characterization of patients with diabetic foot ulcer indicated for amputation surgery. METHODS A cross-sectional study with 206 patients with type 2...
متن کاملمنابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ذخیره در منابع من قبلا به منابع من ذحیره شده{@ msg_add @}
عنوان ژورنال
دوره 5 شماره 2
صفحات 56- 63
تاریخ انتشار 2020-06-19
با دنبال کردن یک ژورنال هنگامی که شماره جدید این ژورنال منتشر می شود به شما از طریق ایمیل اطلاع داده می شود.
کلمات کلیدی
میزبانی شده توسط پلتفرم ابری doprax.com
copyright © 2015-2023