scholarly journals Bacteriological Profile of Wounds of Patients with Neuroischemic Form of Diabetic Foot

2020 ◽  
pp. 45-50
Author(s):  
V. I. Silvistrovich ◽  
A. A. Lyzikov ◽  
M. L. Kaplan ◽  
J. I. Yarets
Keyword(s):  
Antibacterial Therapy ◽  
Diabetic Foot ◽  
Antibiotic Susceptibility ◽  
Inpatient Treatment ◽  
Microbial Flora ◽  
Diabetic Foot Syndrome ◽  
Antibacterial Drugs ◽  
Microbiological Study ◽  
Microbiological Profile ◽  
Bacteriological Profile

Objective: to assess the results of the microbiological study of wounds in patients with diabetic foot syndrome (DFS).Material and methods. The microbiological study of the wounds of 76 patients with the neuroischemic form of DFS having undergone inpatient treatment at Gomel Regional Diabetic Foot Center from 2016 to 2019 was performed.Results. The range of the microbial flora of the wounds of the patients with the neuroischemic form of DFS has been identified, the antibiotic susceptibility of the detected bacteria to antibacterial drugs has been analyzed.Conclusion. The microbiological profile of the wounds of the patients with the neuroischemic form of DFS was characterized by the variety of bacteria and included Enterococcusfaecalis (29%), Staphylococcusaureus (19%), as well as representatives of Enterobacteriaceae family (25%). The detected bacteria were most sensitive to glycopeptides, aminoglycosides, carbapenems, which makes it reasonable to prescribe these groups of antibiotics as the start antibacterial therapy.

scholarly journals COMPARATIVE CHARACTERISTICS OF TREATMENT RESULTS USING THE OFFLOADING MEANS IN PATIENTS WITH PURULENT-NECROTIC COMPLICATIONS OF DIABETIC FOOT SYNDROME

2021 ◽  
Vol 74 (8) ◽  
pp. 1891-1893
Author(s):  
Rostyslav S. Shevchenko ◽  
Stanislav I. Shevchenko ◽  
Dmytro S. Pryimenko ◽  
Oksana S. Tsyganenko ◽  
Vladimir M. Feskov
Keyword(s):  
Pain Intensity ◽  
Diabetic Foot ◽  
Inpatient Treatment ◽  
Healing Process ◽  
Laboratory Data ◽  
Diabetic Foot Syndrome ◽  
Clinical Indicators ◽  
Surgical Interventions ◽  
Accelerate Wound Healing ◽  
Minimal Contact

The aim: To conduct a comparative analysis of clinical data, laboratory results, and pain intensity in patients using developed by us device for offloading the foot and plaster splint during inpatient treatment of purulent-necrotic complications of diabetic foot syndrome. Materials and methods: We examined 76 patients with purulent-necrotic complications of diabetic foot syndrome, who used a plaster splint and a device for offloading the foot. We evaluated the clinical indicators of the healing process, laboratory data and pain intensity. Results: Comparing the results of using the device for offloading the foot and the plaster splint showed that the developed by us device had a positive effect on the dynamics of the healing process: the edema disappeared on average 1.5 days earlier; the redness vanished on average 2.5 days earlier. We observed granulation and epithelialization significantly earlier (p <0.05) than in the group where the plaster splint was used. The number of recorded surgical interventions was statistically significant and less (p <0.05) in the group where our device was used. Low pain rates were in patients using a device for offloading the foot due to minimal contact of the wound surface with the floor. Conclusions: According to the results of comparative using the device for offloading the foot and plaster splint, we found out that using the device for offloading the foot allows creating statistically significant better conditions to accelerate wound healing in patients and reduce the duration of inpatient treatment.

scholarly journals Study on bacteriological profile and antibiotic susceptibility in diabetic foot infection in a teaching hospital, Telangana

2021 ◽  
Vol 11 (2) ◽  
pp. 315-320
Author(s):  
Divya Pothati ◽  
B. Uday Kiran
Keyword(s):  
Diabetic Foot ◽  
Antibiotic Susceptibility ◽  
Treatment Plan ◽  
Coagulase Negative Staphylococci ◽  
Cross Sectional ◽  
Female Ratio ◽  
Gram Negative ◽  
Diabetic Foot Infection ◽  
Bacteriological Profile ◽  
Culture And Sensitivity

Diabetic foot is one of the most significant complications of diabetes, Chronic infections are caused by Enterococci, various Enterobacteriaceae obligate anaerobes, Pseudomonas aeruginosa. To study bacteriological profile and antibiotic susceptibility in diabetic foot infection. Cross sectional study was done in 110 diabetic foot infection cases in the Department of Microbiology, Prathima Institute of Medical Sciences, Nagunuru, Karimnagar, Telangana. The grading of diabetic foot ulcers was done according to Wagner’s Classification system. The samples were collected from the exudates and ulcers. Gram stain was done and standard protocol for culture and sensitivity was followed for all the cases.A total of 110 cases were studied. The patient age ranged from 35 to 75 years and the male to female ratio was 2:1. Out of 110 isolates, 72.7% isolates were Gram negative bacilli with P. aeruginosa 31.8% being the predominant followed by E.coli 27.2%, K.pneumoniae 10%, P.mirabilis 4.5%, S.aureus 12.7% was the predominant isolate followed by Enterococci spp 4.5% and Coagulase negative staphylococci (CONS) 4.5% and S. pyogenes were 5.4%. Both Gram positive cocci and Gram negative bacilli can cause dia­betic foot infections and this study showed a preponderance of Gram negative bacilli. Early culture and sensitivity test of the bacterial isolates helps in guiding the treatment plan

scholarly journals Study on Bacteriological Profile and Antibiotic Susceptibility in Diabetic Foot Infection in a Teaching Hospital, Telangana

2021 ◽  
Vol 8 (20) ◽  
pp. 1538-1543
Author(s):  
Ritu Vaish
Keyword(s):  
Diabetic Foot ◽  
Antibiotic Susceptibility ◽  
Treatment Plan ◽  
Coagulase Negative Staphylococci ◽  
Cross Sectional ◽  
Female Ratio ◽  
Gram Negative ◽  
Diabetic Foot Infection ◽  
Bacteriological Profile ◽  
Culture And Sensitivity

BACKGROUND Diabetic foot is one of the most significant complications of diabetes. Chronic infections are caused by Enterococci, various Enterobacteriaceae obligate anaerobes, and Pseudomonas aeruginosa. We wanted to study bacteriological profile and antibiotic susceptibility in diabetic foot infection. METHODS A cross sectional study was done in 110 diabetic foot infection cases in the Department of Microbiology, Prathima Institute of Medical Sciences, Nagunuru, Karimnagar, Telangana. The grading of diabetic foot ulcers was done according to Wagner’s Classification system. The samples were collected from the exudates and ulcers. Gram staining was done and standard protocol for culture and sensitivity was followed for all the cases. RESULTS A total of 110 cases were studied. The patient age ranged from 35 to 75 years and the male to female ratio was 2:1. Out of 110 isolates, 72.7 % isolates were Gram negative bacilli with P. aeruginosa 31.8 % being the predominant followed by E. coli 27.2 %, K. pneumoniae 10 %, P. mirabilis 4.5 %, S. aureus 12.7 % was the predominant isolate followed by Enterococci spp 4.5 % and Coagulase negative staphylococci (CONS) 4.5 % and S. pyogenes were 5.4 %. CONCLUSIONS Both Gram positive cocci and Gram negative bacilli can cause diabetic foot infections and this study showed a preponderance of Gram negative bacilli. Early culture and sensitivity test of the bacterial isolates helps in guiding the treatment plan. KEYWORDS Bacteriological Profile, Diabetic Foot Infection

Sign in / Sign up

Export Citation Format

Share Document