tailieunhanh - A clinico microbiological study of diabetic foot ulcers

Infection complicates the pathological picture of diabetic foot and plays a main role in development of moist gangrene. A total sample size of 100 patients with diabetic foot ulcer was included in this cross sectional study. A detailed history was obtained and assessment of clinical symptoms and signs were made. Discharge from the lesions, pus aspirates from the abscesses and debrided necrotic materials were collected. Aerobic culture anerobic culture and antibiotic susceptibility testing was done. Males were the predominant group in this study 66% as compared to females 34%. Most of the patients (98%) had type 2 Diabetes Mellitus. Around 50% of the patients had Diabetes Mellitus for less than 5 years and the rest had Diabetes Mellitus for a period more than five years. Poor glycemic control was present in 90% cases and was a significant risk factor in relation to foot ulceration. Out of 100 samples 95 samples were culture positive. From the 95 culture positive patients 130 isolates were isolated as average isolates per patient. The majority of the patients were infected with aerobes only. (89%) Both aerobic and anaerobic organism could be isolated in the remaining patients. (11%) Gram positive organisms were isolated in 53 patients. Staphylococcus aerues was the commonest isolate. Resistance to cotrimoxazole, cefotaxime, gentamycin was noticed among the gram negative bacteria. | EXCELLENT PUBLISHERS International Journal of Current Microbiology and Applied Sciences ISSN 2319-7706 Volume 8 Number 08 2019 Journal homepage http Original Research Article https A Clinico Microbiological Study of Diabetic Foot Ulcers P. Meganathan1 and . Rejitha2 1Kauvery Hospitals Trichy India 2Tirunelveli Medical College Tirunelveli India Corresponding author ABSTRACT Keywords Microbiological Cotrimoxazole Cefotaxime Article Info Accepted 04 July 2019 Available Online 10 August 2019 Infection complicates the pathological picture of diabetic foot and plays a main role in development of moist gangrene. A total sample size of 100 patients with diabetic foot ulcer was included in this cross sectional study. A detailed history was obtained and assessment of clinical symptoms and signs were made. Discharge from the lesions pus aspirates from the abscesses and debrided necrotic materials were collected. Aerobic culture anerobic culture and antibiotic susceptibility testing was done. Males were the predominant group in this study 66 as compared to females 34 . Most of the patients 98 had type 2 Diabetes Mellitus. Around 50 of the patients had Diabetes Mellitus for less than 5 years and the rest had Diabetes Mellitus for a period more than five years. Poor glycemic control was present in 90 cases and was a significant risk factor in relation to foot ulceration. Out of 100 samples 95 samples were culture positive. From the 95 culture positive patients 130 isolates were isolated as average isolates per patient. The majority of the patients were infected with aerobes only. 89 Both aerobic and anaerobic organism could be isolated in the remaining patients. 11 Gram positive organisms were isolated in 53 patients. Staphylococcus aerues was the commonest isolate. Resistance to cotrimoxazole cefotaxime gentamycin was noticed among the gram negative bacteria. Introduction Diabetes mellitus is recognized as an epidemic

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