Clinical and Susceptibility Profile from Diabetic Foot Patients in Tertiary Care Hospital
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2014, Vol 2, Issue 2
Abstract
Diabetic foot ulcer is an important complication of diabetes mellitus and improper use of topical antibiotics can lead to non healing ulcer. This study was conducted to know the clinical and sensitivity profile of diabetic foot patients. A record based study was conducted for a period of one year in patients attending the diabetic clinic of tertiary care hospital. 106 diabetic patients presenting with lower extremity infection were included in the study. Various specimens were collected for bacteriological study processed using standard microbiological procedures. The antimicrobial susceptibility pattern was studied by Kirby- Bauer disc diffusion method. A total of 136 organisms were isolated, averaging 1.36 isolate per culture positive patient. Proteus spp (18.3%) and S.aureus (18.3%) were the predominant pathogens. They were followed by E. coli (16.1%), Klebsiella spp (13.9%), Pseudomonas spp (11.7%). Polymyxin- B, meropenem, imipenem and piperacillin/tazobactam were most effective against gram negative organisms while vancomycin, linezolid and amikacin were most effective against gram positive organisms. Appropriate antibiotic therapy ia an essential part of diabetic foot management and the prevalence of MDROs was alarmingly high and patient should be given organism targeted therapy rather than empirical therapy.
Authors and Affiliations
Narinder Kaur, Amandeep Kaur, Rajiv Kumar, Amarjit Kaur Gill
Keywords
Related Articles
- EP ID EP375139
- DOI -
- Views 55
- Downloads 0
Treatment of Tracheal stenosis by rigid bronchoscopic dilatation and topical Mitomycin – C application
Abstract: Tracheal stenosis is a known complication of prolonged intubation. It is difficult to treat and traditional surgical approach is associated with significant risk and complications. Recurrent stenosis due to gra...
Pattern Reversal Visual and Brain Stem Auditory Evoked Potentials: Influence of Gender, Head Circumference and Body Size in Normal Healthy Adults
Evoked potential studies are important neurophysiological tests that are useful in investigating the physiology and pathophysiology of central and peripheral nervous systems. Age, sex, brain size and body size are a vari...
Dexmedetomidine for Prevention of Propofol Induced Pain: A Prospective, Randomized, Double Blind Controlled Study
Abstract: Propofol, an intravenous (IV) anesthetic is associated with pain on injection with incidence ranging from 28% to 90% in adults. The aim of present study is to know the anti-nociceptive effect of dexmedetomidine...
A Comparative Study of Functional Outcome in Operative Treatment versus Conservative Treatment in Fractures of Distal End Radius in Adults
Fracture distal end of radius is an injury seen with high frequency, representing approximately one sixth of all fractures seen in emergency departments. We compared operative treatment with conservative treatment of fra...
Seasonal Variation of Water Quality Drawn Directly from the Lahore Aquifer
Water contaminated with pathogenic micro-organisms is a serious threat to human health, particularly in some developing countries. This study was designed to evaluate the quality of water used at the Shaukat Khanum Memor...