‘Does the National Antibiotic Guideline- 2008 remain applicable for treating diabetic foot infection?’ A new evidence-based regional study on culture and sensitivity patterns in Terengganu population
Journal Title: Malaysian Orthopaedic Journal - Year 2014, Vol 8, Issue 1
Abstract
Diabetic foot infections make up a significant number of orthopaedic ward admissions. The recommended choice of empirical antibiotics used in Malaysia for diabetic foot infections is based on the National Antibiotic Guidelines 2008. The pattern of bacteriology and the effectiveness of the treatment of diabetic foot infections based on this guideline were analyzed through a retrospective study in our hospital. Data over a period of one year (May 2012- April 2013) was analyzed, and 96 patients were included in this study. Polymicrobial growth (58%) was mainly isolated, followed with an almost equal percentage of gram-negative (22%) and gram-positive organisms (20%). The empirical antibiotics based on the national antibiotic guidelines were used as definitive antibiotics in 85% of the cases. Although there was slight variation in the pattern of organisms as compared to other studies conducted in this country, the high rate of positive clinical response proved that the antibiotic guideline was still effective in diabetic foot infection treatment.
Authors and Affiliations
SD Balakrishnan, NJ Shahid, TM Fairuz, IMA Ramdhan
Keywords
Related Articles
- EP ID EP306672
- DOI 10.5704/MOJ.1403.017
- Views 96
- Downloads 0
Clinical Measurement of the Tibio-femoral Angle in Malay Children
Background: This study was conducted to find out the age when tibiofemoral angle starts to be in valgus and reaches maximum angle. The differences of the angles between genders were also studied. Methodology: This cross...
Correlation of Psychosocial Factor with Functional Outcome: One Year after Hip Fracture Surgery
Objective: This study investigated the correlation of 8 domains of psychosocial factors with functional outcome one year after hip fracture surgery. A prospective cohort study of patients who had unilateral hip fracture...
Multidrug Resistant Tuberculosis involving the Clavicle, Spine and Ribs
This report describes an unusual case of multidrug resistant tuberculosis (MDR-TB), involving the right clavicle and multicentric aytpical spine involvement without any neurological deficit. The female patient presented...
A Comparison Between Subvastus and Midvastus Approaches for Staged Bilateral Total Knee Arthroplasty: A Prospective, Randomised Study
This prospective randomised study was undertaken to compare surgical parameters as well as clinical and radiological outcomes of subvastus (SV) to midvastus (MV) approaches in staged bilateral total knee arthroplasty (TK...
Normal Anterior Cruciate Ligament Laxity in the Malaysian Population
A study to determine average knee laxity in the Malaysian population and how it affects daily living was conducted at the University Malaya Medical Centre between January and April 2004. Fifty two male and 76 female subj...