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A study on diabetic foot ulcers in Central rural India to formulate empiric antimicrobial therapy

AIM: This study was carried out on patients with diabetic foot ulcer (DFU) to assess the clinical characteristics, spectrum of microbial flora, antibiotic sensitivity, and devise an empiric antimicrobial therapy. MATERIAL METHODS: Clinical data and tissue samples were collected from 105 diabetic foo...

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Autores principales: Singh, Amit Kumar, Yeola, Meenakshi, Singh, Namrata, Damke, Smita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7586547/
https://www.ncbi.nlm.nih.gov/pubmed/33110835
http://dx.doi.org/10.4103/jfmpc.jfmpc_700_20
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author Singh, Amit Kumar
Yeola, Meenakshi
Singh, Namrata
Damke, Smita
author_facet Singh, Amit Kumar
Yeola, Meenakshi
Singh, Namrata
Damke, Smita
author_sort Singh, Amit Kumar
collection PubMed
description AIM: This study was carried out on patients with diabetic foot ulcer (DFU) to assess the clinical characteristics, spectrum of microbial flora, antibiotic sensitivity, and devise an empiric antimicrobial therapy. MATERIAL METHODS: Clinical data and tissue samples were collected from 105 diabetic foot ulcer patients between December 2018 and November 2019. The collected samples were processed as per Clinical and Laboratory Standards Institute guidelines and clinical and microbiological data was analyzed. RESULTS: In this study of 105 patients, DFU was most common in males in 5(th) and 6(th) decade of life. Majority of patients had poor glycemic control and neuropathy. Of 110 bacterial isolates obtained from 97 samples, 73.7% were Gram-negative bacteria, and 27.3% were Gram-positive. Most of samples (48.6%) showed growth of single bacteria, growth of two bacteria and polymicrobial growth was seen in 28.6% and 15.2% of tissue samples respectively of which. Pseudomonas was predominant isolate (27.3%) sensitive to imipenem (90%), amikacin (86.6%), gentamicin (83.3%), and cefotaxime (80%) followed by Staphylococcus aureus (19.1%) sensitive to amikacin and gentamicin (100%), and ofloxacin (90%). Pseudomonas, E. coli, Proteus and Klebsiella were highly resistant to ampicillin and amoxicillin-clavulanic acid. CONCLUSION: This study showed DFU are common in 5(th) and 6(th) decades of life. Gram-negative bacteria are predominant infective organism. Most of both Gram-negative and Gram-positive bacteria are resistant to variable degrees to commonly used antibiotics and sensitive to aminoglycosides. Amikacin and gentamicin can be used as empiric antibiotics for treatment of DFU infections.
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spelling pubmed-75865472020-10-26 A study on diabetic foot ulcers in Central rural India to formulate empiric antimicrobial therapy Singh, Amit Kumar Yeola, Meenakshi Singh, Namrata Damke, Smita J Family Med Prim Care Original Article AIM: This study was carried out on patients with diabetic foot ulcer (DFU) to assess the clinical characteristics, spectrum of microbial flora, antibiotic sensitivity, and devise an empiric antimicrobial therapy. MATERIAL METHODS: Clinical data and tissue samples were collected from 105 diabetic foot ulcer patients between December 2018 and November 2019. The collected samples were processed as per Clinical and Laboratory Standards Institute guidelines and clinical and microbiological data was analyzed. RESULTS: In this study of 105 patients, DFU was most common in males in 5(th) and 6(th) decade of life. Majority of patients had poor glycemic control and neuropathy. Of 110 bacterial isolates obtained from 97 samples, 73.7% were Gram-negative bacteria, and 27.3% were Gram-positive. Most of samples (48.6%) showed growth of single bacteria, growth of two bacteria and polymicrobial growth was seen in 28.6% and 15.2% of tissue samples respectively of which. Pseudomonas was predominant isolate (27.3%) sensitive to imipenem (90%), amikacin (86.6%), gentamicin (83.3%), and cefotaxime (80%) followed by Staphylococcus aureus (19.1%) sensitive to amikacin and gentamicin (100%), and ofloxacin (90%). Pseudomonas, E. coli, Proteus and Klebsiella were highly resistant to ampicillin and amoxicillin-clavulanic acid. CONCLUSION: This study showed DFU are common in 5(th) and 6(th) decades of life. Gram-negative bacteria are predominant infective organism. Most of both Gram-negative and Gram-positive bacteria are resistant to variable degrees to commonly used antibiotics and sensitive to aminoglycosides. Amikacin and gentamicin can be used as empiric antibiotics for treatment of DFU infections. Wolters Kluwer - Medknow 2020-08-25 /pmc/articles/PMC7586547/ /pubmed/33110835 http://dx.doi.org/10.4103/jfmpc.jfmpc_700_20 Text en Copyright: © 2020 Journal of Family Medicine and Primary Care http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Singh, Amit Kumar
Yeola, Meenakshi
Singh, Namrata
Damke, Smita
A study on diabetic foot ulcers in Central rural India to formulate empiric antimicrobial therapy
title A study on diabetic foot ulcers in Central rural India to formulate empiric antimicrobial therapy
title_full A study on diabetic foot ulcers in Central rural India to formulate empiric antimicrobial therapy
title_fullStr A study on diabetic foot ulcers in Central rural India to formulate empiric antimicrobial therapy
title_full_unstemmed A study on diabetic foot ulcers in Central rural India to formulate empiric antimicrobial therapy
title_short A study on diabetic foot ulcers in Central rural India to formulate empiric antimicrobial therapy
title_sort study on diabetic foot ulcers in central rural india to formulate empiric antimicrobial therapy
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7586547/
https://www.ncbi.nlm.nih.gov/pubmed/33110835
http://dx.doi.org/10.4103/jfmpc.jfmpc_700_20
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