Ana Sayfa | Dergi Hakkında | Yayın Kurulu | Telif Hakkı Devir Formu | Arşiv | Yayın Arama | Yazarlara Bilgi | Etik Politikalar | İletişim  
2010, Cilt 40, Sayı 2, Sayfa(lar) 109-116
[ Türkçe Özet ] [ PDF ] [ Benzer Makaleler ]
Clinical and Aerobic Bacteriological Analysis of Diabetic Foot Infections
Çiğdem Özaydın1, İsmet Özaydın2, Selda Acar3, Tevfik M. Yavuz4, Şükrü Öksüz1, İdris Şahin4, MustafaYıldırım5, Seda Karaman4
1Düzce Atatürk Devlet Hastanesi, Mikrobiyoloji ve Klinik Mikrobiyoloji Bölümü, Düzce Üniversitesi Tıp Fakültesi, Düzce
2Düzce Atatürk Devlet Hastanesi, Genel Cerrahi, Düzce
3Bayburt Devlet Hastanesi, Mikrobiyoloji ve Klinik Mikrobiyoloji Bölümü, Bayburt
4Düzce Atatürk Devlet Hastanesi,Tıbbi Mikrobiyoloji, Düzce
5Düzce Atatürk Devlet Hastanesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalları, Düzce
Keywords: Diabetic foot infections, bacterial agents

Objective: This study was aimed to investigate the clinical and laboratory features, aerobic bacteriology and antibiotic susceptibility of cases with diabetic foot infection in order to contribute to the appropriate choice of the empirical antibiotic treatment of such cases.

Material and methods: A total of 62 patients with diabetic foot infection were evaluated prospectively between March 2007-December 2008. Wagner classification was used to determine the stage of diabetic foot infection. Aerobic and facultative anaerobic bacteria were investigated in the samples taken from the infection site. Bacterial identification and antibiotic susceptibility were performed by standard techniques.

Results: Twenty seven (44.6%) of the cases were males and 35(56.4%) were females. According to Wagner classification 10 cases were grade 1, 21 were grade 2, 15 were grade 3, 12 were grade 4 and four were grade 5. A total of 93 bacteria were isolated from 62 patients, 49 being gram positive (52.7%) and 44 (47.3%) being gram negative. Staphylococcus aureus was the most common isolate, being recovered from 25.6% of cases. It was followed by Escherichia coli (18.3 %), Klebsiella spp. (12.9 %) and Enterococcus spp (12.9%). While vancomycin and linezolide were the most effective agents against gram positive organisms, imipenem was the most effective agent against gram negative organisms. Amputation was carried out in 29% of the cases.

Conclusion: The treatment of diabetic foot infections is of crucial importance. Thus the identification and the determination of the antibiotic susceptibility of the causative agents aid valuable data to the care of these patients.


[ Türkçe Özet ] [ PDF ] [ Benzer Makaleler ]
Ana Sayfa | Dergi Hakkında | Yayın Kurulu | Telif Hakkı Devir Formu | Arşiv | Yayın Arama | Yazarlara Bilgi | Etik Politikalar | İletişim