Spectrum of microbial flora in diabetic foot ulcers

A prospective study was carried out on patients with diabetic foot lesions to determine their clinical characteristics, the spectrum of aerobic microbial flora and to assess their comparative <i>in vitro</i> susceptibility to the commonly used antibiotics. A total of 157 organisms (143 b...

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Main Authors: Bansal Ekta (Author), Garg Ashish (Author), Bhatia Sanjeev (Author), Attri A (Author), Chander Jagdish (Author)
Format: Book
Published: Wolters Kluwer Medknow Publications, 2008-04-01T00:00:00Z.
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Summary:A prospective study was carried out on patients with diabetic foot lesions to determine their clinical characteristics, the spectrum of aerobic microbial flora and to assess their comparative <i>in vitro</i> susceptibility to the commonly used antibiotics. A total of 157 organisms (143 bacteria and 14 fungi) were isolated and an average of 1.52 isolates per case was reported. Polymicrobial infection was found in 35&#x0025; of the patients. In this study, <i>Pseudomonas aeruginosa</i> among the gram-negative (22&#x0025;) and <i>Staphylococcus aureus</i> among the gram-positive (19&#x0025;) were the predominantly isolated organisms, while <i>Candida</i> was the most predominantly isolated fungus. Antimicrobial sensitivity pattern of the isolates is discussed in detail. There was a linear increase in the prevalence of organisms with increase in Wagner&#x2032;s grade. Neuropathy (76&#x0025;) and peripheral vascular disease (57.28&#x0025;) was a common feature among the patients. Poor glycemic control was found in 67&#x0025; of the patients. Awareness about lower limb complications of diabetes was very low (23&#x0025;) among the patients
Item Description:0377-4929