| Autor: |
Carvalho CB; Universidade Federal do Ceará, UFC, Fortaleza, CE. cbmc@secrel.com.br, Neto RM, Aragão LP, Oliveira MM, Nogueira MB, Forti AC |
| Jazyk: |
portugalština |
| Zdroj: |
Arquivos brasileiros de endocrinologia e metabologia [Arq Bras Endocrinol Metabol] 2004 Jun; Vol. 48 (3), pp. 398-405. Date of Electronic Publication: 2004 Aug 26. |
| DOI: |
10.1590/s0004-27302004000300012 |
| Abstrakt: |
Diabetes mellitus (DM) is a progressive disease with chronic complications. Feet problems represent one of the most important complications. In a prospective study, we analyzed 298 species of bacteria isolated from 141 patients with community-acquired diabetic foot ulcers. The study was undertaken at a diabetic center and at the Federal University of Ceará, Brazil, from March/2000 to November/2001. The majority of patients had mild to moderate infections and was classified as Wagner's grades I and II. The samples were cultured using selective media. The identification and the susceptibility tests were done by conventional and automated methods. The most frequently occurring pathogens were Enterobacteriaceae (83.7%), Staphylococcus aureus (43.3%) and anaerobic bacteria (17%). Streptococcus pyogenes was recovered from 7.8% of the patients. ESBL producing strains were detected in 6% and methicillin resistant Staphylococcus aureus strains were recovered from 11.6% of the patients. Resistance among bacteria has increased largely, and became common even in community-acquired infections. Improvements in the routine etiologic diagnostics and antibiotic use strategies are required to avoid inadequate treatment and its well known dramatic consequences. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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