Risk factors for infection of the diabetic foot with multi-antibiotic resistant microorganisms
| Autor: | Özlem Kandemir, Ramazan Gen, Elif Şahin, Esen Akbay, Abtullah Milcan |
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| Rok vydání: | 2007 |
| Předmět: |
Male
Microbiology (medical) medicine.medical_specialty medicine.drug_class Antibiotics Drug resistance Gram-Positive Bacteria Wound care Antibiotic resistance Risk Factors Drug Resistance Multiple Bacterial Internal medicine Gram-Negative Bacteria medicine Humans Risk factor Gram-Positive Bacterial Infections Aged Antibacterial agent business.industry Osteomyelitis Length of Stay Middle Aged medicine.disease Diabetic foot Diabetic Foot Anti-Bacterial Agents Hospitalization Infectious Diseases Diabetic foot ulcer Immunology Wound Infection Female Gram-Negative Bacterial Infections business |
| Zdroj: | Journal of Infection. 54:439-445 |
| ISSN: | 0163-4453 |
| Popis: | Summary Aim To investigate the risk factors for infection of the diabetic foot with multidrug resistant microorganisms. Methods Amongst 102 diabetic patients with evidence of soft tissue infection of the foot who presented to our health center over a three year period, we investigated risk factors that might be predictive of multi-antibiotic resistance of the infecting organism. Results Of 102 patients with a diabetic foot wound, bacteria were cultured from 73, yielding a total of 104 isolates. The number of multidrug resistant isolates was 42 from 36 cases and the number of isolates other than multidrug resistant ones was 62 from 37 cases. Previous antibiotic therapy ( p =0.002) and its duration ( p =0.0001), frequency of hospitalization for the same wound ( p =0.000), duration of hospital stay ( p =0.000) and osteomyelitis ( p =0.001) were significant risk factors for infections with multidrug resistant microorganisms. Conclusion In conclusion, an appropriate antibiotic should be initiated promptly, wound perfusion should be effective, duration of hospital stay should be as short as possible and optimum hygiene should be provided during wound care to prevent infections of diabetic foot wound with multidrug resistant microorganisms. |
| Databáze: | OpenAIRE |
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