Analysis of the Microbial Landscape of Infection Site and the Effectiveness of Antibiotic and Immunotherapy in Patients with Diabetic Foot

Autor: V. I. Sokolova, D. A. Sychev, E. I. Vasilieva, M. B. Babarina, L. I. Zavolovskaya
Jazyk: ruština
Rok vydání: 2020
Předmět:
Zdroj: Антибиотики и Химиотерапия, Vol 65, Iss 5-6, Pp 25-29 (2020)
Druh dokumentu: article
ISSN: 0235-2990
DOI: 10.37489/0235-2990-2020-65-5-6-25-29
Popis: The article analyses the results of the study of 169 strains of microorganisms obtained from wound discharge from 132 patients with diabetes mellitus. Staphylococcus spp. bacteria held a leading place among Gram-positive pathogens. Gram-negative pathogens — Escherichia coli, Pseudomonas aeruginosa, etc. — were found less frequently. All isolated cultures were sensitive to levofloxacin and moxifloxacin, and only Acinetobacter spp. (n=2) remained intact (in vitro) after the use of levofloxacin. The intra-arterial route of administration of levofloxacin (500 mg/day) in combination with polyoxidonium (12 mg/day) through a port was used in 16 patients with diabetic foot. In all clinical cases, positive dynamics was noted: subsiding of the inflammatory process, cleansing of the wound from a purulent-necrotic substrate, and early epithelialization of the wound was observed in patients with diabetic foot.
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