2007, Cilt 21, Sayı 2, Sayfa(lar) 065-069 |
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CLINICAL AND BACTERIOLOGICAL ANALYSIS OF DIABETIC FOOT INFECTIONS |
Bahar ÖRMEN1, Nesrin TÜRKER1, İlknur VARDAR1, Nejat Ali COŞKUN1, Figen KAPTAN1, Serap URAL1, Sibel EL1, Metin TÜRKER2 |
1İzmir Atatürk Eğitim ve Araştırma Hastanesi, İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, İzmir 2İzmir Atatürk Eğitim ve Araştırma Hastanesi, Mikrobiyoloji ve Klinik Mikrobiyoloji Bölümü, İzmir |
Keywords: Diabetic foot, infection, bacterium |
In this study clinical and laboratory features; isolated aerobic microorganisms and the antibiotic susceptibility test results of cases
with diabetic foot infection were evaluated to make a contribution to the ampiric antibiotic treatment of such cases. Fifty cases were
followed up prospectively.Thirtythree (66%) of cases were males and 17(34%) were females. According to Wagner classification
seven cases were grade 1, 12 were grade 2, 13 were grade 3, 15 were grade 4 and three were grade 5. A total of 35 bacteria were
isolated from 33(66%) cases; 14(40%) of them were gram-positive, 21(60%) were gram-negative. Staphyloccus aureus was the
most common isolate among the gram-positive bacteria and the oxacillin resistance was detected in 37.5% of the strains. The most
commonly isolated gram-negative bacteria were Escherichia coli, Pseudomonas aeruginosa and Acinetobacter baumannii. Induced
beta-lactamase (IBL) was detected in one of the P. aerugnosa isolates and extended spectrum beta-lactamase (ESBL) was
detected in one of the E. coli isolates. Imipenem/cilastatin was the only antibiotic to which all gram-negative bacteria were
suscetible. Amputation was carried out in 32% of the cases.
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