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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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