Diabetic Foot Infection Due to Pseudomonas Aeruginosa, Peshawar
DOI:
https://doi.org/10.37762/jwmipt.2Abstract
OBJECTIVES:
The objectives of this study were to evaluate the diabetic foot infection due to pseudomonas aeruginosa in Peshawar.
METHODOLOGY:
A tenth month study was conducted at Khyber Teaching Hospital Peshawar from April 2019 to February 2020. All diabetic foot patients, admitted at surgical ward with outpatients were also enrolled in the study. The study was conducted on 109 patients with both genders.
RESULTS:
The result of male to female ratio was equal. Out of 109, fifty-five (55) were male and fifty-four (54) were female. A total of 109 bacteria were isolated from those patients. Age ranges from 40 years to 85 years. All 109 patients is present with 1 pathogen, none of it is present with multiple pathogen. Gram-positive organisms were found only in 37 (32%) patients, while other are grams negative. Staphylococcus aureus was most prominent isolated bacteria in 37 (32%) patients, followed by E.coli 29 (27%), enterobacter 20 (18%), pseudomonas 12 (11%), citrobacter species 12 (11%), and proteus species in 01 (01%) patient.
CONCLUSION:
This study concluded that Staphylococcus is most dominant gram-positive organism isolated about 32%, followed by other gram-negative organism. Patient ages between 51-60 were most in number i.e. 43 out of 109. The mean age is 54±5.
KEYWORDS: Staphylococcus, Gram-positive, E. coli, Bacteria, Antibiotics
References
Umadevi S, Kumar S, Joseph NM, Easow JM, Kandhakumari G, Srirangaraj S, et al. Microbiological study of diabetic foot infections. Indian J Med Spec. 2011;2(1):12-7.
Coffey L, Mahon C, Gallagher P. Perceptions and experiences of diabetic foot ulceration and foot care in people with diabetes: a qualitative meta‐synthesis. Int Wound J. 2019;16(1):183-210.
Mishra SC, Chhatbar KC, Kashikar A, Mehndiratta A. Diabetic foot. BMJ. 2017;359:j5064.
Ramakant P, Verma AK, Misra R, Prasad KN, Chand G, Mishra A, et al. Changing microbiological profile of pathogenic bacteria in diabetic foot infections: time for a rethink on which empirical therapy to choose?. Diabetologia. 2011;54(1):58-64.
Chapman S. Foot care for people with diabetes: prevention of complications and treatment. Br J Community Nurs. 2017;22(5):226-9.
Mullan L, Driscoll A, Wynter K, Rasmussen B. Barriers and enablers to delivering preventative and early intervention footcare to people with diabetes: a scoping review of healthcare professionals’ perceptions. Aust J Primary Health. 2020;25(6):517-25.
Pankhurst CJ, Edmonds ME. Barriers to foot care in patients with diabetes as identified by healthcare professionals. Diabetic Med. 2018;35(8):1072-7.
Huda N, Sukartini T, Pratiwi NW. The impact of self-efficacy on the foot care behavior of type-2 diabetes mellitus patients in Indonesia. J Ners. 2019;14(2):181-6.
Abdulrazak A, Bitar ZI, Al-Shamali AA, Mobasher LA. Bacteriological study of diabetic foot infections. J Diabetes Complications. 2005;19(3):138-41.
Lipsky BA. Medical treatment of diabetic foot infections. Clin Infect Dis. 2004;39(Supplement_2):S104-14.
Shanmugam P, Jeya M, Linda-Susan S. The bacteriology of diabetic foot ulcers, with a special reference to multidrug resistant strains. J Clin Diagn Res. 2013;7(3):441-5.
Lipsky BA, Berendt AR, Embil J, De-Lalla F. Diagnosing and treating diabetic foot infections. Diabetes/Metab Res Rev. 2004;20(S1):S56-64.
Shankar EM, Mohan V, Premalatha G, Srinivasan RS, Usha AR. Bacterial etiology of diabetic foot infections in South India. Eur J Intern Med. 2005;16(8):567-70.
Machado C, Teixeira S, Fonseca L, Abreu M, Carvalho A, Pereira MT, et al. Evolutionary trends in bacteria isolated from moderate and severe diabetic foot infections in a Portuguese tertiary center. Diabetes Metab Syndr: Clin Res Rev. 2020;14(3):205-9.
Miyan Z, Fawwad A, Sabir R, Basit A. Microbiological pattern of diabetic foot infections at a tertiary care center in a developing country. J Pak Med Assoc. 2017;67(5):665-9.
Khawaja N, Abu-Shennar J, Saleh M, Dahbour SS, Khader YS, Ajlouni KM. The prevalence and risk factors of peripheral neuropathy among patients with type-2 diabetes mellitus; the case of Jordan. Diabetol Metab Syndr. 2018;10(1):1-10.
Gogia S, Rao CR. Prevalence and risk factors for peripheral neuropathy among type-2 diabetes mellitus patients at a tertiary care hospital in coastal Karnataka. Indian J Endocrinol Metab. 2017;21(5):665-9.
Chandrashekar S, Muralidhar S. A study on the prevalence of risk factors and presence of diabetic foot ulcers in T2DM patients in KR Hospital, Mysuru. Int Surg J. 2017;4(9):2983-6.
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2021-08-01
