(2023). Identifying Potential Risk Factors and Evaluating the Microbiological Profile of Infections in Diabetic Feet. The Egyptian Journal of Hospital Medicine, 93(1), 7286-7290. doi: 10.21608/ejhm.2023.322666
. "Identifying Potential Risk Factors and Evaluating the Microbiological Profile of Infections in Diabetic Feet". The Egyptian Journal of Hospital Medicine, 93, 1, 2023, 7286-7290. doi: 10.21608/ejhm.2023.322666
(2023). 'Identifying Potential Risk Factors and Evaluating the Microbiological Profile of Infections in Diabetic Feet', The Egyptian Journal of Hospital Medicine, 93(1), pp. 7286-7290. doi: 10.21608/ejhm.2023.322666
Identifying Potential Risk Factors and Evaluating the Microbiological Profile of Infections in Diabetic Feet. The Egyptian Journal of Hospital Medicine, 2023; 93(1): 7286-7290. doi: 10.21608/ejhm.2023.322666
Identifying Potential Risk Factors and Evaluating the Microbiological Profile of Infections in Diabetic Feet
Background: Diabetic foot ulcers (DFU) account for about 20% of hospitalisations for diabetes-related reasons. These wounds may cause patients to develop fatal infections or possibly organ damage. As a result, it is crucial to have antibiotic therapy to reduce these consequences. Objective: The current study set out to identify the risk factors for DFU infection, the most typical organism that was isolated from DFU, and the antibiotics' susceptibility to infection. Patients and methods: This study was conducted on 74 patients divided into 2 groups: Control group who were not diabetic and presented with foot ulcers and a diabetic group of 54 Diabetic patients attending the clinic for the first time with DFU (30 females and 24 males). Results: Gram-positive organism was isolated from 61.1% of DFU while 33.3% were gram-negative. Isolates were Staph aureus in 19 (35.2%), 14.8% was coagulase-negative staph, 11.1% for streptococci, pseudomonas, and klebsiella (MDRO) and 5.6% for klebsiella (ESBL) and E-coli, while negative culture was in 3%. Among non-diabetics, the isolates were 60% staph aureus, and 10% for each of pseudomonas, klebsiella (ESBL), and E-coli. While 5.6% of diabetics and 10% of non-diabetics were negative cultures. There was no significant difference between the two groups. Staph aureus was the most common organism isolated from DFU. Conclusion: The most typical organism identified from DFU was a gram-positive bacterium. Broad-spectrum action against both Gram-positive and Gram-negative organisms was seen by vancomycin, imipenem and amikacin.