Investigation of the Most Common Bacterial Strains in Diabetic Foot Ulcer Patients

Mohsen Rezazadeh, Fatemeh Hajian, Esmat Radmanesh, Fatemeh Maghsoudi, Alireza Hazbenejad, Sara Mobarak
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Abstract

Background: Diabetes has been one of the most prevalent medical illnesses, and diabetic foot ulcer (DFU) infections are the main causes of hospitalization in diabetics. The present study aimed to investigate the factors contributing to DFUs in patients referred to Taleghani Hospital in Abadan. Methods: In this study, the data of 316 diabetic patients with DFUs referred to Taleghani Hospital in Abadan from March 21, 2019, to March 19, 2020, were analyzed by SPSS version 22.0. Results: The study revealed that out of the 316 patients, 212 (67.1%) were male and 104 (32.9%) were female. Additionally, 64.3% of them had type 2 diabetes. Most of the patients had third-degree ulcers (60.4%) and 26.9% had amputations. Staphylococcus aureus (34.5%) and Pseudomonas aeruginosa (30.4%) were the most prevalent bacteria isolated from DFUs. The highest frequency of antibiotic resistance was reported for Cotrimoxazole (33%) and Tetracycline (28.2%). Conclusion: In conclusion, Gram-positive bacteria had a higher prevalence compared to gram-negative bacteria. It is essential to conduct periodic examinations to reduce the risk of health-threatening complications in diabetic patients.
糖尿病足溃疡患者最常见细菌菌株的调查
背景:糖尿病是最常见的内科疾病之一,糖尿病足溃疡(DFU)感染是糖尿病患者住院治疗的主要原因。本研究旨在调查在阿巴丹Taleghani医院转诊的患者中导致DFUs的因素。方法:本研究对2019年3月21日至2020年3月19日在阿巴丹市Taleghani医院就诊的316例糖尿病DFUs患者的资料进行SPSS 22.0版分析。结果:316例患者中,男性212例(67.1%),女性104例(32.9%)。此外,64.3%的人患有2型糖尿病。大多数患者有三度溃疡(60.4%),26.9%的患者截肢。金黄色葡萄球菌(34.5%)和铜绿假单胞菌(30.4%)是dfu中最常见的细菌。耐药频次最高的是复方新诺明(33%)和四环素(28.2%)。结论:革兰氏阳性菌的感染率高于革兰氏阴性菌。定期检查以降低糖尿病患者发生危及健康的并发症的风险是至关重要的。
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