Pattern of Organisms and Antibiotics Used in Treating Diabetes Foot Infection

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL

International Medical Journal Malaysia Pub Date : 2020-11-09 DOI:10.31436/IMJM.V15I1.403

M. Bujang, J. Joehaimey, Kamilov Mk, Sp Jaya Purany, I. Saadon, P. CheeHuan

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引用次数: 1

Abstract

Introduction: The aim of this study is to determine the most common organisms isolated in diabetic foot infection and the most utilised antibiotic regimes as the first line of treatment. Methods: This is a retrospective record review of the National Orthopaedic Registry Malaysia among diabetes mellitus type 2 patients who had foot infections. All identified cases admitted to 18 government hospitals in Malaysia from the 1st January 2008 until the 31st December, 2009 were included in the study. Results: A total of 416 patients were included in the study. The most common organisms cultured were Proteus species (17.5%), Klebsiella species (17.1%) and Staphylococcus aureus (17.9%), while the most commonly used antibiotic was ampicillin/sulbactam (67.5%). None of the patients was appropriately treated with metronidazole, cefoperazone or fucidic acid. All patients were given appropriate antibiotics to treat Serratia infection. Conclusion: Significant number of patients with diabetic foot infections were not treated using appropriate antibiotics as the first line treatment.

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治疗糖尿病足部感染的微生物类型和抗生素

引言：本研究的目的是确定糖尿病足感染中分离的最常见的生物体，以及作为一线治疗的最常用的抗生素方案。方法：这是马来西亚国家骨科登记处对患有足部感染的2型糖尿病患者的回顾性记录回顾。从2008年1月1日至2009年12月31日，马来西亚18家政府医院收治的所有确诊病例均纳入本研究。结果：本研究共纳入416例患者。最常见的培养物是变形杆菌（17.5%）、克雷伯菌（17.1%）和金黄色葡萄球菌（17.9%），而最常用的抗生素是氨苄青霉素/舒巴坦（67.5%）。没有一名患者接受甲硝唑、头孢哌酮或岩藻酸的适当治疗。所有患者均服用适当的抗生素治疗沙雷氏菌感染。结论：大量糖尿病足感染患者没有使用适当的抗生素作为一线治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Medical Journal Malaysia Medicine-Medicine (all)

CiteScore

0.40

自引率

0.00%

发文量

期刊介绍： International Medical Journal Malaysia (IMJM) is the official journal of the Kulliyyah (Faculty) of Medicine, International Islamic University Malaysia. It serves primarily as a forum for education and intellectual discourse for health professionals namely in clinical medicine but covers diverse issues relating to medical ethics, professionalism as well as medical developments and research in basic medical sciences. It also serves the unique purpose of highlighting issues and research pertaining to the Muslim world. Contributions to the IMJM reflect its international and multidisciplinary readership and include current thinking across a range of specialties, ethnicities and societies.