Comparative Study of Community and Hospital Acquired Infections in Diabetic Foot

S. A. Pai, H. Vijaykumar, M. Sreevathsa, D. Parag
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引用次数: 4

Abstract

Objective: To compare the microbiological profile of community acquired diabetic foot infections and hospital acquired infection in the same patients following a week of treatment. To study the morbidity associated with hospital acquired infections in terms of number of days ofhospitalization and requirement of further surgical interventions.Materials and methods: 55 individuals admitted with diabetic foot infections to tertiary referral hospital of a developing country were included in the study. Two microbial swabs were taken one at admission and the second a week later and data studied.Result: The first culture grew Klebsiellae (25.5%), E-coli (20%), Enterococci (16.4%). The surgical procedures undertaken were debridement in 57.2%, amputation in 20% and fasciotomy in 21.8%. 94 % of patients developed hospital acquired infection, the predominant organism being pseudomonas (50.9%) and E- coli-(14.9%). The surgical procedure undertaken after this was debridement in 83.6%. Conclusion: The community acquired infections varied in character and polymicrobial in nature. Hospital acquired infections were responsible for the extended morbidity of the patients and no mortality was observed in the study duration. 94% of patients developed hospital acquired infection, the predominant organism being pseudomonas and its treatment may be the key to lower the morbidity rate in patients.
糖尿病足社区与医院获得性感染的比较研究
目的:比较社区获得性糖尿病足感染与医院获得性糖尿病足感染患者治疗一周后的微生物学特征。目的:探讨医院获得性感染的发病率与住院天数及进一步手术干预的必要性的关系。材料与方法:本研究纳入发展中国家三级转诊医院收治的55例糖尿病足感染患者。入院时取两份微生物拭子,一周后取第二份,并对数据进行研究。结果:首次培养培养出克雷伯菌(25.5%)、大肠杆菌(20%)、肠球菌(16.4%)。手术方式为清创(57.2%)、截肢(20%)和筋膜切开术(21.8%)。94%的患者发生医院获得性感染,主要病原菌为假单胞菌(50.9%)和大肠杆菌(14.9%)。术后行清创术的占83.6%。结论:社区获得性感染具有多样性和多微生物性。医院获得性感染是导致患者发病率延长的原因,在研究期间未观察到死亡。94%的患者发生医院获得性感染,主要病原菌为假单胞菌,其治疗可能是降低患者发病率的关键。
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