Peripheral arterial disease increases the risk of multidrug-resistant bacteria and  amputation in diabetic foot infections

Pinar Aysert YILDIZ; Tuğba ÖZDİL; MURAT DİZBAY; Özlem Güzel TUNÇCAN; Kenan HIZEL

Makale detayları

Peripheral arterial disease increases the risk of multidrug-resistant bacteria and amputation in diabetic foot infections

Yazarlar:

Pinar Aysert YILDIZ | Tuğba ÖZDİL | MURAT DİZBAY | Özlem Güzel TUNÇCAN | Kenan HIZEL

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2018 Vol.48 Issue 4, pp.845-850

Belge Tipi:

Makale

Yayın Tarihi:

7/2018

Belge Dili:

Türkçe

Document ID (Org No.):

2000750660

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

Özet:

 

Background/aim: The aim of this study was to investigate the microbiological profile and resistance rates of diabetic foot infections  (DFIs) and to determine the effect of peripheral arterial disease (PAD) on the microbiology, clinical condition, and treatment outcomes.  Materials and methods: Characteristics, laboratory and imaging data, and the treatment modalities of patients admitted to our hospital  with a diagnosis of DFI (PEDIS classification 3-4) during 2005-2016 were analyzed according to the presence of PAD.  Results: Of 112 patients who were included in this study, 86 (76.8%) had PAD. Patients with PAD were older and had higher amputation  rates (P < 0.05). A microbiological profile of patients revealed a predominance of gram-positive bacteria (57.1%). Staphylococcus aureus  and Streptococcus spp. were the most frequently encountered bacteria. Incidence of Pseudomonas spp. infection was higher in the PAD  group (P < 0.05). Of all patients, 24.1% had multidrug-resistant (MDR) microorganisms in their wound cultures. Presence of MDR  bacteria in patients with PAD was 4.9-fold higher than that in patients without PAD (P < 0.05).  Conclusion: This retrospective study indicates that PAD has a significant role, especially in elderly patients with DFIs. Patients should  be promptly evaluated and treated for PAD to prevent infections with resistant microorganisms and limb loss.

Makale detayları

Peripheral arterial disease increases the risk of multidrug-resistant bacteria and amputation in diabetic foot infections

Yazarlar: Pinar Aysert YILDIZ | Tuğba ÖZDİL | MURAT DİZBAY | Özlem Güzel TUNÇCAN | Kenan HIZEL

Yayıncı: TUBITAK

Dergi: Turkish Journal of Medical Sciences 2018 Vol.48 Issue 4, pp.845-850

Belge Tipi: Makale

Yayın Tarihi: 7/2018

Belge Dili: Türkçe

Document ID (Org No.): 2000750660

Sıklık: İki Aylık

eISSN: 1303-6165

pISSN: 1300-0144

Sayı

Yazarlar:

Pinar Aysert YILDIZ | Tuğba ÖZDİL | MURAT DİZBAY | Özlem Güzel TUNÇCAN | Kenan HIZEL

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2018 Vol.48 Issue 4, pp.845-850

Belge Tipi:

Makale

Yayın Tarihi:

7/2018

Belge Dili:

Türkçe

Document ID (Org No.):

2000750660

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144