DIABETIC FOOT INFECTIONS

Authors

  • AYAZ GUL Khalifa Gul Nawaz Hospital Bannu
  • JAVID IQBAL Khyber Teaching Hospital Peshawar.
  • ZIA UDDIN AFRIDI Khyber Teaching Hospital Peshawar.

DOI:

https://doi.org/10.29309/TPMJ/2012.19.04.2261

Keywords:

Diabetic foot infection, Methicillin resistant Staphylococcus aureus

Abstract

Objective: The objective of this study is to know the frequency of methicillin resistant Staphylococcus aureus and its antibiotic
sensitivity in diabetic foot infections in our setup. Design: Cross sectional descriptive study. Setting: Surgical Department, Khyber Teaching
Hospital, Peshawar. Period: January 2008 to January 2010. Materials and Methods: A total of 84 patients, including 64 males and 20 females.
Patient's identity, age, gender and the bacterial isolate on culture and sensitivity report were noted on a standardized proforma and analyzed on
SPSS version 16.0. Patients of 18 years and both gender with type I & II Diabetes mellitus, diabetic foot ulcers of Wagner Classification System
Grade 1 to 5 of 3 weeks duration, with infection and with no evidence of healing were enrolled in the study. Results: The overall mean age of
patients was 60.8 years + 6.5SD with 9.2 + 0.5% HbA1c level. Frequency of methicillin resistant Staphylococcus aureus was 28.57%. Methicillin
sensitive Staphylococcal aureus (51.19%), Pseudomonas aeruginosa (48.80%) and Escherichia coli (46.42%) were the common organism
cultured. Methicillin resistant Staphylococcus aureus showed 100% sensitivity to Vancomicin, Linezolid, Meropenem, Imepenem and
Pipracillin/tazobactam. Conclusions: There is an alarming trend of increase in methicillin resistant Staphylococcus aureus because of
indiscriminate use of antibiotics in our set up which should be discouraged and a detailed knowledge of bacterial susceptibility to antimicrobial
agents is necessary.

Author Biographies

AYAZ GUL, Khalifa Gul Nawaz Hospital Bannu

Senior Registrar, 
Surgical unit, 

JAVID IQBAL, Khyber Teaching Hospital Peshawar.

Orthopaedics Unit,

ZIA UDDIN AFRIDI, Khyber Teaching Hospital Peshawar.

Senior Registrar, Surgical “A” Unit,

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Published

2012-08-07