Key points are not available for this paper at this time.
Background: Diabetic foot infections (DFI) are one of the most common debilitating complications of Type II Diabetic individuals leads to limb amputations. Management of DFI is really challenging owing to delayed wound healing processes and emerging resistance patterns among the pathogenic microbes. A cross-sectional study was done on 200 diabetic foot infection patients attend Materials and Methods: ing a tertiary care hospital in India for a period of 12 months based on Wagner's grading of Diabetic foot wounds. The samples are subjected to standard Gram's staining and CLSI guidelines for identication and antibiogram selection. Out of 200 DFI patients st Results: udied, the major incidence was observed among males (67%) than females (33%). Major number of cases belonged to Wagner's classication grade 2 (33%). 219 Aerobic bacterial isolates were identied with an average of 1.09 organisms per sample, owing to polymicrobial growth. Gram negative bacilli (74.88%) were the major isolates than the Gram positive cocci (19.63%). Klebsiella pneumoniae (25.57%) being the most predominant followed by Pseudomonas species (20.09%), Proteus mirabilis (10.95%), Escherichia coli (9.13%), Citrobacter species and Enterobacter species (3.65%) each, Proteus vulgaris (1.82%) and Acinetobacter species (0.91%). Staphylococcus aureus (7.30%), Coagulase negative Staphylococcus species (5.47%) and Micrococcus species (12.32%) were among the Gram positive cocci. While 45.9% Klebsiella pneumoniae were predominant ESBL (Extended spectrum beta lactamase inhibitors) producers, 62.5% of Staphylococcus aureus were MRSA (Methicillin resistant Staphylococcus aureus). Conclusion: Understanding the regional pathogenic microbial distribution contributes a lot for initiating the empirical antibiotics and to adopt effective management strategies in any hospital.
Swathi et al. (Mon,) studied this question.