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Bacteriological Profile of Wounds of Patients with Neuroischemic Form of Diabetic Foot

https://doi.org/10.51523/2708-6011.2020-17-1-8

Abstract

Objective: to assess the results of the microbiological study of wounds in patients with diabetic foot syndrome (DFS).

Material and methods. The microbiological study of the wounds of 76 patients with the neuroischemic form of DFS having undergone inpatient treatment at Gomel Regional Diabetic Foot Center from 2016 to 2019 was performed.

Results. The range of the microbial flora of the wounds of the patients with the neuroischemic form of DFS has been identified, the antibiotic susceptibility of the detected bacteria to antibacterial drugs has been analyzed.

Conclusion. The microbiological profile of the wounds of the patients with the neuroischemic form of DFS was characterized by the variety of bacteria and included Enterococcusfaecalis (29%), Staphylococcusaureus (19%), as well as representatives of Enterobacteriaceae family (25%). The detected bacteria were most sensitive to glycopeptides, aminoglycosides, carbapenems, which makes it reasonable to prescribe these groups of antibiotics as the start antibacterial therapy.

About the Authors

V. I. Silvistrovich
Gomel State Medical University
Belarus

Silvistrovich V.I., Assistant Professor at the Department of Surgical Diseases No. 1 with the course of Cardiovascular Surgery, EI "Gomel State Medical University"



A. A. Lyzikov
Gomel State Medical University
Belarus

Lyzikov A.A., Doctor of Medical Sciences, Professor, Head of the Department of Surgical Diseases No.1 with the course of Cardiovascular Surgery, EI "Gomel State Medical University"



M. L. Kaplan
Gomel State Medical University
Belarus

Kaplan M. L., Associate Professor at the Department of Surgical Diseases No.1 with the course of Cardiovascular Surgery, EI "Gomel State Medical University"



J. I. Yarets
Republican Research Center for Radiation Medicine and Human Ecology
Belarus

Yarets Yu.I., Candidate of Medical Sciences, Head of the Clinical and Diagnostic Laboratory of the SI "Republican Research Center for Radiation Medicine and Human Ecology", Gomel, Republic of Belarus



References

1. Бенсман ВМ. Хирургия гнойно-некротических осложнений диабетической стопы. Руководство для врачей. 2-е перераб и доп изд. Москва, РФ; 2015. 496 с.

2. Melissa F Green, Zarrintaj Aliabadi, Bryan T Green. Diabetic foot: Evaluation and management. Southern Medical Journal. 2002;95(1):95-101.

3. Удовиченко ОВ, Грекова НМ. Диабетическая стопа. Руководство для врачей. Москва, РФ; 2010. 272 с.

4. Kota SK, Meher LK, Sahoo S, Mohapatra S, Modi K.D. Surgical revascularization techniques for diabetic foot. Journal of Cardiovascular Disease Research. 2013;4(2):79-83. doi: org/10.1155/2015/276263

5. Бреговский ВБ, Демина АГ, Карпова ИА Профилактика синдрома диабетической стопы у больных сахарным диабетом. Справочник поликлинического врача. 2015;4-5:30-34

6. International Diabetes Federation. IDF Diabetes Atlas, 7th edn. Brussels, Belgium [Electronic resource]. International Diabetes Federation, 2015. [cited 2020 Febr 19]. Available from: http://www.diabetesatlas.org

7. Miller CN, Carville K, Newall N, Kapp S, Lewin J, San-tamaria N. Assessing bacterial burden in wounds: comparing clinical observation and wound swabs. Int Wound J. 2011;8:45-55. doi: 10.1111/j.1742-481X.2010.00747.x.

8. «Об утверждении некоторых клинических протоколов»: приказ Министерства здравоохранения Республики Беларусь, 28.06.2013 №749. Приложение: Клинический протокол диагностики и лечения пациентов с хирургической инфекцией кожи и мягких тканей в амбулаторных условиях [Электронный ресурс] Нац. центр правовой информ. Респ. Беларусь. Минск, 2016. [дата обращения: 2020 Февр 19]. Available from: http://www.minzdrav.gov.by/upload/dadvfiles/000816_197817_749.pdf

9. Bessa LJ, Fazii P, Di Giulio M, Cellini L. Bacterial isolates from infected wounds and their antibiotic susceptibility pattern: some remarks about wound infection. Intern Wound J. 2013;2:15-22. DOI: 10.1111/iwj.12049

10. Breakpoint tables for interpretation of MICs and zone diameters. Breakpoint tables for interpretation of MICs and zone diameters. Version 9.0. [Electronic resource] / EUCAST; 2019. [дата обращения: 2019 Май 20]. Available from: http: //www.eucast.org/clinical_breakpoints/

11. Дедов ИИ, Шестакова МВ, ред. Алгоритмы специализированной медицинской помощи больным с сахарным диабетом. Клинические рекомендации, 8-й выпуск. 2015;20(1S):1-112. doi:10.14341/DM20171S8


Review

For citations:


Silvistrovich V.I., Lyzikov A.A., Kaplan M.L., Yarets J.I. Bacteriological Profile of Wounds of Patients with Neuroischemic Form of Diabetic Foot. Health and Ecology Issues. 2020;(1):45-50. (In Russ.) https://doi.org/10.51523/2708-6011.2020-17-1-8

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ISSN 2220-0967 (Print)
ISSN 2708-6011 (Online)