Comparison of microbial findings and resistance to antibiotics between transplant patients, patients on hemodialysis, and other patients with the diabetic foot

Fejfarová, Vladimı́ra; Jirkovská, Alexandra; Petkov, V.; Bouc̆ek, P; Skibová, J

doi:10.1016/s1056-8727(02)00276-3

Cited by 24 publications

(27 citation statements)

References 24 publications

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“…Accordingly, they may develop foot infections with more resistant bacteria including multi-resistant Staphylococcus, Enterococcus, and Pseudomonas species. [54] These infections are very difficult to treat, often requiring repeated hospital admissions and sometimes leading to life-threatening septicemia. [55] In these patients, amputation rates are particularly high, from 10-30%.…”

Section: The Diabetic Foot In Esrdmentioning

confidence: 99%

The Diabetic Foot in End Stage Renal Disease

et al. 2007

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Diabetic foot lesions remain a major cause of morbidity in patients with renal failure, especially those on dialysis. Foot complications are encountered at a more than twofold frequency in diabetic patients with end-stage renal disease, and the rate of amputations is 6.5-10 times higher in comparison to the general diabetic population. The causal pathways of the diabetic foot in renal failure are multiple and inter-related. Three major pathologies-neuropathy, ischemia, and infection-are the main contributory factors. Increased awareness of this condition and careful clinical examination are indispensable to avoid serious complications. Appropriate management needs to address all contributory factors. Treatment options include revascularization, off-loading to relieve high-pressure areas, and aggressive control of infection. Equally important is the collaboration between health care providers in a multidisciplinary foot care setting. Moreover, patient education on the measures required to achieve both primary and secondary prevention is of great value. Certainly, technical innovations have made considerable progress possible, but there is a need for further improvement to reduce the number of amputations.

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Section: The Diabetic Foot In Esrdmentioning

confidence: 99%

The Diabetic Foot in End Stage Renal Disease

et al. 2007

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“…11,12 It has been reported that aerobic microorganisms isolated from diabetic foot infections are most frequently Grampositive. 13,14 Unlike the studies mentioned above, Motta et al reported that in community-acquired diabetic foot ulcer infections, the most frequently occurring pathogens were the Gram-negative bacteria Klebsiella pneumoniae (21.2%), M morganii (19.9%) and E coli (15.4%). 15 In our case study, M morganii was also isolated from exudate of a diabetic ulcer in the left foot.…”

Section: Discussionmentioning

confidence: 95%

Morganella morganii-associated arthritis in a diabetic patient

et al. 2008

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This case report involves a 60-year-old diabetic man who developed septic arthritis as a result of the pathogen Morganella morganii. The patient had complaints of elevated body temperature, malaise, rigors and pain in the left knee, despite no history of trauma. On examination of the knee, erythema, warmth, tenderness and swelling was observed. Arthrocentesis performed on his left knee indicated the presence of straw-coloured, cloudy fluid without crystals. Bacterial identification based on biochemical and automated methods indicated the growth of M morganii. M morganii was also isolated sedimentafrom the exudate of a diabetic ulcer in the left foot, with antibiotic susceptibilities identical to those from the knee effusion. This case indicates that M morganii may be considered as a possible cause of septic arthritis in diabetic patients, especially those with diabetic foot infections.

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“…S.aureus was the second most common agent in the three groups, with a 21% S55% and 32% respectively (24) .…”

Section: Discussionmentioning

confidence: 95%

Prevalence of Staphylococcus aureus colonization in renal transplant patients

Lamblet

Barbosa

2014

Rev. esc. enferm. USP

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RESUmEnObjetivo: Evaluar la prevalencia de la colonización nasal por Staphylococcus aureus en pacientes transplantados renales e identificar los factores de riesgo relacionados. Método: Fueron recogidas muestras nasales por medio de swabs de 160 pacientes con hasta un año de hecho el transplante en el Hospital del Riñón e Hipertensión. La recolección, el aislamiento, la identificación y el perfil de sensibilidad fueron llevados a cabo según las normas del National Committee for Clinical Laboratory Standards. Resultados: La prevalencia de colonización nasal por Staphylococcus aureus fue del 9,4% (15), siendo uno resistente a la oxacilina (6,7%). Fue posible identificar como factor de riesgo asociado el tiempo de acceso para diálisis mayor de un año (p=0,029) previo al transplante. Conclusión: En virtud de la elevada morbilidad y mortalidad causada por ese microrganismo en dicha población, se hace necesaria la realización de otros estudios, adoptándose el screening en los períodos pre y post transplante a fin de definir las estrategias de prevención y el control de la diseminación del Staphylococcus aureus. dEScRiPtoRES Transplante de rinón Staphylococcus aureus Resistencia a la meticilina Control de infecciones AbStRActObjective: to evaluate the prevalence of Staphylococcus aureus nasal colonization in renal transplant patients and to identify the related risk factors. Method: Swabs were used to collect nasal samples from 160 patients who had undergone a transplant within the previous year at the Kidney and Hypertension Hospital. The 'National Committee for Clinical Laboratory Standards' norms were followed for the collection, isolation, identification and sensitivity measurements. Results: There was a 9.4% (15) prevalence of Staphylococcus aureus nasal colonization, of which one (6.7%) was resistant to oxacillin. It was possible to identify as an associated risk factor a wait of more than one year for accessing dialysis prior to the transplant (p=0.029). Conclusion: Given the high morbidity and mortality rates that this microorganism causes in the target population, other studies should be carried out, and pre-and post-transplant screening should occur in order to develop strategies that improve the prevention and control of the spread of Staphylococcus aureus.

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Comparison of microbial findings and resistance to antibiotics between transplant patients, patients on hemodialysis, and other patients with the diabetic foot

Cited by 24 publications

References 24 publications

The Diabetic Foot in End Stage Renal Disease

The Diabetic Foot in End Stage Renal Disease

Morganella morganii-associated arthritis in a diabetic patient

Prevalence of Staphylococcus aureus colonization in renal transplant patients

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