The Infected Foot of the Diabetic Patient: Quantitative Microbiology and Analysis of Clinical Features

Sapico, Francisco L.; Witte, Jeffrey; Canawati, Hanna N.; Montgomerie, John Z.; Bessman, Alice N.

doi:10.1093/clinids/6.supplement_1.s171

Cited by 207 publications

(106 citation statements)

References 9 publications

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“…However, these organisms are known pathogens in certain types of skin and soft-tissue infections. These include diabetic foot infections [19], decubitus ulcers [20] and bite wound infections [21]. Therefore, it is possible that they may have a pathogenic role in infected skin lesions.…”

Section: Discussionmentioning

confidence: 99%

Secondary bacterial infections complicating skin lesions

Brook

2002

Journal of Medical Microbiology

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Secondary bacterial infection in skin lesions is a common problem. This review summarises a series of studies of the microbiology of several of these infections: scabies, psoriasis, poison ivy, atopic dermatitis, eczema herpeticum and kerion. Staphylococcus aureus and group A â-haemolytic streptococci were the most prevalent aerobes and were isolated from all body sites. In contrast, organisms that reside in the mucous membranes close to the lesions predominated in infections next to these membranes. In this fashion, enteric gram-negative bacilli and Bacteroides spp. were found most often in buttock and leg lesions. The probable sources of these organisms are the rectum and vagina, where they normally reside. Group A â-haemolytic streptococci, pigmented Prevotella and Porphyromonas spp. and Fusobacterium spp. were most commonly found in lesions of the head, face, neck and fingers. These organisms probably reached these sites from the oral cavity, where they are part of the normal flora. This review highlights the polymicrobial aerobic-anaerobic microbiology of secondarily infected skin lesions.

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Section: Discussionmentioning

confidence: 99%

Secondary bacterial infections complicating skin lesions

Brook

2002

Journal of Medical Microbiology

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“…Por un lado, los estudios que destacan que los aspirados subestiman las bacterias aisladas 9,12,[18][19][20] , los que opinan que la torunda mayoritariamente refleja colonización 9,21,22 , y los que preconizan que la torunda cuantitativa/semicuantitativa es una alternativa razonable en determinadas ocasiones a la biopsia (patrón de referencia) 16,17,[23][24][25][26][27] . Desde el punto de vista microbiológico, pensamos que hay tres aspectos que considerar.…”

Section: Análisis Microbiológicounclassified

Frotis superficial frente a aspiración percutánea para el diagnóstico de infección de herida crónica: ¿resultados discrepantes?

et al. 2015

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“…Örneğin kısıtlı örneklemenin yanında kullanılan kültür tekniği sonuç-larımızı etkilemiş olabilir. Yapılan bir çalışmada ampütasyon esnasında alınan derin doku kültürü örnekleriyle en iyi uyumu, ülser tabanından yapılan küretaj göstermiştir (%75) (27). Çalışmamızda hastalar için kabul edilebilir ve daha kolay uygulanabilir olduğundan aspirasyon yöntemini kullandık.…”

Section: İrdelemeunclassified

Incidence of Staphylococcus aureus Nasal Carriage in Patients With Diabetic Foot Wounds and Related Risk Factors

Kurultak¹,

Altay²,

Cesur³

et al. 2015

Klimik Dergisi

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Objective: In this study, we aimed to detect the incidence and risk factors of Staphylococcus aureus nasal carriage and possible relationship between wound culture and nasal carriage in patients with diabetic foot (DF) wounds. Methods: Three groups each one comprising 40 patients were established with nondiabetics (Group 1), diabetics without DF wounds (Group 2), and diabetics with DF wounds (Group 3). Wagner grading was used for classification of DF lesions. The incidence of S. aureus nasal carriage and effects of determined factors to nasal carriage were investigated. The relationship between nasal carriage and result of wound culture was also investigated in the last group. Results: The incidence of S. aureus nasal carriage were 17.5%, 20% and 10% in Groups 1, 2 and 3, respectively (p=0.47). Age, sex, use of insulin/oral anti-diabetic drugs, duration of diabetes, HbA1c level, fasting and after meal glucose measures did not affect the S. aureus nasal carriage. We observed a higher possibility of nasal swab positivity for MRSA in diabetic patients compared to the controls. We did not detect any relationship between Wagner grade and culture results of wounds and S. aureus nasal carriage in Group 3. Conclusions: We detected that having DF wound or diabetes did not alter the risk of S. aureus nasal carriage, and likewise nasal carriage did not affect the results of wound cultures. Klimik Dergisi 2015; 28(3): 112-6.

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The Infected Foot of the Diabetic Patient: Quantitative Microbiology and Analysis of Clinical Features

Cited by 207 publications

References 9 publications

Secondary bacterial infections complicating skin lesions

Secondary bacterial infections complicating skin lesions

Frotis superficial frente a aspiración percutánea para el diagnóstico de infección de herida crónica: ¿resultados discrepantes?

Incidence of Staphylococcus aureus Nasal Carriage in Patients With Diabetic Foot Wounds and Related Risk Factors

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