Common Pathogens and Antibiotic Sensitivity Profiles of Infected Diabetic Foot Ulcers in Saudi Arabia

Ayed, Mousab Yousef Al; Ababneh, Mutasem; Robert, Asirvatham Alwin; Alzaid, Aus; Ahmed, Rania A.; Salman, Ahmet Bedii; Musallam, Maha Ali; Dawish, Mohamed Abdulaziz Al

doi:10.1177/1534734618793557

Cited by 21 publications

(17 citation statements)

References 21 publications

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“…The search in the databases resulted in 507 studies; and, after sorting by title, abstract, and application of the inclusion and exclusion criteria, 43 articles were selected. Then, all of them were submitted to full and critical reading, culminating in the selection of 28 studies of which 16 (57.1%) were found in the Medline database (9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24) ; 6 (21.4%), in the BVS database (25)(26)(27)(28)(29)(30) , of which 66.7% (n = 4) in the LILACS database (26)(27)(28)30) and 33.3% (n = 2) in the IBECS databases (25,29) ; and 6 articles (21.4%) found at CINAHL (31)(32)(33)(34)(35)(36) .…”

Section: Resultsmentioning

confidence: 99%

Microbiological profile of leg ulcer infections: review study

et al. 2021

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Objectives: to analyze the microbiological profile of leg ulcers of patients treated at outpatient clinics and hospitals regarding the type of microorganism, microbiological selection of antibiotics, and techniques for the collection of culture material. Methods: literature review performed on LILACS, IBECS, MEDLINE, and CINAHL databases, resulting in a descriptive analysis of 27 studies. Results: 35.7% of the studies occurred in an outpatient care scenario; and 64.2% in hospitals. There was a predominance of swab (100%) in outpatient care and biopsy (55.5%) in the hospital. Escherichia coli, Pseudomonas aeruginosa, and Staphylococcus aureus were more common at both levels of assistance. Methicillin-resistant Staphylococcus aureus was isolated in both. Conclusions: the microbiological profile of infections was similar, with the presence of resistant bacteria in both environments. This fact causes concern and raises the need for research to elucidate it. The studies did not compare the effectiveness between biopsy and swab.

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Section: Resultsmentioning

confidence: 99%

Microbiological profile of leg ulcer infections: review study

et al. 2021

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“…But in the present study, on comparing with patients having a single complication, remarkably lower QOL was observed for the subdomains of physical functioning, the roles of physical, emotional, and general health, and total QOL. This may be due to patients being unaware of diabetes foot-risk factors and poor foot-care practices [ 29 , 30 ].…”

Section: Discussionmentioning

confidence: 99%

Factors Associated With Health-Related Quality of Life in Patients With Diabetic Foot Ulcer: A Cross-Sectional Study From Saudi Arabia

Ayed¹,

Ababneh²,

Robert³

et al. 2020

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Background and objective Diabetic foot ulcers (DFU) have been shown to have a high impact on the patients’ perceived health-related quality of life (HRQOL). The aim of this study was to estimate the HRQOL and its related risk factors in patients with foot ulcers associated with type 2 diabetes mellitus (T2DM). Methods This cross-sectional study was performed on 81 patients with DFU, from January 2019 to July 2019 at the Prince Sultan Military Medical City (PSMMC), Riyadh, Saudi Arabia. The study population was purposively and conveniently chosen based on patients' availability during their regular and customary outpatient clinic visits. Using the Arabic version of the Short-Form 36-Item Survey (SF-36), these patients were interviewed and their HRQOL scores were was assessed. The SF-36 covered eight aspects of health such as physical functioning, body pain, limitations in the roles induced by physical health problems, limitations in the roles caused by personal or emotional problems, emotional well-being, social functioning, energy/fatigue, and general health perceptions. Results It was evident that age, gender, education, occupation, smoking, duration of diabetes, hypertension, dyslipidemia, body mass index (BMI), and the number of diabetes-associated complications, hypertension, and dyslipidemia significantly affected the patients' physical functions. The physical health of the patient was strongly influenced by gender, education, occupation, income, BMI, and the number of complications. The emotional health of the patient was affected by dyslipidemia, deformity, prior amputations, as well as BMI and glycosylated hemoglobin (HbA1c). The social standing of the patient was influenced by age, income, education, and occupation. The degree of pain experienced by the patient varied with age and the number of complications, as well as notable differences in their general health. The factors of age, education, occupation, income, and the number of diabetic complications induced several health changes in varying degrees. The patients with DFU revealed overall lower HRQOL relating to all the eight aspects of the SF-36. Conclusion The patients with DFU in Saudi Arabia generally revealed lower HRQOL. However, prospective and large-scale studies are required in the future to support these findings.

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“…Empirical antibiotic treatment previous culture result should follow regional characteristics of microbiology. [15–17] In our single center study, the commonly cultured pathogens were gram-positive cocci and in a little severe wound, gram-negative bacteria were also cultured. (Table 4) Even so, severe wound status more than DFI wound score 25 was so few (6.9%) that this result was most likely false positive.…”

Section: Discussionmentioning

confidence: 93%

Can we predict vascular status and culture result based through wound status in diabetic foot infection?

et al. 2019

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Diabetic foot infection (DFI) should be treated by a multidisciplinary team to prevent amputation and morbid status. As physicians encountering DFI in outpatient clinic, a proper selection of antibiotic treatment and diagnostic approach for a vascular status is essential. We retrospectively investigated the patients with DFI from 2016 to 2017. All patients were examined for vascular status, wound status, and pathologic culture preceding the treatment. No statistical significance was observed between PEDIS grade 1 and 2 and 3 and 4 in culture status and culture results. Association analysis between vascular status and other variables, such as wound score and culture results, has no significant difference. Through these results, the helpful epidemiologic result of microbiology and necessity of examination for peripheral arterial disease were verified.

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Common Pathogens and Antibiotic Sensitivity Profiles of Infected Diabetic Foot Ulcers in Saudi Arabia

Cited by 21 publications

References 21 publications

Microbiological profile of leg ulcer infections: review study

Microbiological profile of leg ulcer infections: review study

Factors Associated With Health-Related Quality of Life in Patients With Diabetic Foot Ulcer: A Cross-Sectional Study From Saudi Arabia

Can we predict vascular status and culture result based through wound status in diabetic foot infection?

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