Evolutionary trends in bacteria isolated from moderate and severe diabetic foot infections in a Portuguese tertiary center

Machado, Catarina; Teixeira, Sofía; Fonseca, Liliana; Abreu, Miguel Araújo; Carvalho, A.; Pereira, Maria Teresa; Amaral, Claudia; Freitas, Cláudia; Ferreira, Lia; Neto, Helena; Loureiro, Luís; Martins, Joana; Costa, Lucia Cortes da; Gomes, André Luiz Marques; Pereira, Joel; Guimarães, R.; Pinto, Soraia; Carvalho, Rui

doi:10.1016/j.dsx.2020.02.010

Cited by 19 publications

(15 citation statements)

References 15 publications

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“…An apparent Gram-positive predominance (especially of Staphylococcus) has been initially suggested 4,8-10 but some authors had recently described a shift towards Gram-negative isolates, possibly in relation with the rising prevalence of neuroischemic infected ulcers. 11 Our results do not corroborate these latest findings but we acknowledge that they should be properly confirmed by further larger studies.…”

Section: Discussioncontrasting

confidence: 96%

“…Regarding MDR infections, a high incidence has been ubiquitously described 4,[8][9][10][11] and our study also highlights that these infections correlate with an increased LOS. Despite controversy regarding the association of MDR infections with a worse outcome in DFIs, [12][13][14] our data are a surrogate marker for a poor overall prognosis.…”

Section: Discussionsupporting

confidence: 69%

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Multidrug‐resistant bacteria in diabetic foot infections: Experience from a portuguese tertiary centre

Costa

Duarte

João

et al. 2020

International Wound Journal

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Section: Discussioncontrasting

confidence: 96%

Section: Discussionsupporting

confidence: 69%

Multidrug‐resistant bacteria in diabetic foot infections: Experience from a portuguese tertiary centre

Costa

Duarte

João

et al. 2020

International Wound Journal

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“…In other studies, Staphylococcus aureus was the bacterium most isolated from DFU and other bacteria were Enterobacteriaceae and Pseudomonas aeruginosa. 50 Also, a significant relation between diabetes treatment and severity of DFU is reported. 29,33 Although there is no clear reason for this relation, consider that insulin injection is more related to severity of DFU and can be due to the inflammation reaction in the body.…”

Section: Discussionmentioning

confidence: 99%

<p>Factors Related to Severity of Diabetic Foot Ulcer: A Systematic Review</p>

Jalilian

Sarbarzeh

Oubari

2020

DMSO

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Background: Diabetic foot ulcer (DFU) is one of the diabetes complications. DFU can be the cause of a high rate of amputation, health-care costs and even death, and this condition occurs in the severity status of DFU. Severity of DFU is the cause of expensive complication incidence. Understanding the factors affecting it can help preventive functions. Adequate evidence for this problem is necessary. The aim of this systematic review is to summarize evidence on severity of diabetic foot ulcer. Methods: A literature search was undertaken in Scopus, PubMed, Elsevier, MEDLINE, Embase, UpToDate and Google Scholar. Observational studies that assessed severity of DFU were included. The data extraction and assessment are on the basis of PRISMA. Results: Seven studies were assessed and 25 factors that affect severity of DFU are reported in the studies. The most used score for an estimate of severity was the Wagner scale (n=5). The majority of patients were in G1 and G2 stages (67.5%; basis of Wagner) or have a superficial ulcer (62.84%) on the basis of the Texas Diabetic Wound Classification System. The main factors include high BMI, smoking, lack of diabetes control, type of diabetes treatment and older age. In addition, there were other factors that affect severity of DFU such as vascular complications, bacteria isolated, marital status, gender, high levels of cholesterol and triglycerides. Also, life location, type 2 diabetes, genotype, addiction, long-time DFU and delay to refer patients were other factors. Conclusion: Twenty-five factors were reported. The majority of these factors related to lifestyle and can be prevented by self-care functions. The effect of these factors needs further study and the further studies must be better in quality.

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“…Pseudomonas aeruginosa [105],Enterobacteriaceae [105], HBV [28], HSV [26,51] Secretion from wounds and sores a HBV: hepatitis B virus.…”

Section: Vomitmentioning

confidence: 99%

Fingerprint Biometric System Hygiene and the Risk of COVID-19 Transmission (Preprint)

Okereafor¹,

Ekong²,

Markson³

et al. 2020

Preprint

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UNSTRUCTURED Biometric systems verify humans using scanners to measure the patterns of their behavioural or physiological characteristics. While contactless biometric scanners like facial recognition obtain facial pattern measurements without direct touch, contact-based biometric scanners such as fingerprint verification systems require physical contact as part of the process of obtaining the biometric sample needed for recognition. The process requires the user to directly place the thumb on the scanner in a certain manner for a specified duration in order for the biometric pattern to be properly read and measured. The direct placement of the thumb on the scanner surface could potentially increase the chances of contamination with harmful microorganisms including pathogens, fungi, bacteria, and viruses, cross contamination of hands of subsequent users with unintentional transfer to food and water, as well as direct inoculation into the respiratory tract thereby triggering infectious diseases. This paper, a viewpoint on the transmissibility of infectious diseases through touch-based fingerprint biometric device, proposes hygienic measures to curbing the spread of infectious diseases including the novel coronavirus disease (COVID-19).

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Evolutionary trends in bacteria isolated from moderate and severe diabetic foot infections in a Portuguese tertiary center

Cited by 19 publications

References 15 publications

Multidrug‐resistant bacteria in diabetic foot infections: Experience from a portuguese tertiary centre

Multidrug‐resistant bacteria in diabetic foot infections: Experience from a portuguese tertiary centre

<p>Factors Related to Severity of Diabetic Foot Ulcer: A Systematic Review</p>

Fingerprint Biometric System Hygiene and the Risk of COVID-19 Transmission (Preprint)

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