prevalence of gram-negative organisms in bacterial isolates and its antibiogram from patients of diabetic foot ulcers at tertiary health care centre, jamnagar, gujarat

Research Article
Pooja B. Sonagara, Hitesh K. Shingala, Isha H. Mehta and Swati D. Jethva*
DOI: 
http://dx.doi.org/10.24327/ijrsr.2021.1312.0552
Subject: 
Medical
KeyWords: 
Diabetes Mellitus, Diabetic foot ulcers, Gram Negative organisms, antibiotic susceptibility.
Abstract: 

Introduction: Diabetic foot infection is one of the most common complication of diabetes mellitus. It leads to morbidity & mortality in diabetic patients. The Primary requirement for proper management of diabetic foot ulcers is the isolation of organisms & accurate selection of antibiotics. Aim and Objective: (1) To isolate and identify of gram-negative bacteria associated with diabetic foot ulcer patients. (2) To study antibiotic susceptibility patterns for the same. Materials & Methods: Total of 408 samples from wound discharge of diabetic foot ulcer patients were collected with all aseptic precautions & processed according to standard guidelines. Result: Out of 408 proceeded samples, 182 (44.61%) were culture positive, among which 165 (90.66%) were Gram Negative organisms & 17(9.34%) were Gram Positive. Among Gram- Negative Bacteria, Pseudomonas aeruginosa 48(29.09%) was the most predominant organism followed by Escherichia coli 46(27.87%), Klebsiella pneumoniae 33(20%), etc. Among all Gram Negative organism, most of them were sensitive to Imipenem 97.58%, followed by Piperacillin – tazobactam 93.94% and Gentamicin 84.24%. Conclusion: From this study, we can conclude that Gram-negative organisms are the most prevalent organisms which are isolated from diabetic foot infections. These organisms show a variety of sensitivity pattern to the commonly used antimicrobials, which requires prompt antibiotic sensitivity test according to which, the treatment can be streamlined to minimize morbidity & mortality among the patients.