Title: Multidrug Resistant Organisms in Diabetic Foot Ulcers-Analysis of Risk Factors and Clinical Outcome

Authors: Ragesh Kalikkottu Valappil, Sheena Krishnan, Sarada Devi Karunakaran Lalitha Bai

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i2.144

Abstract

Background: Diabetes Mellitus is one of the most important health problem in the world. Foot infection is a common sequelae of diabetes, which once established progressively worsens and become more difficult to treat and is associated with substantial morbidity and mortality. Multidrug resistance organism infection is extremely common in hospitalized patients with diabetic foot ulcers.

Aim of Study: To detect multidrug resistant organism among isolates from diabetic foot ulcers, identification of risk factors and clinical outcome.

Materials and Methods: A prospective study conducted in 150 patients admitted in Department of Surgery in a tertiary care center in south India.

Results: In this study 76.6% of patients were infected with multidrug resistant organisms.

Among the risk factors analyzed, ulcer duration more than 2 weeks showed significant association with this infections. 68% of patients showed good response to treatment and 24% underwent amputations.

Keywords: Diabetic Foot Ulcer, Multidrug Resistant Organisms, Foot Ulcers.

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Corresponding Author

Ragesh Kalikkottu Valappil

Department of Surgery, Government Medical College

Kozhikode, Kerala, India

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