Evidence map›Paper›PMID 31148991›Full record

ArticleAfrican health sciences2019

Pattern and microbiological characteristics of diabetic foot ulcers in a Nigerian tertiary hospital.

Obumneme Anyim, Christian Okafor, Ekenechukwu Young, Ijeoma Obumneme-Anyim, Chidimma Nwatu

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Article in African health sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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6citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Obumneme AnyimDepartment of Medicine, Enugu State University of Science & Technology Teaching Hospital, Parklane, Enugu, Enugu State, Nigeria.
Christian OkaforEndocrine Unit, Department of Medicine, University of Nigeria / University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu State, Nigeria.
Ekenechukwu YoungEndocrine Unit, Department of Medicine, University of Nigeria / University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu State, Nigeria.
Ijeoma Obumneme-AnyimDepartment of Paediatrics, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu State, Nigeria.
Chidimma NwatuEndocrine Unit, Department of Medicine, University of Nigeria / University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu State, Nigeria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine the pattern and bacteriological characteristics of diabetic foot ulcers in patients attending a tertiary health care facility.

method160 Patients with Diabetes Mellitus foot syndrome were recruited, out of which 52 had diabetic foot ulcers. Relevant clinical, biochemical, and microbiological evaluations were carried out on the subjects. Data analysis was done using SPSS version 20. p value was set at <0.05.

results52 (32.5%) out of 160 subjects with Diabetes Mellitus Foot Syndrome (DMFS) had diabetic foot ulcers. Poor glycaemic control (mean HbA1c = 9.2 (2.7) %), and abuse of antibiotics (76.9%) characterized the subjects. Foot ulcers mainly involved the right lower limb and followed spontaneous blister formation (50%). Microbiological culture pattern was polymicrobial (71.2%); predominantly anaerobic organisms (53.3%). Gram positive and negative aerobic isolates yielded high sensitivity to common quinolones (76% - 87.8%). The gram positive and negative anaerobic isolates were highly sensitive to Clindamycin and Metronidazole respectively (80.2% - 97.8%). High sensitivity (>80%) yield for gram negative anaerobes was recorded for Imipinem and Ampicillin/Sulbactam.

conclusionDiabetic foot ulcers (DFU) contribute about one-third of DMFS. The bacteriological isolates from these ulcers are mainly polymicrobial with high sensitivity to common antibiotics. The need for appropriate use of antibiotics should be advocated among the patients.

Indexed as

Anti-Bacterial AgentsBacterial InfectionsBlood GlucoseDiabetes ComplicationsDiabetic FootDrug Resistance, MicrobialFemaleGram-Negative BacteriaGram-Positive BacteriaHospitals, TeachingHumansMaleMicrobial Sensitivity TestsMiddle AgedNigeriaTertiary Care CentersAnti-Bacterial AgentsBlood Glucoseantibiotic sensitivityDiabetes mellitusNigeria

Identifiers

PMID31148991
PMCPMC6531968

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