Evaluation of amputation risk in diabetic foot ulcer patients infected with Acinetobacter baumannii from a Tertiary Care Centre in South India

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dc.contributor.authorKesavan, Rajeshen_US
dc.contributor.authorSasikumar, Changam Sheelaen_US
dc.contributor.authorChandrasekar, Aravinden_US
dc.date.accessioned2019-11-16T07:27:36Z
dc.date.available2019-11-16T07:27:36Z
dc.date.issued2018-10
dc.description.abstractBackground: Foot complications are found to be a significant frequent, complication of Diabetes mellitus. Carbapenem-resistant Acinetobacter baumannii is gradually becoming dominant among Diabetes patients in urban population. The purpose of this study was to evaluate the clinical relationship of these gram negative bacteria and their resistance mechanisms in patients with diabetic foot and infected ulcer in India. Methods: An observational study of 532 patients with infected ulcers in diabetic feet was conducted in Hycare for Wounds a tertiary care centre exclusively dedicated for Wound care and Management between May, 2017 and April, 2018. Processing and identification was done as per standard guidelines. The bacteriological assessment was performed in deep tissue cultures and amputation was considered major when performed above the foot’s middle tarsus. Results: Out of 532 patients studied 350 were positive for bacterial growth. Commonest   isolate was Pseudomonas aeruginosa followed by Staphylococcus aureus (MSSA) species, Klebsiella and E. coli. We observed that 14 patients were infected with Acinetobacter baumannii and 50 % were carbapenamase producers. Clinical Outcomes: Out of 14 patients 6 were major amputees and 5 were minor amputees and the rest 3 patients are under medical management. Conclusion: Carbapenem-resistant Acinetobacter baumannii is a serious threat to Diabetic patients and can be considered as a risk factor for major amputation.en_US
dc.identifier.affiliationsNRA wound careen_US
dc.identifier.affiliationsHycare for Woundsen_US
dc.identifier.affiliationsHycare for Woundsen_US
dc.identifier.citationKesavan Rajesh, Sasikumar Changam Sheela, Chandrasekar Aravind. Evaluation of amputation risk in diabetic foot ulcer patients infected with Acinetobacter baumannii from a Tertiary Care Centre in South India. International Archives of BioMedical and Clinical Research. 2018 Oct-Dec; 4(4): 59-62en_US
dc.identifier.issn2454-9894
dc.identifier.issn2454-9886
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/184528
dc.languageenen_US
dc.publisherIbn Sina Academy of Medieval Medicine & Sciencesen_US
dc.relation.issuenumber4en_US
dc.relation.volume4en_US
dc.source.urihttps://doi.org/10.21276/iabcr.2018.4.4.17en_US
dc.subjectAcinetobacter baumanniien_US
dc.subjectDiabetes Mellitusen_US
dc.subjectDeep Tissue Culturesen_US
dc.subjectAmputationen_US
dc.titleEvaluation of amputation risk in diabetic foot ulcer patients infected with Acinetobacter baumannii from a Tertiary Care Centre in South Indiaen_US
dc.typeJournal Articleen_US
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