Association of bacteria in diabetic and non-diabetic foot infection – An investigation in patients from Bangladesh

التفاصيل البيبلوغرافية
العنوان: Association of bacteria in diabetic and non-diabetic foot infection – An investigation in patients from Bangladesh
المؤلفون: Munawar Sultana, Md. Anwar Hossain, Santonu Kumar Sanyal, Mousumi Karmaker
المصدر: Journal of Infection and Public Health, Vol 9, Iss 3, Pp 267-277 (2016)
بيانات النشر: Elsevier BV, 2016.
سنة النشر: 2016
مصطلحات موضوعية: Adult, Male, 0301 basic medicine, medicine.drug_class, 030106 microbiology, Antibiotics, Ceftazidime, Aztreonam, Multidrug resistance, lcsh:Infectious and parasitic diseases, C-reactive protein, Microbiology, 03 medical and health sciences, chemistry.chemical_compound, Antibiotic resistance, Drug Resistance, Bacterial, Diabetic foot infection, medicine, Humans, lcsh:RC109-216, Aged, Immunoassay, Citrobacter, Bacteriological Techniques, Bangladesh, Suppuration, Bacteria, biology, Coinfection, lcsh:Public aspects of medicine, Public Health, Environmental and Occupational Health, lcsh:RA1-1270, Skin Diseases, Bacterial, General Medicine, Enterobacter, Middle Aged, Acinetobacter, biology.organism_classification, medicine.disease, Diabetic foot, Diabetic Foot, 030104 developmental biology, Infectious Diseases, Molecular Diagnostic Techniques, chemistry, Female, medicine.drug
الوصف: Summary: The microbial community on a host relies on its immune status and pathophysiological condition. Diabetes mellitus is a metabolic disorder associated with a 25% increased risk of developing foot infection. The pathophysiological differences between diabetic foot infection (DFI) and non-DFI patients may alter the microbial composition in infections. The present study aims to comparatively analyze the microbes colonized in DFI and non-DFI patients in Bangladesh. Pus specimens were collected from 67 DFI and 12 non-DFI patients to investigate the bacteria associated with foot infection. For this investigation, an array of microbiological, molecular biological and immunological approaches were performed. Common bacteria detected in both DFI/non-DFI samples were Pseudomonas spp. (22/29%), Bacillus spp. (12/3%), Enterobacter spp. (22/7%), Staphylococcus spp. (13/13%) and Acinetobacter spp. (10/10%). Enterococcus spp. (9%) and Klebsiella spp. (8%) occurred only in DFI patients, whereas Citrobacter spp. (29%) was only detected in non-DFI samples. The rate of occurrence of three organisms, namely, Enterococcus spp. |Z| = 2.2125, Klebsiella spp. |Z| = 1.732, Bacillus spp. |Z| = 1.9034, were also statistically significant. Most of the isolates from DFI patients were commonly resistant to the cephalosporin (Ceftazidime, Ceftriazone, Cefurozime) and monobactam (Aztreonam) groups of antibiotics. DFI patients had comparatively higher C-reactive protein (CRP) levels than non-DFI patients, and a positive correlation was observed between multi-antibiotic resistance and CRP levels (one of the markers of chronic subclinical inflammation). The present investigation implicated a complex association of the bacterial population in DFI compared with non-DFI with different antimicrobial resistance properties, which was linked with CRP levels. Keywords: Diabetic foot infection, Multidrug resistance, C-reactive protein, Bangladesh
تدمد: 1876-0341
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3874089040161e983ccb8ad64f0c839c
https://doi.org/10.1016/j.jiph.2015.10.011
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....3874089040161e983ccb8ad64f0c839c
قاعدة البيانات: OpenAIRE