Microorganisms isolated from foot ulcers infection of diabetic Iraqi patients

Diabetic foot infections may be classified as superficial or deep. Bacteria are liable to enter any cut or ulcer causing infection. Defect in treatment of infected deep diabetic foot may result in oesteomyelitis, limb loss, and even death. Microorganisms were isolated and identified from both superficial and deep foot ulcers infection of [60] diabetic patients. The present results showed that high incidence [30.8%] of Escherichia coli [E-coli] was isolated from dry - superficial foot ulcers followed respectively by Staphylococcus epidermidis [S. epidermidis]. 3.1% and 15.4% of Proteus mirabilis [P. mirabilis], equal Percentages for Klebsiellae Pneumoniae [K. pneumoniae], Klebsiellae ozaenae [K, ozaenae], Citrobacter freundii [C. freundii] and Pseudomonas aeruginosa [Ps. aeruginosa which were 7.7%. the most common microorganisms isolated from wet - superficial foot ulcers were 14.3% ofS. aurous and S. epidermidis, followed by equal by Percentages of E-coli, Enterobacter cloacae [E cloacae] k. pneumoniae, C. freundii; which were 9.5% also equal Percentages for K. ozaenae, P. mirabilis, Morganella morganii [M. morganii] providencia rettgri [P. rettgri], Enterobacter. aerogenes [E. aerogenes], Acinetobacter baumanii [A. baumanii] and Ps. aeruginosa [4.8%] were isolated The present findings demonstrated that the microorganisms isolated from different depth of deep ulcer were 18.4% of Ps. aeruginosa, followed by equal Percentages [12.2%] of E-coli and P. mirabilis. Then 10.2% of k. Pneumoniae and equal Percentages 8.2% for both S. aureus and S. epidermidis, similar Percentages4.l for Klebsiellae terrigina [K. terrigina] and providencia stuartii [p. stuartii]. the other species from different other genera represent one [2.1%] isolate only. The infected superficial ulcers from diabetic patients demonstrates high incidence of Ecoli followed by S. epidermidis, Proteus and Klebsiella. While the most common microorganisms isolated from wet-superficial foot ulcers were S. aureus, S. epidermidis, E.coli, Enterobacter, Klebsiella, Proteus, Providencia, Morganella, Citrobeacter, Acinetobacter and pseudomonas. The microorganisms isolated from different depth of deep ulcers were pseudomonas, E.coli, Proteus, Klebsiella, S. aureus, S. epidermidis, S.capitis, Streptococcus viridans, Shigella, Serretia, Acinetobacter

study of diabetic foot ulcers in relation to depth, location of the ulcer and patient's, age and sex

Over a nine months period, extending from October, 2002 through July 2003, microorganisms were isolated and identified from foot ulcer infections of diabetic patients. The foot ulcers were clinically identified as superficial [dry, wet] or deep, the depth of both superficial [wet, dry] and deep foot ulcers in relation to location, patient age and sex were studied from 60 patients of surgical wards. The depth of different diabetic foot ulcers were measured by sterile cotton tip applicator inserted from the surface to the deepest point of the ulcer base. It was demonstrated that the superficial ulcers were mostly wet, the site of the ulcers were mainly in the right foot more than in left foot, mostly the toes. The incidence of deep ulcers were mostly in males, while the prevalence of both superficial and deep ulcers increase with advancing age. The present study showed a different classification of foot ulcers [superficial and deep] from past literature studies

Antibiotics prescribing in Ramadi city, Iraq

A total of 4000 prescriptions dispensed by general practitioners [G.P's] and different specialists were collected from different pharmacies in Ramadi City, Al-Anbar Governorate. A simple random sampling with replacement was adopted to calcu late the average percentage of antibiotics [A.B.] used. Of the sample 40.8% were found to contain A.B. units. Cephalosporin and Tetracycline were prescribed more frequently by G.P's than specialists, whereas Rifampicin and Amoxycillin were prescribed more frequently by specialists than G.P's Combinations of A.B. used by G.P's was 19%, while for specialists was 13%. Antibiotics use was noticed to be maximized at the start of each of the two main seasons