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KMID : 0381219940260010031
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Journal of RIMSK
1994 Volume.26 No. 1 p.31 ~ p.35
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Bacteriological Study in Diabetic Feet
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이은우
전재명/태석기/장의찬/이한준/이성락
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Abstract
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One of the major complications of diabetes mellitus is the occurrence of pedal infection. The mainstay in the treatment of infected diabetic foot are appropeiate debridement and drainage, combined with antibiotic therapy. For the antibiotic
therapy
to
be effective, it is essential to know much about offending organisms. Therefore, we analyzed the findings of bacteriological study in 37 diabetic feet with infection during the period from January 1984 to January 1992 and followings are the
results.
1) There were 27 males and 10 females among 37 patients, with the mean age of 59 years.
2) Both sides were affected equally in unilaterally involved cases, and the digits, other than big toe, were the most common involvement site.
3) Sixty-eight strains were cultrued from the 45 specimens in 37 patients, among which 18 patients revealed culture of single strain, while the remaining 19 patients showed mixed infection.
4) The predominatly identified organisms were Staphylococcus (2./68,30%), E coli (5/68,7.3%), Entherococcus (7/68,10.2%), Streptococcus (6/68, 8.8%), Proteus (4/68, 6%) and Enterobacter (5/68, 7.4%).
5) Anaerobic culture revealed bacterial growth in 4 of the 7 specimens obtained by aspiration of pus from the base of lesion.
6) The most sensitive antibiotic agent were A mikin(aminoglycoside), Chloramphenicol, and Cefoferazone and Cefotaxime (3rd generation Cephalosporin)
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