‘Does the National Antibiotic Guideline- 2008 remain applicable for treating diabetic foot infection?’ A new evidence-based regional study on culture and sensitivity patterns in Terengganu population
- Author:
SD Balakrishnan
;
NJ Shahid
;
TM Fairuz
;
IMA Ramdhan
- Publication Type:Journal Article
- Keywords:
Diabetic foot infections;
National Antibiotic Guidelines;
Culture and Sensitivity
- MeSH:
Diabetic Foot
- From:Malaysian Orthopaedic Journal
2014;8(1):42-45
- CountryMalaysia
- Language:English
-
Abstract:
Diabetic foot infections make up a significant number of
orthopaedic ward admissions. The recommended choice of
empirical antibiotics used in Malaysia for diabetic foot
infections is based on the National Antibiotic Guidelines
2008. The pattern of bacteriology and the effectiveness of the
treatment of diabetic foot infections based on this guideline
were analyzed through a retrospective study in our hospital.
Data over a period of one year (May 2012- April 2013) was
analyzed, and 96 patients were included in this study.
Polymicrobial growth (58%) was mainly isolated, followed
with an almost equal percentage of gram-negative (22%) and
gram-positive organisms (20%). The empirical antibiotics
based on the national antibiotic guidelines were used as
definitive antibiotics in 85% of the cases. Although there
was slight variation in the pattern of organisms as compared
to other studies conducted in this country, the high rate of
positive clinical response proved that the antibiotic guideline
was still effective in diabetic foot infection treatment.
- Full text:P020150522609944829280.pdf
