Abstract :
Introduction: The present study was undertaken to determine the incidence of carbapenem-resistant pseudomonas aeruginosa in patients suffering from diabetic foot ulcers.
Materials and Methods: A total of one hundred patients with diabetic ulcer admitted in surgical wards, VIMS, Bellary were studied. Swabs were collected from the depth of the ulcers on the feet of the diabetic patients. From each patient, two swabs were collected. One swab was used for the isolation of aerobic bacteria and the other for preparation of smear for Gram stain. Debrided necrotic material was also collected. After sample collection, the specimens were processed immediately in the laboratory.
Results: Out of 100 cases, 40 (40%) patients presented with ulcer of 2-4 weeks duration. Out of 165 organisms isolated, most common isolate were staph aureus 38(23.03%), followed by Klebsiella spp 34 (20.6%), Pseudomonas aeruginosa 2(16.96%), E.coli 26(15.75%), Proteus spp 23(13.93%), Enterococcus fecalis 8(4.84%), Citrobacter spp 4(2.42%) and Staph epidermidis 4(2.42%)
Conclusion: The carbapenems seem to be successful against the Pseudomonas aeruginosa.
Keyword :
Diabetic ulcer, Antimicrobial sensitivity, Pseudomonas aeruginosa, Carbapenem resistance.