Microbial profile and antibiotic treatment in diabetic vs. non-diabetic cellulitis.
Journal name: World Journal of Pharmaceutical Research
Original article title: Comparision of microbiological profile and antibiotic treatment among diabetic, non diabetic patients hospitalized for lower limb cellulitis/ulcer
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B.V.S. Lakshmi, Hima Bindhu, M. Sudhakar, G. Apoorva, J. Uha Sri, M. Pradeep and D. Sahaja
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: Comparision of microbiological profile and antibiotic treatment among diabetic, non diabetic patients hospitalized for lower limb cellulitis/ulcer
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr20192-14068
Copyright (license): WJPR: All rights reserved
Download the PDF file of the original publication
Summary of article contents:
Introduction
The study conducted by B.V.S. Lakshmi et al. aims to compare the microbiological profiles and antibiotic treatments among diabetic and non-diabetic patients who were hospitalized for lower limb cellulitis and ulcers. Recognizing the scarcity of studies assessing the microbiological etiology and treatment patterns in this demographic, the research was carried out on 80 patients to collect relevant demographic data and isolate bacteria from infected wounds. The findings contribute to the understanding of acute bacterial infections in the context of diabetes, which is a significant and growing concern in public health.
Microbiological Etiology and Findings
One of the key discoveries of this study is the predominance of Gram-negative organisms in both diabetic and non-diabetic patients suffering from cellulitis and foot ulcers. The research highlights that the isolation of Gram-negative bacteria was significantly higher compared to Gram-positive organisms, with Pseudomonas aeruginosa being the most frequently identified pathogen. This prevalence correlates with previous studies in the Indian context, reinforcing the need for targeted antibiotic therapies that cover these types of infections. Understanding the microbiological landscape is crucial for optimizing treatment and addressing healthcare challenges associated with diabetes.
Antibiotic Treatment Patterns
The study emphasizes the antibiotic prescribing patterns among the patient groups, finding that combinations such as Amoxicillin + Clavulanic acid and Metronidazole were commonly used for empirical treatment. Interestingly, no significant difference was noted in the antibiotics prescribed to diabetic versus non-diabetic patients, indicating a unified approach to treatment despite different underlying health conditions. This finding underscores the importance of adhering to guidelines that recommend a spectrum of coverage capable of managing Gram-negative infections effectively, given the increased risk they pose to diabetic individuals.
Hospital Stay and Treatment Outcomes
Regarding clinical management and hospitalization duration, the research indicates that diabetic patients tend to experience prolonged treatment and hospitalization compared to their non-diabetic counterparts. Surgical interventions, such as debridement and split-skin grafting, were prevalent in both groups, with a significant number of patients requiring surgical procedures for deeper ulcers. The length of hospital stay was closely associated with the nature of the treatment received, highlighting the correlation between effective initial antibiotic therapy and overall recovery times.
Conclusion
In conclusion, the study provides vital insights into the microbiological characteristics and treatment protocols for diabetic and non-diabetic patients dealing with lower limb cellulitis and ulcers. It emphasizes the predominance of Gram-negative organisms and the uniform antibiotic treatment practices adopted by healthcare providers, highlighting the need for tailored therapies. Furthermore, understanding the relationship between diabetes and prolonged treatment can help inform more effective clinical approaches. The research findings advocate for increased awareness and better antibiotic stewardship to combat infections, particularly in the diabetic population, ultimately aiming to improve patient outcomes and healthcare efficiency.
FAQ section (important questions/answers):
What is the objective of the study conducted on cellulitis/ulcers?
The objective was to compare the microbiological profile and antibiotic treatments between diabetic and non-diabetic patients hospitalized for lower limb cellulitis or foot ulcers.
How many patients were involved in the study?
The study involved 80 patients who were either diabetic or non-diabetic and diagnosed with ulcers or cellulitis.
What were the key findings regarding microbial etiology?
The study found no significant difference in microbial etiology between the groups. Gram-negative organisms were predominant, comprising 60% in diabetics and 64.7% in non-diabetics.
What was the commonly prescribed initial antibiotic treatment?
Amoxicillin combined with clavulanic acid was the most prescribed initial treatment for both ulcer and cellulitis cases.
How did diabetes impact treatment duration and antibiotic prescription?
Diabetic patients had longer treatment durations and were more likely to receive broad-spectrum antibiotics compared to non-diabetic patients.
What role can clinical pharmacists play according to the study?
Clinical pharmacists can suggest appropriate antibiotic regimens and educate patients on glycemic control to reduce ulcer risks and improve quality of life.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Microbial profile and antibiotic treatment in diabetic vs. non-diabetic cellulitis.”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Ulcer:
Ulcers are sore lesions in the skin or mucous membranes that can become infected, particularly in diabetic patients. The study highlights the prevalence of ulcers among diabetic patients, stressing the importance of proper wound management and appropriate antibiotic therapy to prevent complications like severe infections.
2) Study (Studying):
The study provides insights into the microbiological profiles and antibiotic treatment strategies for patients with cellulitis and ulcers. Conducted on hospitalized patients, it aims to fill gaps in understanding treatment patterns and drug susceptibility, ultimately guiding clinicians in providing effective care in these challenging cases.
3) Antibiotic (Antibacterial):
Antibiotics are critical in treating bacterial infections, including those resulting from ulcers. The study evaluates the prescribing patterns of different antibiotics, assessing their effectiveness against identified bacterial species, which is crucial for minimizing resistance development and ensuring that patients receive appropriate and effective treatments.
4) Lakshmi (Laksmi):
Lakshmi refers to B.V.S. Lakshmi, the lead author of the study published in the World Journal of Pharmaceutical Research. Her research focuses on the microbiological profiles of diabetic foot ulcers and cellulitis, contributing significantly to the understanding of how diabetes affects infection susceptibility and treatment outcomes.
5) Drug:
Drugs refer to various pharmaceutical compounds, including antibiotics, that are utilized in treating infections. The study emphasizes analyzing the prescription patterns of these drugs, investigating which combinations are most effective against specific bacterial isolates to improve patient care in cases of cellulitis and ulcer treatment.
6) Table:
Tables in the study present organized data, summarizing findings such as demographic information, types of infections, and treatment patterns. They facilitate a clear understanding of the study's outcomes, providing visual aids for interpreting complex data and making comparisons between diabetic and non-diabetic patient demographics.
7) Species:
Species refer to the different types of microorganisms isolated from patients' infections in the study. Identifying these species is crucial in understanding the microbiological profile, which informs the selection of targeted antibiotic treatments and helps in managing and treating infections effectively.
8) Knowledge:
Knowledge in this study refers to the accumulated understanding of infection trends, microbiological profiles, and antibiotic susceptibility patterns. It emphasizes the importance of informed clinical decisions, which can lead to improved treatment outcomes for infected diabetic and non-diabetic patients through targeted therapy.
9) Activity:
Activity relates to the use and effectiveness of antibiotics against identified bacterial pathogens in the study. Understanding the activity of different antimicrobial agents is essential for selecting appropriate treatments that effectively eliminate pathogens, thereby enhancing recovery rates in patients with infected ulcers and cellulitis.
10) Aureus:
Aureus, specifically referring to Staphylococcus aureus, is a type of bacteria commonly associated with skin infections and ulcers. The study investigates the prevalence of this organism among patients, assessing its antibiotic resistance patterns, which is vital for determining effective treatment approaches in infected patients.
11) Male:
The term 'male' indicates the gender of the patients studied. The research observed a predominance of male patients with ulcers, which may relate to lifestyle factors such as occupational hazards and activity levels. This epidemiological observation affects planning for future healthcare interventions and studies.
12) Swelling:
Swelling is a common clinical symptom associated with infections, indicating inflammation and the body's response to bacteria. In the study, swelling was prevalent among both diabetic and non-diabetic patients, highlighting the clinical signs typically observed and underscoring the need for effective management of infection.
13) Malla:
Malla refers to Malla Reddy College of Pharmacy, where the research team is based. This affiliation adds credibility to the findings and indicates the institutional support for conducting significant research regarding the treatment of diabetic foot ulcers and cellulitis within the healthcare landscape.
14) India:
India is highlighted as a significant country in the context of diabetes prevalence, with a large population of diabetic individuals. The study's results are particularly relevant in this setting, where the burden of diabetic-related infections necessitates improved understanding and management strategies for effective treatment.
15) Grafting:
Grafting refers to a surgical procedure often performed in severe cases of ulcers, where skin is transplanted to promote healing. The study notes that techniques like grafting can be crucial interventions for managing advanced diabetic foot ulcers, aiming to optimize recovery and reduce complications.
16) Nature:
Nature encompasses the inherent characteristics or qualities of the infections and microorganisms identified in the study. Recognizing the nature of pathogens and their resistance profiles aids in developing effective treatment protocols, steering the healthcare approach for managing specific types of infections in patients.
17) Beta:
Beta refers to β-lactam antibiotics, a class of drugs widely used to treat various bacterial infections. The study analyzes the susceptibility of bacterial isolates to these drugs, contributing valuable insights into their effectiveness, usage patterns, and the necessity for careful selection in therapy.
18) Developing:
Developing refers to the progression or exacerbation of infections, particularly in the context of diabetes. The study examines factors that can lead to worsening conditions, underscoring the need for timely and effective intervention to prevent further complications or hospitalizations in affected patients.
19) Pregnant:
Pregnant women are mentioned as a demographic excluded from the study, reflecting a careful consideration of patient safety and the unique challenges related to infections during pregnancy. This exclusion highlights the ethical aspects of conducting research within specific vulnerable populations in clinical settings.
20) Science (Scientific):
Science encompasses systematic knowledge in the study, incorporating clinical, microbiological, and pharmacological aspects of treating infections. The research utilizes scientific methodology to analyze patterns and outcomes, contributing to the overall understanding of how best to treat diabetic foot ulcers and cellulitis effectively.
21) Disease:
Disease refers to the broader implications of diabetic infections and their management complexities. The study examines the prevalence, microbial characteristics, and treatment approaches necessary for addressing disease effectively, with the aim of enhancing understanding and outcomes in diabetic patient populations.
22) Quality:
Quality indicates the standard of care provided to patients, especially concerning treatment efficacy and patient outcomes. The study emphasizes the importance of ensuring high-quality antibiotic therapy tailored to microbiological findings, with the goal of optimizing treatment protocols and enhancing recovery in diabetic and non-diabetic patients.
23) Raising:
Raising refers to the act of increasing awareness or understanding about specific issues, in this case, the impact of diabetes on infection management. The study aims to raise awareness among healthcare providers regarding suitable antibiotic therapies and the importance of addressing microbial resistance in clinical settings.
24) Sahaja (Saha-ja):
Sahaja refers to one of the authors involved in the study. Including multiple authors highlights the collaborative effort behind the research, bringing together expertise from various fields to provide a comprehensive analysis of the issues surrounding diabetic ulcers and treatment options.
25) Visit:
Visit refers to the act of patients attending healthcare facilities for treatment or follow-up. Regular visits are critical for monitoring disease progression and response to therapy, especially in patients with diabetic infections where timely intervention can significantly alter clinical outcomes.
26) Fever:
Fever is a clinical symptom observed in infections, often indicative of systemic involvement. The study examines fever as a common presentation among ulcer and cellulitis patients, highlighting its significance in infection severity and management decisions that healthcare providers must consider.
27) Cina:
China is referenced in the context of global diabetes statistics, with a notable number of diabetic individuals. By comparing statistics with countries like China, the study emphasizes the growing burden of diabetes-related complications worldwide, particularly in regions with high diabetes prevalence.
28) Hima:
Hima refers to Hima Bindhu, a co-author of the study. Her involvement signifies the collaborative nature of the research, contributing to its depth and breadth regarding the microbiological profiles and treatment of cellulitis and ulcers in diabetic and non-diabetic patients.
29) Mast:
Mast refers to Mast Co., UK, whose antimicrobial discs were utilized for conducting susceptibility tests in the study. Collaboration with recognized companies underscores the methodological rigor and ensures reliable results when evaluating antibiotic susceptibility patterns among isolated bacteria.
30) Sign:
Sign refers to the clinical manifestations of infections, such as swelling, pain, or fever, that help in diagnosing conditions like ulcers or cellulitis. Identifying these signs is crucial for healthcare providers to guide appropriate treatment and management strategies for patients.
31) Line:
Line indicates the alignment or correlation of findings with previous research or literature. By establishing connections between current results and historical data, the study strengthens its conclusions, validating the approaches taken in analyzing antibiotic treatments and infection management.
32) Pain:
Pain is a significant symptom experienced by patients with ulcers and cellulitis. The study considers pain levels in correlation with infection severity, emphasizing the need for effective pain management strategies alongside treating the underlying infections in both diabetic and non-diabetic patients.
33) Hand:
Hand often relates to the clinical management of conditions like ulcers or cellulitis, especially in assessing diabetic foot complications. The study highlights the importance of examining all extremities, understanding that improper care can lead to serious complications and necessitate more invasive treatment.
34) Post:
Post refers to the follow-up care provided after initial treatment for infections. The study explores outcomes related to post-discharge visits and management, illustrating the importance of continuity in care, especially in diabetic patients who are at risk for recurrent infections.
35) Life:
Life reflects the quality of life impacted by diabetes and its complications, including ulcers and cellulitis. The study aims to contribute to improving life quality for diabetic patients through optimal management strategies, preventing severe complications and facilitating better health outcomes.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Microbial profile and antibiotic treatment in diabetic vs. non-diabetic cellulitis.’. Further sources in the context of Science might help you critically compare this page with similair documents:
Empirical treatment, Informed consent, Medical condition, Clinical evaluation, Antibiotic treatment, Diabetic Foot Ulcer, Surgical Procedure, Ethics approval, Antimicrobial susceptibility testing, Hospital stay, Social habits, Bacterial isolate, Duration of diabetes, Gram positive organism, Gram negative organism, Clinical failure, Healthcare cost, Microbiological profile, Lower limb cellulitis, Polymicrobial species.