Approach to Treatment of Diabetic Foot Infection

Background: Foot infections in diabetic patients and frequently require a multidisciplinary approach to solving a problem. Taking the form of cellulite, soft tissue necrosis and osteomyelitis may present risks for limb amputation. Bakterolojik analysis for this reason, treatment is very important. Aim: This study aimed to determine the active micro-organisms and their antibiotic susceptibilities. Methods: A total of 63 patients with Diabetic foot infection, who were admitted to the clinics of Dicle University Hospital between October 2006 and November 2007, were included into the study. Wagner classification metod used for wound classification. Deep tissue culture was maked for bacteriological analysis. For aerobic and anaerobic culture were rapidly sent to laboratory. Results: While 38 (60%) of patients, Wagner classification <= 2, Wagner classification >= 3 was 25 (40%) The most common isolated microorganisms are S. aureus (20 patients, 31.7%) and it was followed by Klebsiella spp. and Enterobacter cloaca. All Gr (-) isolates the most effective antibiotics against amikacin, meropenem, piperacillin-tazobactam and cefepime, respectively. They are the most resistant to the antibiotics ciprofloxacin and cefuroxime-axetil, respectively. Conclusion: An effective treatment for diabetic foot infections, determination of causative organisms and their antibiotic susceptibility is crucial to know the sensitivity shown in most of the time.