Bacterias aisladas de infecciones de pie diabético y su sensibilidad a antibióticos, según el grado de infección, en pacientes del Hospital Belén de Trujillo

• Autor: Isla Cordero, Brando Jhorman
• Formato: tesis de grado
• Fecha de Publicación: 2020
• Institución: Universidad Nacional de Trujillo
• Repositorio: UNITRU-Tesis
• Lenguaje: español
• OAI Identifier: oai:dspace.unitru.edu.pe:20.500.14414/15520
• Enlace del recurso: https://hdl.handle.net/20.500.14414/15520
• Nivel de acceso: acceso abierto
• Materia: Pie diabético; Pruebas de sensibilidad microbiana

Objective: Identify the most frequent bacteria in diabetic foot infections and their sensitivity to antibiotics in patients of Belén Hospital of Trujillo between 2012 and 2016. Material and methods: Cross-sectional descriptive observational study. Medical records from patients diagnosed with diabetic foot that contained the result of a culture of secretion of the lesion with its antibiogram were reviewed. Results: The culture reports of 47 patients with 57 isolated microorganisms were analyzed. Gram-negative (64%) represented by Escherichia coli were the most frequently microorganisms and Gram-positive (36%) were represented by Staphylococcus aureus. A 42.75% of enterobacteria were producers of extended spectrum beta-lactamase (ESBL) and a 62.5% of Staphylococcus aureus were methicillin-resistant. All these microorganisms predominated in Wagner’s grade IV and V lesions and PEDIS’ grade 4 (Severe) lesions, without significant difference with the other groups. The drugs with greater sensitivity were Cefoxitin, Carbapenems and Vancomycin, in addition to Amikacin and Rifampin. Conclusions: The main bacteria in diabetic foot infections are Escherichia coli and Staphylococcus aureus, while the most sensitive drugs are Cefoxitin, Carbapenems and Vancomycin.