Microbial Journal Article Review
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Frequency and Antimicrobial Susceptibility Patterns of Diabetic Foot Infections of Patients from Bandar Abbas District, Southern Iran.
Scientists chose to perform the study to evaluate the susceptibility pattern of diabetic foot ulcer infection to Shahid Mohammadi hospital in Bandar Abbas, in South of Iran. f
Description of Background
Diabetes is rapidly progressive in the current times. Complications of diabetes can either present as either microvascular or macrovascular presentation. The classical presentation of diabetic foot is in the form of chronic, small, mid punctured wounds. It is usually found on the plantar surface and dorsum part of the foot.
Management of diabetic foot has been a challenge for medical personnel for many years now. This is because it is a multifactorial disease. Some of the major contributors include; poor blood circulation, high blood sugar levels, nerve damage, and wounded feet causing a chronic infection. All the above factors occur with time possibly years of long-standing diabetes. Over time, diabetes can lead to diabetic neuropathy or nerve damage as commonly known. This can cause loss of sensation. In this case, one might not feel pain in case their feet have blisters or any cut wounds. Unrecognized Sores and cuts might become deeply infected hence becoming difficult to control.
High blood sugar can also reduce the amount of blood flow to the peripheries. Low blood perfusion to your legs and feet can make it hard for an infected wound to heal. Besides, it also creates a favorable environment for bacteria to thrive in. The wound progresses to become gangrenous and amputation ensues to prevent the infection from spreading to other parts of your body. The end goal in diabetic foot management is to decrease non-viable tissue and to maximize viable tissue within the wound.
The most common mismanagement of diabetic foot ulcer infection is the use of using antibiotics without knowing the susceptibility in culture, use of drugs that are not directed to the extracted species, or incorrect treatment duration. In Western countries, the dominant antimicrobial cause of diabetic foot infection is aerobic gram-positive cocci. The pattern of bacterial susceptibility varies from one place to another. Therefore, there is a need to administer appropriate antibiotic treatment to reduce the risk of complications
Hypothesis
The causative organism determines the algorithm of antibiotic treatment.

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