Drug Susceptibility Pattern of Bacterial Pathogens associated with Diabetic Foot Ulcers of Patients in Kano North –Western Nigeria
DOI:
https://doi.org/10.47430/ujmr.1942.014Keywords:
Antibiotics,, Bacterial pathogens,, Diabetic foot ulcer,, SusceptibilitiesAbstract
Diabetic foot ulcer has become the major cause of amputation in people with diabetes. Infected foot ulcers are a cause of morbidity and hospitalization in diabetic patients. The aim of the current study was to isolate and ascertain antimicrobial susceptibility pattern of bacterial pathogens associated with diabetic foot infection in Kano North – West, Nigeria. Samples were collected from 100 patients with diabetic foot ulcers using sterile cotton swab and transported to the laboratory for analysis. The male: female ratio was 3:1. Mono bacterial nature of diabetic foot infection was observed in 68% of the samples while mixed bacterial infection was observed in 21% of the samples. The study showed that Gram negative bacteria (84%) was the most frequently isolated pathogen and E. coli was found to be predominant (27%) followed by Klebsiella species (21%) and Proteus species (19%).Among the Gram positive bacteria, S. aureus (16%) was the predominant pathogen. The result also showed that most of the isolated bacteria were sensitive to Ciprofloxacin, Ofloxacin, Nitrofurantoin and Gentamicin. However, they showed resistance to Augumentin, Cefixime, Ceptaxidime and Cefuroxime. Further studies needs to be carried out to explore anaerobic pathogens related to diabetic wound and to ascertain the causes of resistance to antibiotics for proper management of diabetic foot ulcer in the study area.
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Akaa, P.D., Ahachi, N.C., Kortor, N.J., Mue, D.D., Elach, C.I., Ogiator, M., Utoo, M.P. and Osuji. J.I. (2017). Diabetic foot ulcers: Epidemiology, management modalities and out come at Benue State University Teaching Hospital Makurdi. Journal of Advance in Medicine and Medical Research 22(10):2-12
https://doi.org/10.9734/JAMMR/2017/34131
Akwah, L., Charles, F.N. , Nchinwan, E.N. , Tsinda, E.K. and Kamdje, A.H.N.(2015). Bacteriology of Diabetic Foot Ulcers with Reference to Multidrug Resistance Strains at the Yaounde Central Hospital (Cameroon). Journal of Disease and Medicinal Plants 1(4):53-58.
https://doi.org/10.11648/j.jdmp.20150104.11
Bakker, K., Apelquist, J. and Schaper, N.C, (2012). Practical guidelines on the management and prevention of the diabetic foot. Diabetes Metabolism Research 2(1):255-31
Basher, K., Ogwumike, O.O., Opeyemi, I.A., Olagoke, A.J. and Abdulkadir, G.H. (2015). Epidemiologic Features of Amputation in Kano, North -West, Nigeria: A Five -year Retrospective Study.Bayero Journal of Evidence-Based Physiotherapy Maiden Edition1(1):61-72
Desalu, O.O.,Salawu, F.K., Jimoh,, A.K., Adekoya A.O., Busari, O.A. and Olokoba, A.B. (2011). Diabetic foot care: self reported knowledge and practice among patients attending three tertiary hospital in Nigeria. Ghana medical journal45(2):60-65
https://doi.org/10.4314/gmj.v45i2.68930
Ekeh, E.I, Peupet, F. and Nwadiaro, C. (2003). Studies of diabetic foot ulcers in patients at Jos University teaching hospital, Nigeria. African Journal of Clinical and Experimental Microbiology 4(2):52-61
https://doi.org/10.4314/ajcem.v4i2.7308
Iyanar, K., Premavathy, R.K., Cecellia, S., Jayalakshmi, M., Priyarsini, S.S. and Shanta, S. (2014). Isolation and antibiotic susceptibility of bacteria from foot infections in the patients with diabetes mellitus type 1 and type II in the district of Kancheepuram, Tmil Nadu India. International Journal of Research in Medical Science 2 (2):457-461
https://doi.org/10.5455/2320-6012.ijrms20140515
Jassim, F. A.A. (2014). Bacteriological Evaluation of Diabetic Foot Infections of Patients in Al- Salam Hospital in Mosul City/ Iraq and Antibiotic Sensitivity Pattern. International Journal of Advance Research 2(5):614-623
Jeber, A.M. and Saeed, A.E. (2013). Isolation and identification of bacterial causes from diabetic foot ulcer. Tirkit Journal of PureSciences, 18(3):6-9
Lipsky, B.A., Brendt, A.R., Deery, H.G., Joseph, W.S., Karchmer, A.W., Lefrock, J.L., Lew, D.P., Mader, J.T., Norden, C. and Tan, J.S. (2004). Infectious diseases society of America. Clinical Infectious Diseases39(7):885-910
https://doi.org/10.1086/424846
Mathangi, T. and Prabhakaran, P. (2013). Prevalence of bacteria isolated from type 2 diabetic foot ulcers and antibiotic susceptibility pattern. International Journal of Current Microbiology and Applied Sciences 2(10);329-337
Mohanasoundaram, K.M. (2012). The microbiological profile of diabetic foot infection. Journal of Clinical and Diagonostic Research 6(3):409-411
Mukhtar, U.D., Terhile, L., Abdullahi, I.N., Alkasim, A.A., Yahya, H.M. (2016). Prevalence and healthcare costs associated with the management of diabetic foot ulcer in patients attending Ahmadu Bello University Teaching Hospital, Nigeria. International Journal of Health Sciences 10(2):220-228.
https://doi.org/10.12816/0048814
Olowo-Okere, A., Funsho, R.A., Abass, A., Suleiman, A.S., Hussain, U.Y. and Tanko, N. (2017). Incidence and antibiotic susceptibility profile of staphylococcus aureus isolates from wound of patients at specialist hospital sokoto, Nigeria. Journal of medical Bacteriology 6(30):44-50
Ramani, A., Ramani, R., Shivananda, P.G. and Kundaje, G.N. (1991). Bacteriology OF Diabetic foot ulcers. Indian Journal of Patholology and Microbiology 34(2):81-87
Shahi, K.S., Kuma,r A., Kumar, S., Singh, K.S., Gupta, K.S. and Singh, B.T.(2012). Prevalence of diabetic foot ulcer and associated risk factor in diabetic patients from north India. The Journal of Diabetic Foot Complication 4(3):83-91
Tamalli, M., Gamal, M.A.B. and Algahazal, M.A. (2015).Common aerobic bacteria isolates from diabetic foot ulcer and their antibiotic susceptibility testing. World Journal of Pharmacy and Pharmaceutical Sciences 4(8):260-266.
Yerat, R.C. and Rangasamy, V.R. (2015). A clinical study of diabetic foot ulcer infection in South India. International Journal of Medicine and Public Health 5(3):236-241
https://doi.org/10.4103/2230-8598.161545
Zubair, M., Malik, A. and Ahmad, J. (2010). Clinico-microbiological study and antimicrobial drug resistance profile of diabetic foot infection in north India. The Foot, 21:61-14
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