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Article
Microorganisms Isolated From Foot Ulcers InfectionOf Diabetic Iraqi Patients.

Authors: Saad S. AL-Azawi --- Suhaila M. AL-Salloum --- Ryath shaya AL-Hemedawi
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2006 Volume: 48 Issue: 3 Pages: 297-300
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: - Diabetic foot infections may be classified as superficial or deep. Bacteria are liable to enter any cut or ulcer causing infection. Defect in treatment of infected deep diabetic foot may result in oesteomyelitis, limb loss, and even death.
Methods: - Microorganisms were isolated and identified from both superficial & deep foot ulcers infection of (60) diabetic patients.
Results: - The present results showed that high incidence (30.8%) of Escherichia coli (E-coli) was isolated from dry - superficial foot ulcers followed respectively by Staphylococcus epidermidis (S. epidermidis). 3.1 % and 15.4% of Proteus mirabilis (P. mirabilis), equal Percentages for Klebsiellae Pneumoniae (K. pneumoniae), Klebsiellae ozaenae (K. ozaenae), Citrobacter freundii (C. freundii) and Pseudomonas aeruginosa (Ps. aeruginosa which were 7.7 %. the most common microorganisms isolated from wet - superficial foot ulcers were 14.3% of S. aurous and S. epidermidis, followed by equal by Percentages of E-coli, Enterobacter cloacae (E cloacae) k. pneumoniae, C. freundii; which were 9.5 % also equal Percentages for K. ozaenae, P. mirabilis, Morganella morganii (M. morganii) providencia rettgri (P. rettgri), Enterobacter. aerogenes (E. aerogenes), Acinetobacter baumanii (A. baumanii) & Ps. aeruginosa (4.8%) were isolated The present findings demonstrated that the microorganisms isolated from different depth of deep ulcer were 18.4% of Ps. aeruginosa, followed by equal Percentages (12.2%) of E-coli & P. mirabilis. Then 10.2% of k. Pneumoniae and equal Percentages 8.2% for both S. aureus& S. epidermidis, similar Percentages4.1 for Klebsiellae terrigina (K. terrigina) & providencia stuartii (p. stuartii). the other species from different other genera represent one (2.1 %) isolate only.
Conclusions:- The infected superficial ulcers from diabetic patients demonstrates high incidence of E¬coli followed by S. epidermidis, Proteus and Klebsiella. While the most common microorganisms isolated from wet-superficial foot ulcers were S. aureus, S. epidermidis, E.coli, Enterobacter, Klebsiella, Proteus, Providencia, Morganella, Citrobeacter, Acinetobacter & pseudomonas. The microorganisms isolated from different depth of deep ulcers were pseudomonas, E.coli, Proteus, Klebsiella, S. aureus, S. epidermidis, S.capitis, Streptococcus viridans, Shigella, Serretia, Acinetobacter


Article
A Study of Diabetic Foot Ulcers in Relation to Depth , Location of the Ulcer and Patient's, Age and Sex.

Author: Ryath S.AL-Hemedawi
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2006 Volume: 5 Issue: 4 Pages: 418-421
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Over a nine months period, extending from October, 2002 through July 2003, microorganisms were isolated and identified from foot ulcer infections of diabetic patients. The foot ulcers were clinically identified as superficial (dry, wet) or deep ,the depth of both superficial (wet, dry) and deep foot ulcers in relation to location, patient age and sex were studied from 60 patients of surgical wards.METHODS:The depth of different diabetic foot ulcers were measured by sterile cotton tip applicator inserted from the surface to the deepest point of the ulcer base.RESULTS:It was demonstrated that the superficial ulcers were mostly wet, the site of the ulcers were mainly in the right foot more than in left foot, mostly the toes. The incidence of deep ulcers were mostly in males, while the prevalence of both superficial and deep ulcers increase with advancing age.CONCLUSION:The present study showed a different classification of foot ulcers (superficial &deep) from past literature studies.


Article
Bacterial infection of Diabetic foot ulcer
الاصابة الجرثومية لقرحة القدم في المرضى المصابين بداء السكري

Authors: . Siham Sh. Al- Salihi سهام شكور عبيد --- Israa A. Mohammed Jumaah اسراء انور محمد جمعة
Journal: Diyala Journal For Pure Science مجلة ديالى للعلوم الصرفة ISSN: 83732222 25189255 Year: 2013 Volume: 9 Issue: 4 Pages: 15-20
Publisher: Diyala University جامعة ديالى

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Abstract

The study included 25 wound samples were collected from type 1 insulin dependent diabetes mellitus (IDDM), and type2 non-insulin dependent diabetes mellitus (NIDDM) foot patients admitted to daquq hospital of both sex and their ages between 41-75 years. The study aimed to screen the aerobic bacterial pathogens present in diabetic pus and to determine their antibiotic susceptibility against common standard antibiotics. Bacteriological diagnosis and antibiotic sensitivity profiles were carried out at two parts: The profile part swab was taken has been cultured in media of blood agar and MacConkey agar depend on biochemical tests and indicators. The results indicate that common pathogen isolates from the diabetic pus included E. coli followed by Proteus mirabilis and Staphylococcus aureus, and the peak proportion of diabetic foot ulcer (DFU) was recorded between 41-75 years in both sexes. The second step were included the performing antibiotic susceptibility according to Kirby-Bauer disc diffusion method on Mueller–Hinton agar using 11 different antibiotics. It was obvious that Nitrofurantoin, Ciprofloxacin and rifampicin is more active against E. coli followed by co-trimoxazole and gentamycin . Ofloxacin is more active against Staphylococcus aureus followed by gentamycin and Amipcillin .Amikacin, Nitrofurantoin and Co-Trimoxazole is active against Proteus mirabilis followed by gentamycin and erythromycin.

شملت الدراسة 25 مريضا بداء السكري من النوع الاول والثاني الوافدين الى مستشفى الداقوق الذين يعانون من تقرحات في القدم ، وكان اعمارهم يتراوح بين 41 – 75 سنة ومن كلا الجنسين. هدفت الدراسة الى عمل مسحة لدراسة البكتريا المرضية الهوائية الموجودة في التقرحات العائدة لمرض السكري ولتحديد استجابتها لبعض المضادات الحيوية. التشخيص لبكتريولوجي والحساسية للمضادات الحيوية تم دراستها في قسمين. القسم الاول المسحة المأخوذة قد تم زراعتها على وسط Blood agar وMacConkey اعتمادا على الفحوصات الكيميائية وبعض المؤشرات كانت النتائج تشير الى ان البكتريا التي تم عزلها كانت Staphylococcus aureus , Proteus mirabilis , E.coli وسجلت اعلى نسبة في الاشخاص تتراوح اعمارهم بين41-75 عاما ومن كلا الجنسين, القسم الثاني هو دراسة حساسية هذه البكتريا المعزولة بطريقة Kirby- Bauer disc diffusion method على وسط مولر هنتون الصلب باستعمال 11مضادا حيويا مختلفة .لوحظ ان المضادات نايتروفيرانيتون ,السبروفلوكساسين, الريفامبسين فعال جدا ضد E. coli ويتبعها ترايمكسسول وجنتامايسين . وكان مضاد اوفلوكساسين فعال جدا ضد Staphylococcus aureusيتبعها جنتامايسين وامبسلين. نايتروفيرانيتون,اميكاسين و ترايمكسسول فعال جدا ضد Proteus mirabilis ويتبعها جنتامايسين وارثرومايسين.


Article
Inhibitory Effect of Myrtus communis L. and Syzygium aromaticum L. Extracts on the Growth of Staphylococcus aureus Isolated from Foot Ulcers of Diabetic Patients
التأثير التثبيطي لمستخلصات نباتي الآسMyrtus communis L. والقرنفل Syzygium aromaticum L. ضد نمو بكتريا Staphylococcus aureus المعزولة من قرحة اقدام مرضى السكري .

Authors: Mohammed Khalefa Khadir محمد خليفة خضير --- Abbas Yaseen Hasan عباس ياسين حسن --- Rana Mohammed Salman رنا محمد سلمان
Journal: Diyala Journal For Pure Science مجلة ديالى للعلوم الصرفة ISSN: 83732222 25189255 Year: 2018 Volume: 14 Issue: 03 Pages: 108-121
Publisher: Diyala University جامعة ديالى

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Abstract

The study included 104 of two types of diabetic patients with foot ulcers. both male and female are involved. their age ranged (35-74) years, the first type of diabetes mellitus is insulin dependent and the second type is insulin nondependent. The results showed a significant difference (P<0.05) in infected males 75.96% compared with females 24.04%. The study has been performed at Baquba Teaching Hospital during the period from October 2016 to the end of March 2017. In this study, 35 isolates of Staphylococcus aureus have been isolated and diagnosed according to bacteriological and biochemical diagnostic criteria. The study showed that the hot aqueous extract of Myrtus communis and Syzygium aromaticum had strong effect at concentrations of (12.5,25,50,100,200 mg/ml) against the selected isolate of S. aureus with the diameter of inhibition zone (10.20,14.00,16.33,19.21, 22.27mm. respectively) for the first plant, while they were (9.80,12.31,15.56,19.21,21.22 mm. respectively) for the second plant. At the same concentrations mentioned above. the alcohol extract showed an inhibitory effect and the diameter of the inhibition zones were (8.23,12.31,14.21,18.33,20.31mm. respectively) for the first plant, while they were (13.00, 16.33,18.33 ,20.31,24.04mm. respectively) for the second plant. In comparison, the alcohol extract of Syzygium aromaticum showed the higher inhibitory activity against S. aureus. Antibiotic sensitivity performed on all bacterial isolates. twelve type of antibiotics were used, the isolates of bacteria revealed 100% sensitivity to both Vancomycin and Rifampin, while 100% resistance showed to Ampicillin and Penicillin G. Key words: Diabetes mellitus, Foot ulcers, Staphylococcus aureus.

شملت الدراسة 104 مريضاً مصابً بتقرحات القدم السكري من الذكور والاناث تراوحت اعمارهم بين(35– 74) سنة من مرضى داء السكري النوع الاول داء السكري المعتمد على الانسولين و النوع الثاني غير المعتمد على الانسولين . اذ اظهرت النتائج فرقاً معنويـــا ًp< 0.05)) لدى الذكور المصابين وبنسبة 75.96% مقارنة مع الاناث بنسبة 24.04%.أجريت الدراسة في مستشفى بعقوبة التعليمي خلال الفترة من أكتوبر 2016 حتى نهاية مارس 2017. في هذه الدراسة تم عزل 35 عزلة لبكتريا Staphylococcus aureus وتم تشخيصها اعتماداً على الصفات البكتريولوجية والكيموحيوية القياسية. وأظهرت الدراسة أن المستخلص المائي الحار لنباتي الآسMyrtus communis L. والقرنفل Syzygium aromaticum L. تأثيرا واسعاً بالتراكيز (,12.525200,100,50,) ملغم/مل ضد عزلات بكتريا S. aureusباقطار تثبيط(14.00,10.20 33,16.19.21,22.27ملم على التوالي) للنبات الأول، في حين كانت (9.80،21.31،15.56،19.21،21.22 ملم على التوالي) للنبات الثاني. وبنفس التراكيز اعلاه, وكذــلك اظهر المستخلص الكـحولي تاثير تثبيطي وبأقطار تثبيط (20.31,18.33,14.21,12.31,8.23 ملم على التوالي) للنبات الاول. في حين كانت (00,16.33,13.18.33,20.31, 24.04, ملــــــــــــم على التوالي) للنبات الثاني. وعند المقارنة اظهر المستخلص الكحولي لنبات القرنفل اعلى مناطق تثبيط ضد بكترياS. aureus. اجريت حساسية المضادات الحياتية على جميع العزلات البكتيرية تجاه اثنا عشرنوعاً من المضادات الحياتية المستخدمة في الدراسة, اذ ا ابدت عزلات البكتريا تحسسا 100% تجاه مضادي Vancomycin و Rifampin , في حين اظهرت مقاومة 100% لمضادي Ampicillin و Penicillin G .

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