Caracterización del perfil microbiológico de pie diabético en adultos
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Fecha
2023
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
El estudio se enfoca en la caracterización del perfil microbiológico de las
bacterias responsables de las infecciones en las úlceras del pie diabético en
pacientes del Hospital General Guasmo Sur, en la ciudad de Guayaquil,
Ecuador, durante el periodo de enero 2022 a diciembre 2022. Los objetivos de
la investigación son describir las infecciones bacterianas presentes, determinar
los microorganismos aislados en el laboratorio y definir los agentes infecciosos
que comúnmente llevan a amputaciones. La muestra de la investigación se
compone de pacientes con diagnóstico de diabetes mellitus tipo 1 o tipo 2 y
úlceras en el pie diabético. Los resultados indican que los cultivos más
frecuentes en las úlceras del pie diabético son Escherichia coli BLEE+, Proteus
spp. y Citrobacter koseri, y que hay una asociación significativa entre el tipo de
cultivo, el tiempo de curación de la herida y la amputación. En conclusión, los
hallazgos de este estudio proporcionan información valiosa para la toma de
decisiones clínicas en el manejo del pie diabético, y destacan la importancia de
la vigilancia microbiológica y el control glucémico en la prevención y tratamiento
de esta complicación común en pacientes con diabetes. Se recomienda mejorar
la educación sobre la prevención y el cuidado del pie diabético en pacientes y
cuidadores, promover estrategias de detección temprana y tratamiento oportuno
de infecciones, realizar cultivos bacterianos y antibiogramas en todos los
pacientes con úlceras de pie diabético, implementar programas de seguimiento
a largo plazo y usar intervenciones interdisciplinarias en la atención de pacientes
con pie diabético
The thesis focuses on characterizing the microbiological profile of bacteria responsible for infections in diabetic foot ulcers in patients at the General Hospital Guasmo Sur in the city of Guayaquil, Ecuador, during the period from January 2022 to December 2022. The research objectives are to describe the bacterial infections present, determine the microorganisms isolated in the laboratory and their susceptibility to antibiotics, and define the infectious agents commonly leading to amputations. The research sample consists of patients diagnosed with type 1 or type 2 diabetes mellitus and foot ulcers. The results indicate that the most frequent cultures in diabetic foot ulcers are Escherichia coli BLEE+, Proteus spp., and Citrobacter koseri, and there is a significant association between the type of culture, the time to wound healing and the amputation. In conclusion, the findings of this study provide valuable information for clinical decision-making in the management of diabetic foot, highlighting the importance of microbiological surveillance and glycemic control in the prevention and treatment of this common complication in patients with diabetes. It is recommended to improve education on the prevention and care of diabetic foot in patients and caregivers, promote strategies for early detection and timely treatment of infections, perform bacterial cultures and antibiograms in all patients with diabetic foot ulcers, implement long- term follow-up programs, and use interdisciplinary interventions in the care of patients with diabetic foot
The thesis focuses on characterizing the microbiological profile of bacteria responsible for infections in diabetic foot ulcers in patients at the General Hospital Guasmo Sur in the city of Guayaquil, Ecuador, during the period from January 2022 to December 2022. The research objectives are to describe the bacterial infections present, determine the microorganisms isolated in the laboratory and their susceptibility to antibiotics, and define the infectious agents commonly leading to amputations. The research sample consists of patients diagnosed with type 1 or type 2 diabetes mellitus and foot ulcers. The results indicate that the most frequent cultures in diabetic foot ulcers are Escherichia coli BLEE+, Proteus spp., and Citrobacter koseri, and there is a significant association between the type of culture, the time to wound healing and the amputation. In conclusion, the findings of this study provide valuable information for clinical decision-making in the management of diabetic foot, highlighting the importance of microbiological surveillance and glycemic control in the prevention and treatment of this common complication in patients with diabetes. It is recommended to improve education on the prevention and care of diabetic foot in patients and caregivers, promote strategies for early detection and timely treatment of infections, perform bacterial cultures and antibiograms in all patients with diabetic foot ulcers, implement long- term follow-up programs, and use interdisciplinary interventions in the care of patients with diabetic foot
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PIE DIABETICO, AMPUTACION, INFECCIONES BACTERIANAS, ULCERAS, HOSPITAL GENERAL GUASMO SUR, CANTON GUAYAQUIL, ECUADOR