The menace of the green monster on the postoperative diabetic foot wounds

No complication in diabetes is as devastating as diabetic foot. A slight negligence and the patient may end up in an amputation. Various type 1 diabetic foot complications like abscess, gangrene, necrotizing fasciitis, etc requires emergency surgical management often leading to either amputation or large wounds. This would in fact result in prolonged hospital stay, add burden to the economic condition of the patient and impaired quality of life. Adding to the misery of these to the patients is the postoperative wound infection with pseudomonas, a nosocomial infection. This article briefly reviews about the characteristics of pseudomonas aeruginosa and way to prevent and treat this condition in diabetic foot wounds

Tam Metin

Kaynakça

1. Sivanmaliappan TS, Sevanan M. Antimicrobial susceptibility patterns of pseudomonas aeruginosa from diabetic patients with foot ulcers. Int J Microbiol. 2011;2011:605195.

2. Wahab WFA, Bakhiet MA, Mahadi SE, Mahmoud SM, Widataal AH, Ahmed ME. Diabetic foot infections with pseudomonas: Jabir Abueliz diabetic centre Khartoum experience. Clin Res Foot Ankle. 2013;s3:001.

3. Ananthanarayan R and Panicker’s CKJ, eds, Textbook of microbiology. 8th edition. Universities press private limited, India, 2009.

4. Rumbaugh K. Should we be afraid of the green monster? Crit Care Med. 2009:37(5):1826-7.

5. Kumar S. Textbook of microbiology. 1st edition. Jaypee, India, 2012.

6. Young L. Identifying infection in chronic wounds. Wound Practice and Research. 2012;20(1):38-44.

7. Wound Ostomy Continence Nurses Society. Clean Vs Sterile dressing technique for management of chronic wound. J Wound Ostomy Continence Nurse. 2012;39(25):S30-S34.

8. Deepa T, Kasturi T, Avinash G, Muni lakshmi P, Sreenivasulu reddy P, Jithendra K, Ravi kumar T. Bacterological profile in patients with diabetic foot ulcers with special references to their antibiotic sensitivity pattern. Int J Curr Microbiol App Sci. 2015:4(3):706-712.

9. Najjad MKR, Idrees Z, Zamir M, Zeeshan S, Shah SA. Pseudomonas as trespassers in diabetic foot infections: More question and fewer answers. J Pak Med Assoc. 2014;64(12):112-5.

10. Coetzee E, Rode H, Kahn D. Pseudomonas aeruginosa burn wound infection in a dedicated burns unit. S Afr J Sdfurg. 2015;51(2):50-53.

11. Masaadeh HA, Jaran AS. Incident of pseudomonas aeruginosa in postoperative wound infection. AM J Infect Dis. 2009;5(1):1-6.

12. Bowler PG, Duerden BI, Armstrong DG. Wound microbiology and associated approached to wound management. Clin Microbiol Rev. 2001;14(2):244-69.

13. Kolera D. A silver tale: pseudomonas v/s Aquacel Ag. Primary Intention. 2005;13(4):181-2.

14. Lipsky BA. Medical treatment of diabetic foot infection. Clin Inf Dis. 2004;39(2): 104-14.

15. Baranoski S, Ayello EA,eds, Wound care essentials: Practice and principles. 2nd edition. Lippincott william and wilkins, USA, 2008.

16. Japoni A, Farshad S, Alborzi A. Pseudomonas aeruginosa: Burn infection, treatment and antibacterial resistence. IRCMJ. 2009;11(3):244-53.

17. Mulder M, Small N. Botna Y, Ziady L, Mackenzie J. Basic principles of wound care. Maskew Miller Longman, South Africa, 2002.

18. Nagoba B, Wadhar B, Kulkarni P, Kolhe S. Acetic acid treatment of pseudomonal wound infections. Eur J Gen Med. 2008;5(2):104-6.

19. Salati S, Ather A. Management