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


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

Kaynak Göster

Medicine Science
  • ISSN: 2147-0634
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2012


Sayıdaki Diğer Makaleler

Case reports of hyperthyroidism after kidney transplantation: a review of literature


Fluoroscopy improves femoral stem placement in cementless total hip arthroplasty

Haluk ÇABUK, Cem Dinçay BÜYÜKKURT, Süleyman Semih DEDEOĞLU, Yunus İMREN, Ali Çağrı TEKİN, HAKAN GÜRBÜZ

An evaluation of the indications, complications and results of patients with percutaneous endoscopic gastrostomy


Seroprevalence of Hepatitis A Virus in Inonu University Medical Faculty Hospital, 2015


Correlation between diabetes mellitus and the clinical outcome of acute varicealbleeding in cirrhotic patients in Suez Canal University Hospital, Ismailia, Egypt

Adel Hamed ELBAİH1, Mohammed Mahmoud ABDO, Khalil Ali KHALİL, Mayada Mahmmoud MOHAMMED

Relationship between thyrotropin and BMI in patients with subclinical hypothyroidism


Adverse drug reactions report among hospitalized patients with hypertension in a Nigerian Tertiary Healthcare Centre: a retrospective study

Abiola Muhammad ADEOSUN, Aduragbenro D A ADEDAPO, Waheed Adeola ADEDEJİ

Validity of systemic inflammatory response syndrome (SIRS) criteria, interleukin-6 and (MELD) score as prognostic tools in cirrhotic patients with acute renal failure admitted to Emergency Department in Suez Canal University Hospital, Egypt

Adel Hamed ELBAİH1

Erythropoietin hyporesponsiveness among egyptian hemodialysis patients

Mohamed M Abdo PHD, Heba M ZAKİ, Mohamed MSC

Patterns and management of chest injuries patients and its outcome in Emergency

Adel Hamed ELBAİH1