Microbiological profile and clinical characteristics of diabetic foot infection in northern China: a retrospective multicentre survey in the Beijing area
机构:[1]Department of Anti-Infection, The Institute of Clinical Pharmacology, Peking University First Hospital, Beijing, PR China[2]Department ofPlastic Surgery and Burns, Peking University First Hospital, Beijing, PR China[3]Department of Endocrinology, Peking University First Hospital, Beijing,PR China[4]Department of Peripheral Vascular, Beijing University of Chinese Medicine, Dongzhimen Hospital, Beijing, PR China[5]Department ofGeneral and Vascular Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, PR China首都医科大学附属北京同仁医院首都医科大学附属同仁医院[6]Department of Endocrinology, BeijingJishuitan Hospital, Beijing, PR China[7]Department of Endocrinology, The 306th Hospital of PLA, Beijing, PR China[8]Department of Endocrinology,Beijing Pinggu Hospital, Beijing, PR China[9]Department of Endocrinology, Beijing Fengtai Hospital, Beijing, PR China[10]Peripheral VascularInterventional, Aerospace Central Hospital, Beijing, PR China.
Purpose. We aimed to define the microbiological characteristics of diabetic foot infection in patients in the Beijing area and to explore the demographic and clinical factors correlated with pathogen distribution. Methodology. As part of a retrospective multicentre surveillance program conducted in eight hospitals in Beijing 2010-2014, we recruited all inpatients for whom bacterial culture had been performed. Demographic, clinical, laboratory and surgery data were obtained from medical records. Statistical analysis was performed to analyse data on microbiological and clinical characteristics. Results/Key findings. A total of 456 cases were included. The culture positivity was 95.4 %. Among all patients with positive cultures, 88 cases (20.2 %) had polymicrobial infections. Five hundred and fifty-one species were isolated from all specimens, including 39.6% Gram-positive bacteria and 57.5% Gram-negative bacteria. Enterobacteriaceae accounted for 41.0% of all isolates. Staphylococcus aureus (17.1 %), Pseudomonas aeruginosa (13.1 %), Proteus spp. (9.8 %), Escherichia coli (9.3 %) and coagulase-negative Staphylococcus (8.3 %) were the most frequently isolated species. The rate of resistance to methicillin was 24.5% for S. aureus. The susceptibility of P. aeruginosa to all antibiotics was over 60 %. The rate of extended-spectrum beta-lactamase production among E. coli was 52.6 %. P. aeruginosa and Enterobacteriaceae show high sensitivity to piperacillin/tazobactam, carbapenems and amikacin. Multivariate analysis showed that patient age >60 years was independently associated with Gram-negative rods. Conclusions. Enterobacteriaceae were the most frequently isolated organisms in our area. Older patients were more likely to suffer from Gram-negative rod infections. Gram-negative rods show high sensitivity to piperacillin/tazobactam, carbapenems and amikacin.
基金:
Beijing Municipal Science and Technology Commission
for funding (grant number D141107005314003).
第一作者机构:[1]Department of Anti-Infection, The Institute of Clinical Pharmacology, Peking University First Hospital, Beijing, PR China
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推荐引用方式(GB/T 7714):
Li Xiangyan,Qi Xin,Yuan Geheng,et al.Microbiological profile and clinical characteristics of diabetic foot infection in northern China: a retrospective multicentre survey in the Beijing area[J].JOURNAL OF MEDICAL MICROBIOLOGY.2018,67(2):160-168.doi:10.1099/jmm.0.000658.
APA:
Li, Xiangyan,Qi, Xin,Yuan, Geheng,Ju, Shang,Yu, Zhengya...&Guo, Xiaohui.(2018).Microbiological profile and clinical characteristics of diabetic foot infection in northern China: a retrospective multicentre survey in the Beijing area.JOURNAL OF MEDICAL MICROBIOLOGY,67,(2)
MLA:
Li, Xiangyan,et al."Microbiological profile and clinical characteristics of diabetic foot infection in northern China: a retrospective multicentre survey in the Beijing area".JOURNAL OF MEDICAL MICROBIOLOGY 67..2(2018):160-168