Pathare N A, Bal A, Talvalkar G V, Antani D U
All India Institute of Diabetes, S.L. Raheja Hospital, Mahim, Mumbai.
Indian J Pathol Microbiol. 1998 Oct;41(4):437-41.
Patients with diabetes foot infections were evaluated over a two year period to assess the bacteriological spectrum in the different Wagner's grades of foot wounds. Most of the diabetic foot wounds were found to be polymicrobic in nature with an average of 3.07 organisms isolated per case studied. Amongst a total of 775 clinical isolates, 71.09% were aerobic; whereas 28.91% were anaerobic pathogens. Gram-positive organisms like Staphylococcus spp. and Streptococcus spp. formed almost 50% of the clinical isolates in the first two grades and were reduced to less one-fourth of the total organisms in the last two grades. These was a significant increase in the gram-negative organisms and anaerobes in the last two grades.
对糖尿病足感染患者进行了为期两年的评估，以评估不同瓦格纳分级的足部伤口的细菌谱。发现大多数糖尿病足部伤口本质上是多微生物感染，每例研究病例平均分离出3.07种微生物。在总共775株临床分离株中，71.09%为需氧菌；而28.91%为厌氧菌病原体。在前两个分级中，葡萄球菌属和链球菌属等革兰氏阳性菌几乎占临床分离株的50%，而在最后两个分级中降至不到总数的四分之一。在最后两个分级中，革兰氏阴性菌和厌氧菌显著增加。
