Evidence Hub

Site-specific bacteriology of tropic ulcers and their antibiotic sensitivity: A cross-sectional study

S. Mishra, Snigdha Mishra, Ganesh Yadav, Dileep Kumar, A. Gupta

Medical Journal of Dr. D.Y. Patil Vidyapeeth, 2022

95 participants

Abstract

Introduction: The trophic ulcers are usually presented in the form of diabetic ulcer, leprotic ulcer, and pressure ulcer. The usual site for ulceration in trophic ulcer is the bony prominence on body part devoid of sensation. The chronic wounds management in health-care setting have significant impact on the patient's physical, mental, and financial health. In trophic ulcer management factors such as cause of ulcer, its location, size, and duration should be considered. Infection in such trophic ulcer leads to increase disease activity results delayed wound healing. Thus, a study was designed with aim to find relation between location of trophic ulcer and its infection status. Materials and Methods: This retrospective cross-sectional study includes 95 patients with infected trophic ulcers admitted between January 2015 and March 2020 from our tertiary care rehabilitation center. Cultured bacterial species were tested against following 23 drugs Amikacin, Gentamycin, Levofloxacin Ciprofloxacine, Piperacillin + Tazobactum, Ceftriaxone, Cefepime, Meropenem, Imipenem, Ampicillin, Ceftazidime, Amoxiclav, Cotrimoxazole, Cefotaxime, Erythromycin, Clindamycin, Tetracycline, Cefoxitin, Chloramphenicol, Colistin, Tobramycin, Vancomycin, and Aztreonam. Results: The common sites of trophic ulcer involvement were sacrum (32%), heel (29%), forefoot (17%), ischium (12%), knee (6%), and greater trochanter (4%). Eight different bacterial species were isolated, which were Staphylococcus aureus…

How strong is the evidence?

Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 95 participants or records.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

Read the paper

Related studies

Go deeper in Evidence Hub

Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.

Open this study Sign up free