The bacterial characteristic of the purulonecrotic focus in complicated diabetic foot syndrome depending on its clinical form

Abstract

A study of the microflora of 1037 patients with complicated diabetic foot syndrome (DFS) was conducted over the period of 2010 through 2014. The quantity of gram-positive flora among aerobic germs increased from 52.7% (2010) to 61.4% (2014) with Staphylococcus aureus (62.5%) and Enterococcus faecalis (23.5%) prevailing. Enterobacter spp. and Escherichia coli prevailed among aerobic gram-negative flora. The plating of Pseudomonas aeruginosa grew from 17.2% (2010) to 22.4% (2014). The number of microbe associations extracted from the primary suppurative focus increased from 46.9% to 53.1%. Both common features and differences were discovered during the study of the microbial landscape of patients with different forms of complicated DFS. The increase in the dynamics of gram-positive flora study and the number of microbe associations, as well as the growth of MRSA, was a common pattern. The results of the antibiogram study are indicative of the high resistance of the detected microflora to I-II generation antibiotics.