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All Journal Majalah Kesehatan Pharmamedika
Rustadi Sosrosumihardjo
Department of Clinical Pathology, Faculty of Medicine, University of Indonesia Dr. Cipto Mangunkusumo General National Hospital, Jakarta
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Public Health

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Clinical Picture and Microbiological Pattern in 3rd and 4th Degrees of the Pedis Classification of Diabetic Foot Infection Sumarjo, Kusmardi; Waspadji, Sarwono; Sosrosumihardjo, Rustadi; Suhendro, Suhendro
Majalah Kesehatan Pharmamedika Vol 10, No 1 (2018): JUNI 2018
Publisher : Lembaga Penelitian Universitas YARSI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33476/mkp.v10i1.683

Abstract

Diabetic foot infection (DFI) is one complication of diabetes mellitus that has high morbidityand mortality. The success of management of DFI is influenced by many factor. This study aimed to recognize clinical picture and microbiological pattern in 3rd and 4th degrees of the PEDIS classification. The design was a prospective cross-sectional study conducted in RSCM at March until May 2005. The clinical pictures in 52 DFI’pateints were included to the PEDIS classification with the wound’s odour and crepitation. Microbiological examination was done culture for microorganisms and the antibiotiks sensitivity test. The female were greate (55,8%) than male the greatest age group were at 51-60 years old (44,2%). Poorly controlled blood glucose was found in 88%, duration of wound 2 weeks in 56%, wound without critical-limb ischaemia in 81% with wound size 25 cm2 in 58%, with bottom of wound had reached tendons in 75%. Most of the patiens undergroune sepsis (65%), diabetic neouropathy (77%), with odour distance of ≥1 m (65%), and crepitation/gas (63%). We found 96 types of microorganism, of which the greatest number was: E.coli 17,7% with highest sensitivity towards cefepime; S.aureus 15,6% towards co-amoxyclav; Bacteroides spp 4,2% towards co-amoxyclav, sultamicillin and metronidazole.
Co-Authors Agus Firmansyah Asri Rasad Daldiyono Harjodisastro Dwirini Retno Gunarti Endi Ridwan Erni J Nelwan, Erni J Evi Indrasanti, Evi Farida Nurchaida, Farida Grace Nerry Legoh Herry D. Ilahude Makmur Safei Pinardi Hadidjaja Rahajuningsih Dharma Robert Sinto Sarwono Waspadji Septilia I. Wanandi Sri Suryo Adiyanti, Sri Suryo Suhendro Suhendro Sumarjo, Kusmardi