Methicillin-Resistant <em>Staphylococcus aureus</em> Diabetic Foot Crossed Infection: A Case Report

This work presents a protocol to prevent the transmission of multidrug-resistant infections. We focus on the Diabetic Foot Unit Podiatry Clinic Area attached to the University of Seville in particular. The most common complication for patients with diabetes is leg ulcers. Together with neuropathy, v...

Full description

Bibliographic Details
Main Authors: María Reina-Bueno, Inmaculada C. Palomo-Toucedo, Aurora Castro-Méndez, Gabriel Domínguez-Maldonado, María del Carmen Vázquez-Bautista
Format: Article
Language:English
Published: MDPI AG 2020-07-01
Series:Pathogens
Subjects:
Online Access:https://www.mdpi.com/2076-0817/9/7/549
_version_ 1797562995350437888
author María Reina-Bueno
Inmaculada C. Palomo-Toucedo
Aurora Castro-Méndez
Gabriel Domínguez-Maldonado
María del Carmen Vázquez-Bautista
author_facet María Reina-Bueno
Inmaculada C. Palomo-Toucedo
Aurora Castro-Méndez
Gabriel Domínguez-Maldonado
María del Carmen Vázquez-Bautista
author_sort María Reina-Bueno
collection DOAJ
description This work presents a protocol to prevent the transmission of multidrug-resistant infections. We focus on the Diabetic Foot Unit Podiatry Clinic Area attached to the University of Seville in particular. The most common complication for patients with diabetes is leg ulcers. Together with neuropathy, vasculopathy, and immunological response disorder, these individuals have a high predisposition to developing infections. Staphylococcus aureus is a highly prevalent microorganism in humans which, at times, may act as a pathogen. Due mainly to indiscriminate abuse of antibiotics, the methicillin-resistant strain known by its initials as MRSA is the most extended nosocomial infection globally and is a severe community and hospital healthcare problem. This paper describes compliance with new general recommendations on cleaning, hygiene, and decontamination, in addition to implementation of this specific protocol, after detection of cross infection (healthcare-related infection) in the studied unit in two patients with MRSA-infected ulcers. After an in-depth bibliographical review, strict hand hygiene measures and use of non-sterile gloves were used when treating all patients with a diabetic foot. Finally, we reflect on the need to educate healthcare personnel to guarantee correct prescription of selected antibiotics. The role of the podiatrist in the multidisciplinary team is highlighted not only in terms of management and treatment of lesions in diabetic patients, but also as a healthcare agent for the detection and prevention of MRSA together with other multidrug-resistant infections.
first_indexed 2024-03-10T18:36:17Z
format Article
id doaj.art-207c85c06cd44648a5c211d0d688685a
institution Directory Open Access Journal
issn 2076-0817
language English
last_indexed 2024-03-10T18:36:17Z
publishDate 2020-07-01
publisher MDPI AG
record_format Article
series Pathogens
spelling doaj.art-207c85c06cd44648a5c211d0d688685a2023-11-20T06:10:27ZengMDPI AGPathogens2076-08172020-07-019754910.3390/pathogens9070549Methicillin-Resistant <em>Staphylococcus aureus</em> Diabetic Foot Crossed Infection: A Case ReportMaría Reina-Bueno0Inmaculada C. Palomo-Toucedo1Aurora Castro-Méndez2Gabriel Domínguez-Maldonado3María del Carmen Vázquez-Bautista4Department of Podiatry, University of Seville, 41009 Seville, SpainDepartment of Podiatry, University of Seville, 41009 Seville, SpainDepartment of Podiatry, University of Seville, 41009 Seville, SpainDepartment of Podiatry, University of Seville, 41009 Seville, SpainDepartment of Podiatry, University of Seville, 41009 Seville, SpainThis work presents a protocol to prevent the transmission of multidrug-resistant infections. We focus on the Diabetic Foot Unit Podiatry Clinic Area attached to the University of Seville in particular. The most common complication for patients with diabetes is leg ulcers. Together with neuropathy, vasculopathy, and immunological response disorder, these individuals have a high predisposition to developing infections. Staphylococcus aureus is a highly prevalent microorganism in humans which, at times, may act as a pathogen. Due mainly to indiscriminate abuse of antibiotics, the methicillin-resistant strain known by its initials as MRSA is the most extended nosocomial infection globally and is a severe community and hospital healthcare problem. This paper describes compliance with new general recommendations on cleaning, hygiene, and decontamination, in addition to implementation of this specific protocol, after detection of cross infection (healthcare-related infection) in the studied unit in two patients with MRSA-infected ulcers. After an in-depth bibliographical review, strict hand hygiene measures and use of non-sterile gloves were used when treating all patients with a diabetic foot. Finally, we reflect on the need to educate healthcare personnel to guarantee correct prescription of selected antibiotics. The role of the podiatrist in the multidisciplinary team is highlighted not only in terms of management and treatment of lesions in diabetic patients, but also as a healthcare agent for the detection and prevention of MRSA together with other multidrug-resistant infections.https://www.mdpi.com/2076-0817/9/7/549diabetic footdiabetic foot infectionfoot ulcermethicillin-resistant <i>Staphylococcus aureus</i>healthcare-associated infectionmultidrug-resistant infections
spellingShingle María Reina-Bueno
Inmaculada C. Palomo-Toucedo
Aurora Castro-Méndez
Gabriel Domínguez-Maldonado
María del Carmen Vázquez-Bautista
Methicillin-Resistant <em>Staphylococcus aureus</em> Diabetic Foot Crossed Infection: A Case Report
Pathogens
diabetic foot
diabetic foot infection
foot ulcer
methicillin-resistant <i>Staphylococcus aureus</i>
healthcare-associated infection
multidrug-resistant infections
title Methicillin-Resistant <em>Staphylococcus aureus</em> Diabetic Foot Crossed Infection: A Case Report
title_full Methicillin-Resistant <em>Staphylococcus aureus</em> Diabetic Foot Crossed Infection: A Case Report
title_fullStr Methicillin-Resistant <em>Staphylococcus aureus</em> Diabetic Foot Crossed Infection: A Case Report
title_full_unstemmed Methicillin-Resistant <em>Staphylococcus aureus</em> Diabetic Foot Crossed Infection: A Case Report
title_short Methicillin-Resistant <em>Staphylococcus aureus</em> Diabetic Foot Crossed Infection: A Case Report
title_sort methicillin resistant em staphylococcus aureus em diabetic foot crossed infection a case report
topic diabetic foot
diabetic foot infection
foot ulcer
methicillin-resistant <i>Staphylococcus aureus</i>
healthcare-associated infection
multidrug-resistant infections
url https://www.mdpi.com/2076-0817/9/7/549
work_keys_str_mv AT mariareinabueno methicillinresistantemstaphylococcusaureusemdiabeticfootcrossedinfectionacasereport
AT inmaculadacpalomotoucedo methicillinresistantemstaphylococcusaureusemdiabeticfootcrossedinfectionacasereport
AT auroracastromendez methicillinresistantemstaphylococcusaureusemdiabeticfootcrossedinfectionacasereport
AT gabrieldominguezmaldonado methicillinresistantemstaphylococcusaureusemdiabeticfootcrossedinfectionacasereport
AT mariadelcarmenvazquezbautista methicillinresistantemstaphylococcusaureusemdiabeticfootcrossedinfectionacasereport