The relationship between bacterial characteristics and mortality in diabetic foot ulcers' patients admitted to Dr. H. Abdul Moeloek General Hospital, Lampung
ABSTRACT Around 25% of people with diabetes experience diabetic foot ulcers in their lives, accompanied by infections due to various types of bacteria. Infection due to Gram-negative and Gram-positive bacteria are reported to have different inflammation patterns, where the latter being reported t...
Main Authors: | , , |
---|---|
Format: | Article |
Language: | Indonesian |
Published: |
Universitas Muhammadiyah Surabaya
2022-01-01
|
Series: | Qanun Medika: Jurnal Kedokteran Fakultas Kedokteran Universitas Muhammadiyah Surabaya |
Subjects: | |
Online Access: | http://journal.um-surabaya.ac.id/index.php/qanunmedika/article/view/7501 |
_version_ | 1798031203134078976 |
---|---|
author | Iswandi Darwis Gusti Ngurah P Pradnya Wisnu Sekar Mentari |
author_facet | Iswandi Darwis Gusti Ngurah P Pradnya Wisnu Sekar Mentari |
author_sort | Iswandi Darwis |
collection | DOAJ |
description | ABSTRACT
Around 25% of people with diabetes experience diabetic foot ulcers in their lives, accompanied by infections due to various types of bacteria. Infection due to Gram-negative and Gram-positive bacteria are reported to have different inflammation patterns, where the latter being reported to have a higher mortality rate. This study was an analytic observational study with a cross-sectional design to determine the relationship between bacterial characteristics and mortality in diabetic foot ulcers. Data were obtained from medical records of diabetic ulcer patients admitted to Dr. H. Abdul Moeloek General Hospital, Lampung, in 2017–2020. There were 131 diabetic foot ulcers patients identified, with the median age of the subjects was 53 years, 43.5% of the subject were male, and 56.5% were female. The mean hemoglobin was 9.3 g/dl, WBCs were 19.0 ×103/ml, and platelets were 422.1 ×103/ml. The mean length of stay in the hospital was 10.7 days. Eighteen subjects died during the hospital stay, with 15 of them were from the Gram-negative monomicrobial group. The results of the Fischer Exact test on mortality and bacterial characteristics among monomicrobial infections (p=0.688) indicate no relationship between the characteristics of the infectious pathogen and mortality in diabetic foot ulcers.
Keywords: bacteria, diabetes, diabetic foot ulcers, mortality
Correspondence: iswandi.darwis@gmail.com |
first_indexed | 2024-04-11T19:52:36Z |
format | Article |
id | doaj.art-59521772a5cb46eca0f715047d7aacab |
institution | Directory Open Access Journal |
issn | 2541-2272 2548-9526 |
language | Indonesian |
last_indexed | 2024-04-11T19:52:36Z |
publishDate | 2022-01-01 |
publisher | Universitas Muhammadiyah Surabaya |
record_format | Article |
series | Qanun Medika: Jurnal Kedokteran Fakultas Kedokteran Universitas Muhammadiyah Surabaya |
spelling | doaj.art-59521772a5cb46eca0f715047d7aacab2022-12-22T04:06:15ZindUniversitas Muhammadiyah SurabayaQanun Medika: Jurnal Kedokteran Fakultas Kedokteran Universitas Muhammadiyah Surabaya2541-22722548-95262022-01-016110.30651/jqm.v6i1.75013668The relationship between bacterial characteristics and mortality in diabetic foot ulcers' patients admitted to Dr. H. Abdul Moeloek General Hospital, LampungIswandi Darwis0Gusti Ngurah P Pradnya Wisnu1Sekar Mentari2Department of Internal Medicine, Universitas Lampung/Dr. Hi. Abdul Moeloek General Hospital, Lampung, IndonesiaResearch Assistant, Department of Internal Medicine, Universitas Lampung/Dr. Hi. Abdul Moeloek General Hospital, Lampung, IndonesiaResearch Assistant at Department of Internal Medicine, Universitas Lampung/Dr. Hi. Abdul Moeloek General Hospital, Lampung, IndonesiaABSTRACT Around 25% of people with diabetes experience diabetic foot ulcers in their lives, accompanied by infections due to various types of bacteria. Infection due to Gram-negative and Gram-positive bacteria are reported to have different inflammation patterns, where the latter being reported to have a higher mortality rate. This study was an analytic observational study with a cross-sectional design to determine the relationship between bacterial characteristics and mortality in diabetic foot ulcers. Data were obtained from medical records of diabetic ulcer patients admitted to Dr. H. Abdul Moeloek General Hospital, Lampung, in 2017–2020. There were 131 diabetic foot ulcers patients identified, with the median age of the subjects was 53 years, 43.5% of the subject were male, and 56.5% were female. The mean hemoglobin was 9.3 g/dl, WBCs were 19.0 ×103/ml, and platelets were 422.1 ×103/ml. The mean length of stay in the hospital was 10.7 days. Eighteen subjects died during the hospital stay, with 15 of them were from the Gram-negative monomicrobial group. The results of the Fischer Exact test on mortality and bacterial characteristics among monomicrobial infections (p=0.688) indicate no relationship between the characteristics of the infectious pathogen and mortality in diabetic foot ulcers. Keywords: bacteria, diabetes, diabetic foot ulcers, mortality Correspondence: iswandi.darwis@gmail.comhttp://journal.um-surabaya.ac.id/index.php/qanunmedika/article/view/7501bacteriadiabetesdiabetic foot ulcersmortality |
spellingShingle | Iswandi Darwis Gusti Ngurah P Pradnya Wisnu Sekar Mentari The relationship between bacterial characteristics and mortality in diabetic foot ulcers' patients admitted to Dr. H. Abdul Moeloek General Hospital, Lampung Qanun Medika: Jurnal Kedokteran Fakultas Kedokteran Universitas Muhammadiyah Surabaya bacteria diabetes diabetic foot ulcers mortality |
title | The relationship between bacterial characteristics and mortality in diabetic foot ulcers' patients admitted to Dr. H. Abdul Moeloek General Hospital, Lampung |
title_full | The relationship between bacterial characteristics and mortality in diabetic foot ulcers' patients admitted to Dr. H. Abdul Moeloek General Hospital, Lampung |
title_fullStr | The relationship between bacterial characteristics and mortality in diabetic foot ulcers' patients admitted to Dr. H. Abdul Moeloek General Hospital, Lampung |
title_full_unstemmed | The relationship between bacterial characteristics and mortality in diabetic foot ulcers' patients admitted to Dr. H. Abdul Moeloek General Hospital, Lampung |
title_short | The relationship between bacterial characteristics and mortality in diabetic foot ulcers' patients admitted to Dr. H. Abdul Moeloek General Hospital, Lampung |
title_sort | relationship between bacterial characteristics and mortality in diabetic foot ulcers patients admitted to dr h abdul moeloek general hospital lampung |
topic | bacteria diabetes diabetic foot ulcers mortality |
url | http://journal.um-surabaya.ac.id/index.php/qanunmedika/article/view/7501 |
work_keys_str_mv | AT iswandidarwis therelationshipbetweenbacterialcharacteristicsandmortalityindiabeticfootulcerspatientsadmittedtodrhabdulmoeloekgeneralhospitallampung AT gustingurahppradnyawisnu therelationshipbetweenbacterialcharacteristicsandmortalityindiabeticfootulcerspatientsadmittedtodrhabdulmoeloekgeneralhospitallampung AT sekarmentari therelationshipbetweenbacterialcharacteristicsandmortalityindiabeticfootulcerspatientsadmittedtodrhabdulmoeloekgeneralhospitallampung AT iswandidarwis relationshipbetweenbacterialcharacteristicsandmortalityindiabeticfootulcerspatientsadmittedtodrhabdulmoeloekgeneralhospitallampung AT gustingurahppradnyawisnu relationshipbetweenbacterialcharacteristicsandmortalityindiabeticfootulcerspatientsadmittedtodrhabdulmoeloekgeneralhospitallampung AT sekarmentari relationshipbetweenbacterialcharacteristicsandmortalityindiabeticfootulcerspatientsadmittedtodrhabdulmoeloekgeneralhospitallampung |