{'fraction_non_alphanumeric': 0.05157736604907361, 'fraction_numerical': 0.03405107661492238, 'mean_word_length': 4.35656836461126, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Infections in the course of diabetic foot syndrome in a population of patients hospitalized at a single ward

Introduction. Ulceration of diabetic foot develops as a result 
of the neuropathy and/or ischemia, can be infected by 
many microorganisms - aerobic and anaerobic. The aim 
of the study was to evaluate the spectrum of microorganisms 
isolated from diabetic foot ulceration in patients hospitalized 
in a single centre. 
 Materials and methods. 21 patients (6 women and 15 men) 
with diabetes (type 1 diabetes - 2 patients, type 2 diabetes 
- 19 patients) hospitalized in the Department of Internal 
Diseases, Endocrinology and Diabetology due to diabetic 
foot, were analyzed retrospectively. The patient’s mean age 
was 68.3 ± 11.8 years. On admission the mean glycaemia 
was 203 ± 50.2 mg/dL, mean HbA1c - 9.2 ± 2.2%, mean 
CRP (C-reactive protein) — 106.4 ± 92.3 mg/L and mean 
WBC (white blood cells count) was 13.8 ± 5.5 103/μL. 
 Results. Signs of osteomyelitis were observed in 9 patients. None microorganism was isolated in 5 patients and in the remaining 
patients we observed 29 isolates. Gram-positive bacteria 
were predominant: MSCNS (5 isolates), MSSA 
(5 isolates), b-hemolytic streptococci ( Streptococcus agalactiae 
- 5 isolates, Streptococcus pyogenes - 2 isolates) and 
MRCNS (2 isolates). Among gram-negative bacteria we observed: 
 Acinetobacter baumani (3 isolates), Pseudomonas aeruginosa 
(1 isolate), Stenotrophomonas maltophilia (1 isolate), 
 Enterococcus faecalis (2 isolates), Enterobacter cloacae (1 isolate), 
 Proteus vulgaris (2 isolates). Below knee amputation was 
required in 8 patients, above knee amputation - in 3 patients. 
 Conclusions. According to our expectations, gram-positive 
bacteria were predominant in isolates from diabetic foot 
ulceration, but gram-negative bacteria were isolated so frequently, 
that an empirical antibiotic therapy should be 
broad-spectrum. No anaerobic bacteria were isolated. 
Diabet Do¶w i Klin 2008; 8: 72-75