Published online Mar 15, 2020. doi: 10.4239/wjd.v11.i3.78
Peer-review started: August 21, 2019
First decision: October 13, 2019
Revised: November 21, 2019
Accepted: January 8, 2020
Article in press: January 8, 2020
Published online: March 15, 2020
Diabetic foot ulceration (DFU) is the prime health concern globally. It accounts for the major burden related to disease mortality and morbidity and economic cost. The timely and early recognition of the DFU can help present its occurrence and improve clinical outcomes.
To evaluate interrelationships between foot ulcers, risk factors, and antibiotic resistance among diabetic patients having ulcers in their foot.
The databases such as PubMed, ERIC, Medline, and Google Scholar were extensively used for the extraction of studies. The selected studies were published within the time-period of 2014-2018. Ten studies were selected, which were found to be completely relevant to the current study.
The prevalence of diabetic foot ulcers among the population was evaluated, and the associated risk factors with its prevalence. Moreover, few studies also reported on the bacteria that are found to be most prevailing among diabetic patients. A narrative discussion was drawn through this analysis, which was used to highlight the specific area of research through selected studies, extraction of the significant information that matched with the topic of research, and analysis of problem through the findings of the selected articles. The results helped in assessing significant knowledge regarding the risk factors of diabetic foot ulcers and the role of antimicrobial resistant in its treatment.
The gram-negative bacteria were found to be the most common reason for diabetic foot ulcers. The study only included 10 studies that are not sufficient to produce generalized results, and no information was reported on the tests required to analyze antimicrobial susceptibility that can guide clinicians to propose better and sound treatment plans. It is evident that most study results depicted that the most common risk factors were found to be hypertension and neuropathy.
Core tip: The study has investigated relationship between foot ulcer, risk factors and antibiotic resistance among diabetic patients having ulcers in their foot. The results demonstrated that gram-negative bacteria are more responsible for the occurrence of diabetic foot ulcers. Antimicrobial sensitivity needs to be controlled by prescribing effective treatment plans to patients. Whereas, the overuse of antibiotics can negatively influence the health of patients.