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Epidemiology of diabetic foot infections in a reference tertiary hospital in India

Overview of attention for article published in Brazilian Journal of Microbiology, November 2017
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  • Above-average Attention Score compared to outputs of the same age and source (55th percentile)

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Title
Epidemiology of diabetic foot infections in a reference tertiary hospital in India
Published in
Brazilian Journal of Microbiology, November 2017
DOI 10.1016/j.bjm.2017.09.003
Pubmed ID
Authors

Sanjith Saseedharan, Manisa Sahu, Roonam Chaddha, Edwin Pathrose, Arun Bal, Pallavi Bhalekar, Priyadharshini Sekar, Padma Krishnan

Abstract

The present study attempts to examine the microbial profile and antibiotic susceptibility of diabetic foot infections in the intensive care unit of a tertiary referral centre for diabetic foot. As part of the study, we also attempted to find the prevalence of blaNDM-like gene among carbapenem-resistant gram negative infections. A prospective study of 261 patients with diabetic foot infections was performed during the period between January 2014 and June 2014. A total of 289 isolates were obtained from 178 tissue samples from 261 patients, 156 (59.7%) males and 105 (40.2%) females, with a mean age of 58 years (-15 years), having diabetic foot infection. No growth was seen in thirty eight (17.6%) tissue samples. Out of the total samples, 44.3% were monomicrobial and 55.7% were polymicrobial. Gram negative pathogens were predominant (58.5%). Seven of the total isolates were fungal; 0.7% showed pure fungal growth and 1.7% were mixed, grown along with some bacteria. The most frequently isolated bacteria were Staphylococcus aureus (26.9%), followed by Pseudomonas aeruginosa (20.9%). Of the 58.5% gram negative pathogens, 16.5% were Enterobacteriaceae resistant to carbapenems. Among these isolates, 4 (25%) were positive for blaNDM-like gene. Among the rest, 18.6% were carbapenem-resistant Pseudomonas, among which 4 (36.3%) were blaNDM. Among the Staphylococci, 23.7% were methicillin-resistant Staphylococcus aureus. Our results support the recent view that gram negative organisms, depending on the geographical location, may be predominant in DFIs. There is an increase in multidrug-resistant pathogens, especially carbapenem resistance and this is creeping rapidly. We need to be more judicious while using empiric antibiotics.

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X Demographics

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 160 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 160 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 23 14%
Student > Master 22 14%
Student > Ph. D. Student 14 9%
Student > Postgraduate 12 8%
Researcher 10 6%
Other 26 16%
Unknown 53 33%
Readers by discipline Count As %
Medicine and Dentistry 31 19%
Nursing and Health Professions 19 12%
Immunology and Microbiology 14 9%
Biochemistry, Genetics and Molecular Biology 9 6%
Pharmacology, Toxicology and Pharmaceutical Science 8 5%
Other 22 14%
Unknown 57 36%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 29 November 2017.
All research outputs
#17,292,294
of 25,382,440 outputs
Outputs from Brazilian Journal of Microbiology
#593
of 1,377 outputs
Outputs of similar age
#217,828
of 340,752 outputs
Outputs of similar age from Brazilian Journal of Microbiology
#6
of 18 outputs
Altmetric has tracked 25,382,440 research outputs across all sources so far. This one is in the 21st percentile – i.e., 21% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,377 research outputs from this source. They receive a mean Attention Score of 3.6. This one is in the 40th percentile – i.e., 40% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 340,752 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 27th percentile – i.e., 27% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 18 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 55% of its contemporaries.