Impact of the COVID-19 Pandemic on Diabetic Foot Patients A Shift in the Infectious Agent Profile Toward Nonfermentative

被引:0
|
作者
Acar, Ali [1 ,2 ]
Saltoglu, Nese [3 ]
Tulek, Necla [1 ]
Turha, Ozge [4 ]
Nazliserin, Elif [5 ]
Yapar, Derya [6 ]
Kendirci, Murat [7 ]
Surme, Serkan [3 ]
Karaca, Banu Yildiz [8 ]
Altay, Fatma Aybala [9 ]
Taysi, Ridvan
Sencan, Irfan [9 ]
Tanyel, Esra [10 ]
Bilek, Heval Can [10 ]
Guler, Ozlem [11 ]
Mutlu, Birsen [11 ]
Aksan, Tolga [12 ]
Karadag, Fatma Yilmaz [12 ]
Kadanali, Ayten [13 ,14 ]
Altunal, Luetfiye Nilsun [14 ]
Oglu, Moumperra Chral [13 ]
Senbayrak, Seniha
Erol, Serpil [15 ]
Oznur, A. k [16 ]
Aladag, Nazire [17 ]
Demirturk, Nese [18 ]
Konya, Petek [18 ]
Bulut, Dilek [19 ]
Engin, Derya Ozturk [20 ]
Aslan, Hasan Murat [21 ]
Kaya, Sibel Dogan [22 ]
机构
[1] Atilim Univ, Dept Med Microbiol, Sch Med, Ankara, Turkiye
[2] Sogutozu Hosp, Infect Dis Clin, Bayindir Healthcare Grp, Ankara, Turkiye
[3] Istanbul Univ, Cerrahpasa Med Fac, Dept Infect Dis & Clin Microbiol, Istanbul, Turkiye
[4] Akdeniz Univ Sch, Dept Infect Dis & Clin Microbiol, Antalya, Turkiye
[5] Akdeniz Univ, Dept Endocrinol, Sch Med, Antalya, Turkiye
[6] Hitit Univ, Dept Infect Dis & Clin Microbiol, Sch Med, Corum, Turkiye
[7] Hitit Univ, Sch Med, Dept Gen Surg, Corum, Turkiye
[8] Izmir Katip Celebi Univ, Fac Med, Dept Infect Dis & Clin Microbiol, Izmir, Turkiye
[9] Hlth Sci Univ, Diskapi Yildirim Beyazit Teaching & Res Hosp, Dept Infect Dis & Clin Microbiol, Ankara, Turkiye
[10] Ondokuz Mayis Univ, Fac Med, Dept Infect Dis & Clin Microbiol, Samsun, Turkiye
[11] Kocaeli Univ, Med Fac, Dept Infect Dis & Clin Microbiol, Izmit, Kocaeli, Turkiye
[12] Istanbul Medeniyet Univ, Goztepe Training & Res Hosp, Fac Med, Dept Plast & Reconstruct Surg, Kadikoy, Turkiye
[13] Biruni Univ, Med Sch, Dept Infect Dis & Clin Microbiol, Istanbul, Turkiye
[14] Istanbul Umraniye Training & Res Hosp, Dept Infect Dis & Clin Microbiol, Istanbul, Turkiye
[15] Hlth Sci Univ, Haydarpasa Numune Training Res Hosp, Dept Infect Dis & Clin Microbiol, Istanbul, Turkiye
[16] Kutahya Hlth Sci Univ, Fac Med, Dept Infect Dis & Clin Microbiol, Kutahya, Turkiye
[17] Hlth Sci Univ, Kartal Dr Lutfi Kirdar Training & Res Hosp, Dept Internal Med, Istanbul, Turkiye
[18] Afyon Saglik Bilimleri Univ, Dept Infect Dis & Clin Microbiol, Med Fac, Afyon, Turkiye
[19] Van Training & Res Hosp, Dept Infect Dis & Clin Microbiol, Van, Turkiye
[20] Fatih Sultan Mehmet Training & Res Hosp, Dept Infect Dis & Clin Microbiol, Istanbul, Turkiye
[21] Fatih Sultan Mehmet Training & Res Hosp, Dept Cardiac Surg, Istanbul, Turkiye
[22] Kosuyolu High Specializat Educ & Res Hosp, Dept Infect Dis & Clin Microbiol, Istanbul, Turkiye
关键词
CARE;
D O I
10.7547/22-073
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: Diabetes foot infection is a very important public health problem that causes serious health problems, mortality, and high health expenditures, and is one of the most important complications of diabetes mellitus. There are concerns that approaches such as limited personal visits to doctors, avoidance of hospitals, and restrictions on nonemergency surgical procedures during the coronavirus disease of 2019 pandemic pose a threat to those with diabetic foot problems, including diabetic foot ulcers (DFUs), ischemia, and infection, resulting in increased limb loss and mortality. Methods: This multicenter, retrospective, cross-sectional study was conducted in 14 tertiary care hospitals from various regions of Turkey. A total of 1,394 patient records were evaluated, 794 of which were between January 1, 2019, and January 30, 2020 (prepandemic [Pre-P]), and 605 of which were between February 1, 2020, and February 28, 2021 (pandemic period [PP]). Results: During the PP, diabetic foot patient follow-up decreased by 23.8%. In addition, the number of hospitalizations attributable to DFU has decreased significantly during the PP (P = .035). There was no difference between the groups regarding patient demographics, medical history, DFU severity, biochemical and radiologic findings, or comorbidities, but the mean duration of diabetes mellitus years was longer in patients in the Pre-P than in those in the PP (15.1 years versus 13.7 years). There was no difference between the two groups in terms of major complications such as limb loss and mortality, but infection recurrence was higher in the PP than in the Pre-P (12.9% versus 11.4%; P < .05). The prevalence of nonfermentative gram-negative bacteria as causative agents in DFU infections increased during the PP. In particular, the prevalence of carbapenem-resistant Pseudomonas spp. increased statistically during the PP. Conclusions: The rapid adaptation to the pandemic with the measures and changes developed by the multidisciplinary diabetic foot care committees may be the reasons why there was no increase in complications because of DFU during the pandemic in Turkey.
引用
收藏
页数:10
相关论文
共 50 条
  • [41] Assessment and Management of Diabetic Patients During the COVID-19 Pandemic
    Verma, Amit K.
    Beg, Mirza Masroor Ali
    Bhatt, Deepti
    Dev, Kapil
    Alsahli, Mohammed A.
    Rahmani, Arshad Husain
    Goyal, Yamini
    DIABETES METABOLIC SYNDROME AND OBESITY, 2021, 14 : 3131 - 3146
  • [42] Cardiac rehabilitation in diabetic patients during the COVID-19 pandemic
    Campos Vera, Nelson A.
    Real Cancio, Rosa M.
    Rivas Estany, C. Eduardo
    CORSALUD, 2021, 13 (03): : 361 - 366
  • [43] Impact of COVID-19 pandemic on hidradenitis suppurativa patients
    Horvath, Barbara
    Bouwman, Klasiena S.
    EXPERIMENTAL DERMATOLOGY, 2022, 31 : 94 - 94
  • [44] Impact of COVID-19 pandemic on the care of patients with migraine
    Silva, Cristiana
    Fernandes, Carolina
    Luzeiro, Isabel
    JOURNAL OF THE NEUROLOGICAL SCIENCES, 2021, 429 : 230 - 230
  • [45] The Impact of COVID-19 Pandemic among Cancer Patients
    Chu, F. I.
    Raldow, A.
    Ruan, D.
    INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 2022, 114 (03): : E91 - E91
  • [46] Impact of the COVID-19 pandemic on patients with hidradenitis suppurativa
    Fiocco, Zeno
    Schlager, Justin Gabriel
    Kendziora, Benjamin
    Patzak, Leilah
    Kupf, Sophie
    French, Lars Einar
    Hartmann, Daniela
    INTERNATIONAL WOUND JOURNAL, 2022, 19 (07) : 1686 - 1692
  • [47] Impact of COVID-19 pandemic on patients with corneal transplant
    Joshi, Pallavi
    Bhat, Shruti
    Balasubramaniam, Anand
    INDIAN JOURNAL OF OPHTHALMOLOGY, 2021, 69 (07) : 1967 - 1968
  • [48] The impact of the COVID-19 pandemic on lung cancer patients
    Sha, Zhou
    Chang, Kejie
    Mi, Jiaoping
    Liang, Zibin
    Hu, Liyang
    Long, Fengjiao
    Shi, Haiyan
    Lin, Zhong
    Wang, Xiaojin
    Pei, Xiaofeng
    ANNALS OF PALLIATIVE MEDICINE, 2020, 9 (05) : 3373 - 3378
  • [49] IMPACT OF COVID-19 PANDEMIC IN PATIENTS WITH HUNTINGTON DIESEASE
    Pane, Chiara
    Russo, Cinzia Valeria
    Celano, Ilaria
    Coscetta, Federica
    Trinchillo, Assunta
    De Michele, Giovanna
    Salvatore, Elena
    Di Maio, Luigi
    Colella, Chiara
    De Lucia, Natascia
    De Anna, Rosa
    Sacca, Francesco
    JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2021, 92 : A37 - A38
  • [50] Impact of the COVID-19 Pandemic on Indian Cancer Patients
    Anoop, T. M.
    Prabhakaran, Pranab K.
    SOUTH ASIAN JOURNAL OF CANCER, 2021, 10 (01) : 49 - 50