Determinación del perfil bacteriológico de las úlceras de los pacientes con pie diabético del Hospital General Isidro Ayora de Loja, en el periodo julio de 2013 a julio de 2015

This study searched to determine the bacteriological profile of ulcers in patients with diabetic foot in the Isidro Ayora General Hospital of Loja, identify the most common bacteria in ulcers, assessing the state of metabolic control in diabetic patients by the values of glycated hemoglobin (HbA1c)...

وصف كامل

محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Carrión Aguilar, Ángel Andrés (author)
التنسيق: bachelorThesis
اللغة:spa
منشور في: 2016
الموضوعات:
الوصول للمادة أونلاين:http://dspace.unl.edu.ec/jspui/handle/123456789/12514
الوسوم: إضافة وسم
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الوصف
الملخص:This study searched to determine the bacteriological profile of ulcers in patients with diabetic foot in the Isidro Ayora General Hospital of Loja, identify the most common bacteria in ulcers, assessing the state of metabolic control in diabetic patients by the values of glycated hemoglobin (HbA1c) and link it with the bacteriological profile found it. It was a study of quantitative approach; exploratory and correlational scope, non-experimental, descriptive and retrospective cross-sectional design; where we worked on the basis of the medical records of 146 cases treated during the period from July 2013 to July 2015. It was found that most patients were male (62.5%, n=50) had an average age of 69.0 ±30 years, 95% (n=76) of cases presented values higher than 7% HbA1c; it was found that all cultures were monomicrobial, Gram-negative bacilli were isolated in 80% (n=64), represented by Proteus vulgaris (22.5%, n=18), Escherichia coli (20%, n=16), Pseudomonas aeruginosa (16.2%, n=13), Proteus mirabilis (11.2%, n=9); Gram-positive cocci were observed in 16 cases (20%), Staphylococcus aureus was the most common (12.5%, n=10); and in patients with inadequate HbA1c (>7%) values, mainly gram-negative bacilli (76.25%, n=61) were isolated. It was concluded that the gram negative bacilli are identified most common followed by Gram-positive cocci, and most patients have inadequate metabolic control. Keywords: diabetic foot - bacteriological profile - Gram-negative - metabolic control - diabetes mellitus