Infectious complications of diabetic foot syndrome. Significance of multidrug resistant bacteria

We included in the study 62 neuropathic diabetic inpatients with deep foot infection who had required surgical operations in the level of foot and had been hospitalized at the diabetic foot surgery department of City Hospital № 14. The risk of primary minor amputations was significantly high in patients with multidrug resistant bacteria (in 1.8 times more in comparing with other patients (X2 = 3,09; p = 0,07)). We found delay of postsurgical wound healing and/or additional operations in 61.1% patients with multidrug resistant infection after 2 weeks of hospitalization (X2 = 3,47; p = 0,06). In these patients the risk of wound healing delay was in 3,4 times more in comparing with patients with non-multidrug resistant infection. The multidrug resistant bacteria should expect in most of neuropathic diabetic patients (75%) with deep foot infection, who have required minor amputations. The delay of wound healing presented in more than 60% patients with multidrug resistant bacteria.