Bacterial pathogens in infected puncture wounds in adults with diabetes

L. A. Lavery, L. B. Harkless, K. Felder-Johnson, S. Mundine

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Infections resulting from puncture wounds to the foot in diabetics appear not to have been previously reported in the medical literature. The purpose of this report is to describe bacterial pathogens identified from bone and soft tissue infections precipitated by a puncture injury in patients with diabetes. In a 7-year retrospective study, the authors evaluated 22 patients with osteomyelitis and 44 patients with soft tissue infections. Medical records and operative culture and sensitivity reports were reviewed. Staphylococcus aureus (68%), Streptococcus species (44%), and Enterococcus species (27%) were the most common pathogens identified. Pseudomonas was more common in cases of osteomyelitis (36%) than in soft tissue infections (18%) (p < 0.001). Pseudomonas was more common in patients that had worn tennis shoes at the time of the puncture injury compared to patients that were barefoot or who wore some other type of footwear (p < 0.001). Seventy-four percent of patients had polymicrobial infections. Anaerobes were identified in only seven patients (11%). This study suggests that polymicrobial infections with few anaerobes are common in infected puncture wounds in diabetics. Pseudomonas is more common in bone infections and is associated with wearing tennis shoes at the time of injury.

Original languageEnglish (US)
Pages (from-to)91-97
Number of pages7
JournalJournal of Foot and Ankle Surgery
Volume33
Issue number1
StatePublished - 1994

Fingerprint

Punctures
Wounds and Injuries
Soft Tissue Infections
Pseudomonas
Tennis
Shoes
Osteomyelitis
Coinfection
Bone and Bones
Diabetic Foot
Enterococcus
Infection
Streptococcus
Medical Records
Staphylococcus aureus
Retrospective Studies

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Lavery, L. A., Harkless, L. B., Felder-Johnson, K., & Mundine, S. (1994). Bacterial pathogens in infected puncture wounds in adults with diabetes. Journal of Foot and Ankle Surgery, 33(1), 91-97.

Bacterial pathogens in infected puncture wounds in adults with diabetes. / Lavery, L. A.; Harkless, L. B.; Felder-Johnson, K.; Mundine, S.

In: Journal of Foot and Ankle Surgery, Vol. 33, No. 1, 1994, p. 91-97.

Research output: Contribution to journalArticle

Lavery, LA, Harkless, LB, Felder-Johnson, K & Mundine, S 1994, 'Bacterial pathogens in infected puncture wounds in adults with diabetes', Journal of Foot and Ankle Surgery, vol. 33, no. 1, pp. 91-97.
Lavery, L. A. ; Harkless, L. B. ; Felder-Johnson, K. ; Mundine, S. / Bacterial pathogens in infected puncture wounds in adults with diabetes. In: Journal of Foot and Ankle Surgery. 1994 ; Vol. 33, No. 1. pp. 91-97.
@article{14372ed8c04048c59bd8ea9cd02f88de,
title = "Bacterial pathogens in infected puncture wounds in adults with diabetes",
abstract = "Infections resulting from puncture wounds to the foot in diabetics appear not to have been previously reported in the medical literature. The purpose of this report is to describe bacterial pathogens identified from bone and soft tissue infections precipitated by a puncture injury in patients with diabetes. In a 7-year retrospective study, the authors evaluated 22 patients with osteomyelitis and 44 patients with soft tissue infections. Medical records and operative culture and sensitivity reports were reviewed. Staphylococcus aureus (68{\%}), Streptococcus species (44{\%}), and Enterococcus species (27{\%}) were the most common pathogens identified. Pseudomonas was more common in cases of osteomyelitis (36{\%}) than in soft tissue infections (18{\%}) (p < 0.001). Pseudomonas was more common in patients that had worn tennis shoes at the time of the puncture injury compared to patients that were barefoot or who wore some other type of footwear (p < 0.001). Seventy-four percent of patients had polymicrobial infections. Anaerobes were identified in only seven patients (11{\%}). This study suggests that polymicrobial infections with few anaerobes are common in infected puncture wounds in diabetics. Pseudomonas is more common in bone infections and is associated with wearing tennis shoes at the time of injury.",
author = "Lavery, {L. A.} and Harkless, {L. B.} and K. Felder-Johnson and S. Mundine",
year = "1994",
language = "English (US)",
volume = "33",
pages = "91--97",
journal = "Journal of Foot and Ankle Surgery",
issn = "1067-2516",
publisher = "Academic Press Inc.",
number = "1",

}

TY - JOUR

T1 - Bacterial pathogens in infected puncture wounds in adults with diabetes

AU - Lavery, L. A.

AU - Harkless, L. B.

AU - Felder-Johnson, K.

AU - Mundine, S.

PY - 1994

Y1 - 1994

N2 - Infections resulting from puncture wounds to the foot in diabetics appear not to have been previously reported in the medical literature. The purpose of this report is to describe bacterial pathogens identified from bone and soft tissue infections precipitated by a puncture injury in patients with diabetes. In a 7-year retrospective study, the authors evaluated 22 patients with osteomyelitis and 44 patients with soft tissue infections. Medical records and operative culture and sensitivity reports were reviewed. Staphylococcus aureus (68%), Streptococcus species (44%), and Enterococcus species (27%) were the most common pathogens identified. Pseudomonas was more common in cases of osteomyelitis (36%) than in soft tissue infections (18%) (p < 0.001). Pseudomonas was more common in patients that had worn tennis shoes at the time of the puncture injury compared to patients that were barefoot or who wore some other type of footwear (p < 0.001). Seventy-four percent of patients had polymicrobial infections. Anaerobes were identified in only seven patients (11%). This study suggests that polymicrobial infections with few anaerobes are common in infected puncture wounds in diabetics. Pseudomonas is more common in bone infections and is associated with wearing tennis shoes at the time of injury.

AB - Infections resulting from puncture wounds to the foot in diabetics appear not to have been previously reported in the medical literature. The purpose of this report is to describe bacterial pathogens identified from bone and soft tissue infections precipitated by a puncture injury in patients with diabetes. In a 7-year retrospective study, the authors evaluated 22 patients with osteomyelitis and 44 patients with soft tissue infections. Medical records and operative culture and sensitivity reports were reviewed. Staphylococcus aureus (68%), Streptococcus species (44%), and Enterococcus species (27%) were the most common pathogens identified. Pseudomonas was more common in cases of osteomyelitis (36%) than in soft tissue infections (18%) (p < 0.001). Pseudomonas was more common in patients that had worn tennis shoes at the time of the puncture injury compared to patients that were barefoot or who wore some other type of footwear (p < 0.001). Seventy-four percent of patients had polymicrobial infections. Anaerobes were identified in only seven patients (11%). This study suggests that polymicrobial infections with few anaerobes are common in infected puncture wounds in diabetics. Pseudomonas is more common in bone infections and is associated with wearing tennis shoes at the time of injury.

UR - http://www.scopus.com/inward/record.url?scp=0028058146&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028058146&partnerID=8YFLogxK

M3 - Article

C2 - 8162001

AN - SCOPUS:0028058146

VL - 33

SP - 91

EP - 97

JO - Journal of Foot and Ankle Surgery

JF - Journal of Foot and Ankle Surgery

SN - 1067-2516

IS - 1

ER -