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

dc.authorid Bilek, Heval Can/0000-0002-4330-3293
dc.authorscopusid 55777973900
dc.authorscopusid 59252636500
dc.authorscopusid 6602738477
dc.authorscopusid 9248677100
dc.authorscopusid 59236059200
dc.authorscopusid 6507180529
dc.authorscopusid 59236049700
dc.authorwosid Bilek, Heval/AAS-4133-2020
dc.authorwosid Yapar, Derya/F-1583-2015
dc.authorwosid altay, fatma aybala/AFP-3599-2022
dc.authorwosid Kendirci, Murat/KIK-6978-2024
dc.authorwosid Erdim, Dilek/JAC-3222-2023
dc.authorwosid Saltoǧlu, Neşe/AAV-2262-2021
dc.contributor.author Acar, Ali
dc.contributor.author Saltoglu, Nese
dc.contributor.author Tulek, Necla
dc.contributor.author Turha, Ozge
dc.contributor.author Nazliserin, Elif
dc.contributor.author Yapar, Derya
dc.contributor.author Kaya, Sibel Dogan
dc.contributor.other Basic Sciences
dc.date.accessioned 2024-09-10T21:35:57Z
dc.date.available 2024-09-10T21:35:57Z
dc.date.issued 2024
dc.department Atılım University en_US
dc.department-temp [Acar, Ali; Tulek, Necla] Atilim Univ, Dept Med Microbiol, Sch Med, Ankara, Turkiye; [Acar, Ali] Sogutozu Hosp, Infect Dis Clin, Bayindir Healthcare Grp, Ankara, Turkiye; [Saltoglu, Nese; Surme, Serkan] Istanbul Univ, Cerrahpasa Med Fac, Dept Infect Dis & Clin Microbiol, Istanbul, Turkiye; [Turha, Ozge] Akdeniz Univ Sch, Dept Infect Dis & Clin Microbiol, Antalya, Turkiye; [Nazliserin, Elif] Akdeniz Univ, Dept Endocrinol, Sch Med, Antalya, Turkiye; [Yapar, Derya] Hitit Univ, Dept Infect Dis & Clin Microbiol, Sch Med, Corum, Turkiye; [Kendirci, Murat] Hitit Univ, Sch Med, Dept Gen Surg, Corum, Turkiye; [Karaca, Banu Yildiz] Izmir Katip Celebi Univ, Fac Med, Dept Infect Dis & Clin Microbiol, Izmir, Turkiye; [Altay, Fatma Aybala; Sencan, Irfan] Hlth Sci Univ, Diskapi Yildirim Beyazit Teaching & Res Hosp, Dept Infect Dis & Clin Microbiol, Ankara, Turkiye; [Tanyel, Esra; Bilek, Heval Can] Ondokuz Mayis Univ, Fac Med, Dept Infect Dis & Clin Microbiol, Samsun, Turkiye; [Guler, Ozlem; Mutlu, Birsen] Kocaeli Univ, Med Fac, Dept Infect Dis & Clin Microbiol, Izmit, Kocaeli, Turkiye; [Aksan, Tolga; Karadag, Fatma Yilmaz] Istanbul Medeniyet Univ, Goztepe Training & Res Hosp, Fac Med, Dept Plast & Reconstruct Surg, Kadikoy, Turkiye; [Kadanali, Ayten; Oglu, Moumperra Chral] Biruni Univ, Med Sch, Dept Infect Dis & Clin Microbiol, Istanbul, Turkiye; [Kadanali, Ayten; Altunal, Luetfiye Nilsun] Istanbul Umraniye Training & Res Hosp, Dept Infect Dis & Clin Microbiol, Istanbul, Turkiye; [Erol, Serpil] Hlth Sci Univ, Haydarpasa Numune Training Res Hosp, Dept Infect Dis & Clin Microbiol, Istanbul, Turkiye; [Oznur, A. k] Kutahya Hlth Sci Univ, Fac Med, Dept Infect Dis & Clin Microbiol, Kutahya, Turkiye; [Aladag, Nazire] Hlth Sci Univ, Kartal Dr Lutfi Kirdar Training & Res Hosp, Dept Internal Med, Istanbul, Turkiye; [Demirturk, Nese; Konya, Petek] Afyon Saglik Bilimleri Univ, Dept Infect Dis & Clin Microbiol, Med Fac, Afyon, Turkiye; [Bulut, Dilek] Van Training & Res Hosp, Dept Infect Dis & Clin Microbiol, Van, Turkiye; [Engin, Derya Ozturk] Fatih Sultan Mehmet Training & Res Hosp, Dept Infect Dis & Clin Microbiol, Istanbul, Turkiye; [Aslan, Hasan Murat] Fatih Sultan Mehmet Training & Res Hosp, Dept Cardiac Surg, Istanbul, Turkiye; [Kaya, Sibel Dogan] Kosuyolu High Specializat Educ & Res Hosp, Dept Infect Dis & Clin Microbiol, Istanbul, Turkiye en_US
dc.description Bilek, Heval Can/0000-0002-4330-3293 en_US
dc.description.abstract 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. en_US
dc.description.woscitationindex Science Citation Index Expanded
dc.identifier.citationcount 0
dc.identifier.doi 10.7547/22-073
dc.identifier.issn 8750-7315
dc.identifier.issn 1930-8264
dc.identifier.issue 3 en_US
dc.identifier.pmid 39058633
dc.identifier.scopus 2-s2.0-85199723888
dc.identifier.scopusquality Q3
dc.identifier.uri https://doi.org/10.7547/22-073
dc.identifier.volume 114 en_US
dc.identifier.wos WOS:001296662500021
dc.identifier.wosquality Q4
dc.institutionauthor Tülek, Necla
dc.institutionauthor Acar, Ali
dc.language.iso en en_US
dc.publisher Amer Podiatric Med Assoc en_US
dc.relation.ispartof Journal of the American Podiatric Medical Association en_US
dc.relation.publicationcategory Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı en_US
dc.rights info:eu-repo/semantics/closedAccess en_US
dc.scopus.citedbyCount 1
dc.subject [No Keyword Available] en_US
dc.title Impact of the COVID-19 Pandemic on Diabetic Foot Patients <i>A Shift in the Infectious Agent Profile Toward Nonfermentative</i> en_US
dc.type Article en_US
dc.wos.citedbyCount 0
dspace.entity.type Publication
relation.isAuthorOfPublication 1c88d5b4-a457-4b19-909d-82f2966eb2fa
relation.isAuthorOfPublication 3c0e93fc-6f64-486e-8d88-93d616e547ed
relation.isAuthorOfPublication.latestForDiscovery 1c88d5b4-a457-4b19-909d-82f2966eb2fa
relation.isOrgUnitOfPublication c6d3b3b7-f103-4779-9789-92b2e2420f2d
relation.isOrgUnitOfPublication.latestForDiscovery c6d3b3b7-f103-4779-9789-92b2e2420f2d

Files

Collections