Cultura

Prevalence Of Antibiotic Resistance Patterns In Clinical Isolates From Hospital Laboratories

VOLUME 22, 2025

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Mohammed yahya taha alqahtani, Ahmed ali barakat alkinani, Yahya Haris Yahya Alzahrani, Faisal Musareb al Ghamdi, Mohamed Darrag hamed algaidi, Fakreha Ahmed Eissa Kordi, Bandar Rafee Said Alsolami, Majed Mohammed Ahmed Oreijah

Abstract

Antibiotic resistance has emerged as one of the most critical global public health challenges, threatening the effective prevention and treatment of a wide range of infectious diseases. The increasing prevalence of resistant pathogens in hospital settings significantly complicates clinical management, prolongs hospital stays, raises healthcare costs, and increases morbidity and mortality rates. This research paper investigates the prevalence and distribution of antibiotic resistance patterns among clinical isolates obtained from hospital laboratories. The study focuses on commonly isolated bacterial pathogens from various clinical samples, including blood, urine, sputum, pus, and wound swabs. Standard microbiological techniques were employed for isolation and identification of bacterial strains, followed by antimicrobial susceptibility testing using the Kirby–Bauer disk diffusion method in accordance with Clinical and Laboratory Standards Institute (CLSI) guidelines. The findings reveal a high prevalence of multidrug-resistant organisms, particularly among Escherichia coli, Staphylococcus aureus, Klebsiella pneumoniae, and Pseudomonas aeruginosa. Resistance to commonly prescribed antibiotics such as penicillins, cephalosporins, and fluoroquinolones was notably high, while comparatively lower resistance was observed against carbapenems and glycopeptides. The study underscores the urgent need for continuous surveillance of antimicrobial resistance, rational antibiotic prescribing practices, and strengthened infection control measures within hospital environments. The outcomes of this research contribute valuable insights for clinicians, microbiologists, and policymakers in designing effective antimicrobial stewardship programs aimed at curbing the growing threat of antibiotic resistance.

Keywords : Antibiotic resistance, Clinical isolates, Hospital laboratories, Multidrug-resistant bacteria, Antimicrobial susceptibility, Public health.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty