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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1993-2-1
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pubmed:abstractText |
The objectives of this pilot study were to identify the bacterial flora of neurotrophic ulcers, and to determine whether treatment with ceftriaxone improves the clinical picture. Twenty-five patients (15 male, 10 female, mean age 70 +/- 11 years) with mal perforant were treated with 2 g ceftriaxone once daily until the ulcer was healed, or for a period of 6 weeks. Biopsies were taken from the ulcer floor before and after therapy. Initially, the following bacteria were found, in order of frequency: Staphylococcus aureus, enterobacteria, coagulase-negative staphylococci, enterococci and streptococci as well as Pseudomonas aeruginosa. Under therapy with ceftriaxone, the lesions of 11 patients were healed; in 5 patients improvement > 50% was observed and in 4 patients improvement was < 50%. In 3 patients there was no change in the condition. Two patients had to stop treatment due to diarrhea. Asepsis was achieved in 5 patients despite persistence of the ulcer. The control group (25 patients without antibiotic therapy) showed the following results: healing in 6, improvement > 50% in 5, improvement < 50% in 10, and no change in 4. The results for the treatment group have to be compared with a historical control group since, for ethical reasons, the implementation of a double-blind study would not be feasible.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0009-3157
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
38
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
275-80
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pubmed:dateRevised |
2009-11-11
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pubmed:meshHeading |
pubmed-meshheading:1473368-Aged,
pubmed-meshheading:1473368-Aged, 80 and over,
pubmed-meshheading:1473368-Bacteria,
pubmed-meshheading:1473368-Ceftriaxone,
pubmed-meshheading:1473368-Diabetes Mellitus, Type 1,
pubmed-meshheading:1473368-Diabetes Mellitus, Type 2,
pubmed-meshheading:1473368-Female,
pubmed-meshheading:1473368-Foot Ulcer,
pubmed-meshheading:1473368-Humans,
pubmed-meshheading:1473368-Male,
pubmed-meshheading:1473368-Pilot Projects
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pubmed:year |
1992
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pubmed:articleTitle |
Bacterial flora in mal perforant and antimicrobial treatment with ceftriaxone.
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pubmed:affiliation |
Vascular Outpatient Clinic, Hanusch Hospital, Vienna, Austria.
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pubmed:publicationType |
Journal Article,
Comparative Study
|