Indian Journal of Physical Medicine and Rehabilitation

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VOLUME 30 , ISSUE 3 ( July-September, 2019 ) > List of Articles

Original Article

Lower Limb Stump Infection Management among Rural North Indian Population

Sudhir Mishra, Dileep K Kumar, Anil K Gupta, Vijay K Singh

Keywords : Levofloxacin, Lower limb amputated stump infection,First-line drug therapy

Citation Information : Mishra S, Kumar DK, Gupta AK, Singh VK. Lower Limb Stump Infection Management among Rural North Indian Population. Indian J Phy Med Rehab 2019; 30 (3):66-68.

DOI: 10.5005/jp-journals-10066-0054

License: CC BY-NC 4.0

Published Online: 22-10-2020

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction: In India, the most common complication of lower limb amputated stump is infection, and it accounts 53.5% of total amputation. The published studies on prevention and management of such infection are very few. Materials and methods: All the patients presenting with infection of amputated lower limb stump between 2010 and 2015 were included in this descriptive study. Diagnosis was confirmed by clinical, hematological, radiological, and microbiological test, i.e., culture and sensitivity of wound. Based on sensitivity report, treatment was started. Result: There were 62 patients with 80 amputated lower limb stump infections. The most common presentation was sinus tract (54.8%). The most common cultured pathogen was Pseudomonas aeruginosa (39%). The most sensitive antibiotic was Piperacillin + Tazobactam (82.25%), followed by imipenem (75%), and levofloxacin (58.75%). Conclusion: More than 60% of Indian population lives in rural area. The primary mode of healthcare services in India is peripheral health centers. The first choice of drug therapy in management of amputated lower limb stump infection can be levofloxacin.


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