Bacterial Pathogens in Diabetic Foot Infections in Diabetes Center of Al-Bayda: Phenotypic Identification Using the Render MA 120 System

Authors

  • Latifa Issa Department life of science, Microbiology the Libyan academy Al Jabal Al- Akhdar, Libya. Author
  • Nagah S.A Abubaker Department of Botany, Facul-ty of Science, Omar Al-Mukhtar University, Libya Author

DOI:

https://doi.org/10.54172/48rnqy36

Keywords:

Diabetic Foot, Libya, Klebsiella Pneumoniae, Gram-Negative Bacteria, Render MA 120, Opportunistic Pathogens

Abstract

Diabetic foot infection (DFI) is a major clinical complication of diabetes mellitus, serving as a primary precursor to lower-limb amputation. This study aimed to identify and phenotypically characterize the bacterial pathogens associated with DFIs at the Diabetes Center in Al-Bayda, Libya. Samples were collected from infected wounds, tissues, and nails of 14 patients and analyzed using the Render MA 120 automated identification system. Results showed a high prevalence of Gram-negative bacteria (90%), with Klebsiella pneumoniae was the most frequent isolate (25.5%), followed by Escherichia coli (17.65%). Notably, rare opportunistic pathogens, including Burkholderia pseudomallei (1.96%) and Raoultella ornithinolytica (1.96%), were identified. These findings highlight a significant regional shift toward Gram-negative dominance and underscore the necessity for precise diagnostic tools and targeted empirical antibiotic protocols to prevent limb loss.

References

Altabouli, S., Qowaider, S., Hamad, M., & Ali, M. (2024). Microbiological profile and antimicrobial susceptibility patterns in patients with tinea pedis at diabetic Center in El-Beyda City. AlQalam Journal of Medical and Applied Sciences, 50-55.

Boyanova, L., & Mitov, I. (2013). Antibiotic resistance rates in causative agents of infections in diabetic patients: rising concerns. Expert Review of Anti-infective Therapy, 11(4), 411-420.

Centers for Disease Control and Prevention (CDC). (2022). Decoding Burkholderia Pseudomallei for the Laboratory. Retrieved from https://netec.org/2022/09/08/burkholderia-pseudomallei-for-the-laboratory/

Chadwick, P., & Podiatrist, S. R. (2013). Fungal infection of the diabetic foot: the often ignored complication. The Diabetic Foot Journal, 16(3), 102-107.

Eldukali, M., & Boshaalla, A. (2022). Prevalence of bacterial resistance with diabetic foot patients in MMC. Academic Research Journal, 22, 36-42.

Eltobgi, A. (2009). Libya has the highest prevalence of diabetes mellitus type 2 in North Africa and in the Arab world. Endocrine Abstracts, 19.

Frykberg, R. G., Armstrong, D. G., Giurini, J., et al. (2000). Diabetic foot disorders: A clinical practice guideline. Journal of Foot and Ankle Surgery, 39(5), 1-60.

Garousi, M., MonazamiTabar, S., Mirazi, H., et al. (2024). Epidemiology of Pseudomonas aeru-ginosa in diabetic foot. Microbiology Journal, 13(4), 362.

Haesler, E. (2014). Prevention and Treatment of Pressure Ulcers: Quick Reference Guide. National Pressure Ulcer Advisory Panel.

Hung, S. Y., et al. (2023). Microbiome of limb-threatening diabetic foot ulcers indicates the associ-ation of fastidious Stenotrophomonas and major amputation. Journal of Microbiology, Immunology and Infection, 57(1).

Jones, J., et al. (2021). The microbiology of diabetic foot infections: A meta-analysis. BMC Infec-tious Diseases, 21(1), 770.

Lipsky, B. A., Senneville, É., Abbas, Z. G., et al. (2020). Guidelines on the diagnosis and treatment of foot infection in persons with diabetes (IWGDF 2019 update). Diabetes/Metabolism Research and Reviews, 36, e3280.

MacFaddin, J. F. (2000). Biochemical tests for identification of medical bacteria. Williams and Wilkins.

Mendes, J. J., & Neves, J. (2012). Diabetic foot infections: Current management and treatment. Eu-ropean Journal of Internal Medicine, 14(5), 341-343.

Peters, E. J. G., et al. (2020). Identification of the causative bacteria in DFIs. Diabetic Medicine, 37.

Pulian Morais, V., Daporta, M. T., Bao, A. F., et al. (2009). Enteric fever-like syndrome caused by Raoultella ornithinolytica. Journal of Clinical Microbiology, 47(3), 868-869.

Saseedharan, S., Sahu, M., Chaddha, R., et al. (2018). Epidemiology of diabetic foot infections in a reference tertiary hospital in India. Journal of Medical Sciences, 1(1), 18-28.

Solak, Y., Gul, E. E., Atalay, H., et al. (2011). A rare human infection of Raoultella ornithinolytica in a diabetic foot lesion. Annals of Saudi Medicine, 31(1), 93-94.

Tin Som, et al. (2024). The prevalence and distribution of Burkholderia pseudomallei. Cambodian Journal of Public Health, 437.

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Published

2026-05-22

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How to Cite

Bacterial Pathogens in Diabetic Foot Infections in Diabetes Center of Al-Bayda: Phenotypic Identification Using the Render MA 120 System. (2026). Al-Mukhtar Journal of Basic Sciences. https://doi.org/10.54172/48rnqy36

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