{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:15:23Z","timestamp":1783509323731,"version":"3.55.0"},"reference-count":15,"publisher":"MDPI AG","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5]]},"abstract":"\n Background:<\/jats:bold>\n 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.\n <\/jats:p>\n \n Methods:<\/jats:bold>\n 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]).\n <\/jats:p>\n \n Results:<\/jats:bold>\n 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 (\n P<\/jats:italic>\n = .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%;\n P<\/jats:italic>\n < .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\n Pseudomonas<\/jats:italic>\n spp. increased statistically during the PP.\n <\/jats:p>\n \n Conclusions:<\/jats:bold>\n 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.\n <\/jats:p>","DOI":"10.7547\/22-073","type":"journal-article","created":{"date-parts":[[2024,7,26]],"date-time":"2024-07-26T08:39:46Z","timestamp":1721983186000},"source":"Crossref","is-referenced-by-count":0,"title":["Impact of the COVID-19 Pandemic on Diabetic Foot Patients: A Shift in the Infectious Agent Profile Toward Nonfermentative Gram-Negative Bacilli"],"prefix":"10.3390","volume":"114","author":[{"given":"Ali","family":"Acar","sequence":"first","affiliation":[{"name":"Department of Medical Microbiology, At\u0131l\u0131m University School of Medicine, Ankara, Turkey."},{"name":"Bay\u0131nd\u0131r Healthcare Group, Infectious Diseases Clinic, Sogutozu Hospital, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ne\u015fe","family":"Salto\u011flu","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Necla","family":"T\u00fclek","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology, At\u0131l\u0131m University School of Medicine, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d6zge","family":"Turhan","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Akdeniz University School of"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elif Nazl\u0131","family":"Serin","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Akdeniz University School of Medicine, Antalya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derya","family":"Yapar","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Hitit University School of Medicine, Ulukavak, \u00c7orum, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murat","family":"Kendirci","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Hitit University School of Medicine,Ulukavak, \u00c7orum, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serkan","family":"S\u00fcrme","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Banu Y\u0131ld\u0131z","family":"Karaca","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, \u0130zmir Katip \u00c7elebi University Faculty of Medicine, \u00c7i\u011fli, \u0130zmir, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatma Aybala","family":"Altay","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Health Sciences University D\u0131\u015fkap\u0131 Y\u0131ld\u0131r\u0131m Beyaz\u0131t Teaching and Research Hospital, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R\u0131dvan","family":"Tay\u015fi","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Health Sciences University D\u0131\u015fkap\u0131 Y\u0131ld\u0131r\u0131m Beyaz\u0131t Teaching and Research Hospital, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u0130rfan","family":"\u015eencan","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Health Sciences University D\u0131\u015fkap\u0131 Y\u0131ld\u0131r\u0131m Beyaz\u0131t Teaching and Research Hospital, Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esra","family":"Tanyel","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Ondokuz Mayis University Faculty of Medicine, Atakum, Samsun, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heval Can","family":"Bilek","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Ondokuz Mayis University Faculty of Medicine, Atakum, Samsun, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d6zlem","family":"G\u00fcler","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Medical Faculty, Kocaeli University, \u0130zmit, Kocaeli, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Birsen","family":"Mutlu","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Medical Faculty, Kocaeli University, \u0130zmit, Kocaeli, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tolga","family":"Aksan","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Istanbul Medeniyet University, Goztepe Training and Research Hospital, Kad\u0131k\u00f6y, \u0130stanbul, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatma Y\u0131lmaz","family":"Karada\u011f","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Istanbul Medeniyet University, Goztepe Training and Research Hospital, Kad\u0131k\u00f6y, \u0130stanbul, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayten","family":"Kadanal\u0131","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Biruni University, Medical School, Zeytinburnu, \u0130stanbul, Turkey"},{"name":"Department of Infectious Diseases and Clinical Microbiology, Istanbul Umraniye Training and Research Hospital, \u00dcmraniye, \u0130stanbul, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L\u00fctfiye Nilsun","family":"Altunal","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Istanbul Umraniye Training and Research Hospital, \u00dcmraniye, \u0130stanbul, 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Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d6znur","family":"Ak","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, K\u00fctahya Health Sciences University, Zafertepe, K\u00fctahya, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nazire","family":"Alada\u011f","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Health Sciences University, Kartal Dr. L\u00fctfi Kirdar Training and Research Hospital, Kartal, \u0130stanbul, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ne\u015fe","family":"Demirt\u00fcrk","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Clinical Microbiology, Medical Faculty, Afyon Saglik Bilimleri University, Afyon, 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