A Study to evaluate Clinico-pathology and management of diabetic foot
DOI:
https://doi.org/10.7439/ijbar.v6i6.2089Abstract
Objective: The aim of the study bacteriology in diabetic wound, the pathophysiology of diabetic wound, various wound salvage procedures and outcome of different treatment modalities and newer techniques wherever applicable to prevent complications and to minimise the progression of occurred complication. Methods: The 100 patients admitted with diabetic foot in the department of Surgery, SBKS MIRC, Pipariya Vadodara (Gujrat) prospectively studied from July 2014 to Jan 2015. Patients with diabetes mellitus presenting with wound i.e. ulcer, blister, abscess, gangrene were included in our study. Patients with chronic wound due to cause other than diabetes such as traumatic, arterial, venous, trophic, TB, Syphilitic, malignant ulcer were excluded from study. Results: Highest number of cases was found in 51 60 years of age (34%) followed by 61 70 years of age (26%). 78 (78%) cases were male and 22 (22%) cases were female. Most of case had history of trauma 62%. As per Wegners classification of the diabetic foot 44 cases presented with grade 2 lesion, 32 cases grade 4 lesion, 18 cases grade 3 lesion, 4 cases grade 1 lesion, 2 cases, grade 5 lesion. Most of lesion (50%) are found in lower limb in which 40 cases presented with ulcer, 28 cases with gangrene of toe or limb, 16 cases with cellulitis, 4 cases with abscess and 12 cases with osteomyelitis. Most common isolated organism was s. aureus (36) followed by pseudomonas (20). The average hospitalisation in graded 2,3,4,5 lesion around 32 days .About 10% case required amputation while 56% cases managed only by daily dressing and slough excision. Among the complicated diabetic foot 12 patients developed osteomyelitis. All these patients had lesion of grade 3 and out of these 12 patients, 2 patients required AKA, 8 patients BKA, 5 patients had disarticulation from metatarsophalangeal joint. Conclusion : Diabetes affects all age groups, mainly manifest in middle part of life. Males are more affected than females. Neuropathy, ischemia along with immunological disturbance is important predisposing factor in pathophysiology. However both aerobic and anaerobic pathogens involve in diabetic wound infection but among them aerobic (mostly s. aureus ) is more common. Commonest presenting lesions in foot were ulcer, followed by cellulitis and gangrene. In the management of DFU the first requirement is strict control of diabetes, and early detection and treatment of lesions and regular foot care is also important.Downloads
Download data is not yet available.
Downloads
Published
2015-06-23
Issue
Section
Original Research Articles
License
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (SeeThe Effect of Open Access).
How to Cite
1.
A Study to evaluate Clinico-pathology and management of diabetic foot. Int J of Biomed & Adv Res [Internet]. 2015 Jun. 23 [cited 2024 Oct. 18];6(6):504-8. Available from: https://ssjournals.co.in/index.php/ijbar/article/view/2089