Diabetic foot infections and management: A Rural Indian Perspective
DOI:
https://doi.org/10.7439/ijbr.v6i9.2481Abstract
Aim and objective: This study was carried out to study demographic features and diabetic foot infections and its management. Study design: It is a hospital based observational study. Place and duration of study : Department of General Surgery, K.I.M.S, Andhra Pradesh, from Jan 2007 to December 2009. Material and methods : The study was conducted at tertiary care teaching hospital. The patients of both gender and all age groups who presented with diabetic foot infections comprised the study. The history of diabetic foot was obtained and thorough clinical examination was carried out after written informed consent from patient. The Subjects underwent routine and specialized investigations like swab for culture and sensitivity, radiographs of foot. The patients were managed with insulin or oral anti diabetic agents, debridement, drainage, skin grafting. Results: Out of 60 cases 40 were male and 20 female patients. Diabetic foot ulcers were more common in age group of 45-54 (33.33%). Diabetic foot infections were observed more in patients having diabetes for duration of more than years (75.00%). Most common organisms responsible for diabetic foot infection were gram positive organisms, 43.33% of cases whereas 16.67 % had poly microbial infection.The present study revealed that ceftriaxone was found to be effective in 33.33% of cases of infections. Amputations were done in 43.33% cases due to severe life threating infections. Conclusion: Diabetic foot infections are affecting the quality of life of citizens which requires orchestrated efforts from all stake holders to prevent and minimise the foot infections.Downloads
References
Chalya P L, Mabula J B, Dass RM, Kabangila R, Jaka H, Melnembe M D et al.surgical management of diabetic foot ulcers.A Tanzania university teaching hospital experience. BMC Res Notes.2011; 4:365. Doi: 10:1186/1756-0500-4-365.
Salahuddin O, Azhar M, Imtiaz A, Latif M. A developing world experience with distal foot amputations for diabetic limb salvage. Diabetic foot ankle,2013;4:10.3402/dfa.v4Io.22477.
ZgonisT, Stapleton JJ , Girrald- Powell V A, Hagino R T. Surgical management of diabetic footinfections and amputations. AORN journal, 2008; 87 (5): 935-46.
Edmonds M. The treatment of diabetic footinfections; focus on ertapenem. Vaschealth risk management.2009;5: 949-63.
Kenon B, Leese GP, Cochrane L, Coulhoun H, Wild S, Stang D et al.reduced incidence of lower extremity amputatuonsin people with diabetes in Scotland. Diabetes care. 2012; 35 (12); 2588-590. Doi: 10.2337/dc12-0511.
Lipsky B A. Treating diabetic foot osteomyelitis primarily with surgery or antibiotics: have we answered the question? Dibetes care, 2014; 37;593-95.doi: 10.2337/dc13-2510.
Fisher TK, Scimeca CL, Bharara M, Mills JL, Armstrong D G. A stepwise approach for surgical management of diabetic foot infections. J vascular surg.2010; 52(3): 725-55.
Aamir AH, Nasir A, Jadoon M Z, Mehmood K, Ali SS. Diabetic footinfections and their management in a tertiary care hospital. J Ayub Med Coll Abbotabad; 2011; 23 (1): 58-62.
Mendes JJ, Neves J. Diabetic foot infections: current diagnosis and treatment. The journal of diabetic foot complications, 2012; 4(2): 26-45.
Singh B G, Chawla S. Amputaion in diabetic patients MJAFI, 2006;62:36-39.
Sriyani K A, Wasalathanthri S, Hettiarchchchi P, Prathapan S.Predictors of diabetic foot and leg ulcersin a developing country with rapid increase in the prevalence of diabetes mellitus. PLos ONE 8(11): e80856. doi: 10.1371/journal.pone.0080856.
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