Evaluation and Management of Diabetic Foot Ulcers in Multi–Speciality Hospitals – A prospective observational study

Naveen Gupta; Shilpi Gupta

Volume : IX, Issue : VI, June - 2019

Evaluation and Management of Diabetic Foot Ulcers in Multi–Speciality Hospitals – A prospective observational study

Naveen Gupta, Shilpi Gupta

Abstract :

Background: Diabetic foot ulcers are major public health problem, especially in developing countries. Still now management of diabetic foot ulcer is the major challenge for surgeons. Objective– To describe the surgical management of Diabetic foot ulcers and to determine various risk factors associated with DFUs. Methods: A prospective study was done at Multi– speciality hospitals, Gwalior, Madhya Pradesh, India; from Feuary 2017 to January 2019. All the collected data was analyzed by the Epi–info 7 software. Results: A total of 100 DFUs patients was included in this study. Among all of them 77.14% were male and 22.86% were female. Most common age group with DFUs was 40–60 years. All the patients had type 2 diabetes mellitus. 8% patients had previous history of DFUs and 8% had previous amputation. The forefoot was commonly affected in 48% of cases. Lower limb amputation was the most common surgical procedure performed in 62% of cases. Most of the microorganisms isolated showed multi drug resistance to commonly used antibiotics except for Carbapenems group drugs (sensitivity 100%). Mortality rate was 9.4%. Conclusions: Diabetic foot ulcer is the major reason of morbidity and mortality among patients with diabetes mellitus. An appropriate education on foot care and suitable foot ware, good sugar level control and early surgical intervention is needed to diminute the morbidity and mortality among diabetic foot ulcer patients