IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-7-8-16360 Original Research Paper DIABETIC FOOT: A CLINICOEPIDEMIOLOGICAL AND INVESTIGATIVE STUDY IN A TERTIARY CARE HOSPITAL Singh Dr. Dr.Nidhi Gupta Dr. August 2018 7 8 01 02 ABSTRACT

 Background–Diabetic foot ulcer is one of the common and dreaded complication of diabetes mellitus especially in developing countries. This

study attempted to determine the disease burden in terms of epidemiology and clinical profile of diabetic foot ulcer at a tertiary hospital in North
India.
Methods–In this descriptive study, the patients with known diabetes presenting with foot ulcerartions were enrolled over a 1yr period. The
demographic profile, duration of diabetes, clinical presentation, type of ulcer, isolated microorganism and treatment taken were studied.
Results– A total of 50 patients were included in the study. The average age of patient was 55.7 year (with range from 44 to 80 years). Majority of
patients were males. 68% patients belonged to low socioeconomic status. History of smoking was seen in 44% of the cases. All patients had type 2
diabetes mellitus. The average duration of diabetes was 7.1yrs. Foot ulcers in 26 patients were pure neuropathic, 4 patients had ischemic type, while
10 had neuro–ischemic origin. 67.4% positive culture were obtained and gram negative organisms were most commonly isolated.
Conclusions– Diabetic foot is a dreaded disability with long stretches of hospitalization and with the ever dangling end results of an amputated
limb. It is, no wonder, one of the most feared complications of diabetes. Preventing the diabetic foot should be the first priority and it can be
achieved by identifying the high–risk individuals, proper glycemic control, wound care, microbiological control and patient education.