A comparative study of diabetic and non-diabetic foot infections with reference to etiopathogenesis, clinical features, and outcome
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 7
Abstract
The present study was conducted in Mamata medical college, Khammam, Telangana state. The principle aim of the study was to compare foot infections among diabetic and non-diabetic patients. It is comprised of 100 cases admitted to surgical wards with foot infections from August 2012 to September 2014. In diabetics 5th decade and in non-diabetics 4th decade was the most common age group presenting with foot infections. 65% of patients with foot infections were males, showing a male predominance in both diabetes (68%) and non-diabetic (62%) patients. Cellulitis of the foot was the most common in both diabetics (40%) and non-diabetics (52%). The incidence of gangrene of foot was considerably higher in diabetics (20%) than in non-diabetics (6%). Trauma was the most common etiologic factor accounting for 76% in diabetics and 86% in non-diabetics. The maximum number of patients presented with Wagner’s grade 3 lesions both in diabetics (46%) and non-diabetics (54%). However Wagner’s grade 4 lesions were more common in diabetics (26%) than in non-diabetics (6%). The most common site of lesion in diabetics was dorsum (42%) and in non-diabetics was toes (40%). The incidence of peripheral vascular disease was significantly higher in diabetics (36%) than in non-diabetics (12%). The incidence of neuropathy was significantly higher in diabetics (74%) than in non-diabetics (18%). Most common organism isolated in culture was Staphylococcus aureus in both diabetics (64%) and non-diabetics (41%). Rate of amputation was high in diabetics (12%) compared to non-diabetics (6%). The average number days in a hospital stay in diabetics was 40.57 days and in non-diabetics it was 29.16 days. This study concludes that diabetic patients have increased severity of infections, delayed healing process, need more active interventions. As compared to the non-diabetic patients, they do show high risk of amputations and prolonged hospital stay. Keywords:Diabetes, foot infections, neuropathy, peripheral vascular disease, clinical features, outcome
Authors and Affiliations
SambashivaRao G, Satyam G
Keywords
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