Assessment of Precipitating Factors and Treatment Modalities of the Patients Suffering from Diabetic Foot Ulcer
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 12
Abstract
Introduction: Foot disorders such as ulceration, infection or gangrene one of the leading causes of hospitalization in patients with diabetes mellitus. This variability is likely due to genetic, behavioral, and environmental factors. Diabetes mellitus prevalence also varies among different ethnic populations within a given country. The aim of the present study is to study various precipitating factors in the development of diabetic foot lesions and to assess the response of different modalities of treatment in diabetic foot ulcer patients. Material and methods: The present study included 50 patients of diabetic foot ulcers were admitted in the Department of Surgery at Mahatma Gandhi medical college hospital Sitapura Jaipur from October 2016 to October 2017. History of diabetic status of patient was asked, whether patient was a undetected case or a known diabetic, if known the duration of the disease, whether patient was on regular or irregular treatment (diet/ oral/drugs/insulin) was recorded. Cases of diabetic foot ulcer were managed both conservatively and by surgery. Skin grafting was done whenever required. All the patients were prescribed analgesics and antibiotics. Patients were followed up regularly and all the data was arranged in tabulated form and analyzed using SPSS software. Result: The present study included 50 subjects. The mean age of the subjects was 45.76 +/- 4.22 years. Majority of subjects were between 41to 70 years of age. In 11(22%) patients duration was between 0 – 4 years, in 22(44%) patients duration was between 5 – 10 years. In the present series, pus either from abscess or from the floor of ulcer was sent for culture and sensitivity in 48 patients. In most patients more than one organism was grown on culture. There were 6% cases in whom only toes were amputated. In 4% cases, amputations were performed below the knee. In 2% cases amputation was done above the knee. Conclusion: diabetic foot lesions commonly result from a combination of neuropathy and vascular disease in the lower extremity. Foot ulcers were the commonest type of presentation, where infection was present in all cases.
Authors and Affiliations
Sangeet Garg, Sumeet Garg, Shashank Chaudhary, Payodh Chaudhary, Abhishek Dwivedi, Manoj Gupta
Keywords
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