BACTERIOLOGICAL PROFILE OF DIABETIC FOOT ULCERS WITH REFERENCE TO HbA1c LEVELS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 45
Abstract
BACKGROUND The prevalence of diabetes is increasing in India. Patients with diabetes mellitus may have many serious sequelae. Among them, foot ulcers are most common and may lead to severe complications. The present study was undertaken to determine association between HbA1c levels in relation with diabetic foot infections, bacteriological profile and antibiotic susceptibility pattern. MATERIALS AND METHODS The descriptive study was carried out in the Department of Microbiology, CMC from March 2009 to Sep 2010 to look for the pattern of growth of aerobic organisms in diabetic foot ulcers. RESULTS Of the 100 DFI cases studied, most of the patients belonged to the 5th and 6th decades of life, (37%) and (28%) respectively. Males were more affected compared to females with a ratio of 2.3: 1. Maximum number of patients were seen in Wagner’s Grade II (40 nos.) followed by Wagner’s Grade III (38 nos.). Maximum number of diabetic foot ulcer cases (45) were recorded with HbA1c levels of > 10. The total distribution of monomicrobial and polymicrobial growth was 62 and 28 respectively with the maximum number of growth recorded in HbA1c levels of more than 10. MRSA constitutes 50% in HbA1c levels of < 8 and 8 to 10 and 55% in HbA1c levels of > 10. CONCLUSION The incidence of diabetic foot lesions strongly correlates with poor glycaemic control, which in itself is best manifested by the levels of glycosylated haemoglobin levels. There was significant association between DFI and higher HbA1c levels.
Authors and Affiliations
Shajahan Ansar, Ayesha Dastagir
Keywords
Related Articles
- EP ID EP550454
- DOI 10.14260/jemds/2018/1081
- Views 89
- Downloads 0
AN ASSESSMENT OF PATIENT WAITING AND CONSULTATION TIME IN THE OUTPATIENT DEPARTMENT AT A SELECTED TERTIARY CARE TEACHING HOSPITAL
BACKGROUND Outpatient department has become an essential part of the hospital due to the fact that it is the first step of the treatment system and point of contact between a hospital and community. Waiting time refers t...
APPLICATION OF LEAN SIX-SIGMA APPROACH TO REDUCE BIOMEDICAL EQUIPMENTS BREAKDOWN TIME AND ASSOCIATED DEFECTS
BACKGROUND Lean Six Sigma is an advanced methodology of quality management and quality improvement. Lean Six Sigma implementation in equipment maintenance can be a good solution, which can reduce the waste and variation...
AN EVALUATION OF FURCAL PERFORATION REPAIR USING MINERAL TRIOXIDE AGGREGATE AND RESIN MODIFIED GLASS IONOMER CEMENT WITH AND WITHOUT THE USE OF OPERATING MICROSCOPE- AN IN VITRO STUDY
BACKGROUND This study evaluated in vitro the effect of using the operating microscope on repairing furcation perforations using resin modified glass ionomer cement or mineral trioxide aggregate. MATERIALS AND METHODS In...
SKIN TAGS AND ITS ASSOCIATION WITH SYSTEMIC ILLNESSES
[b] BACKGROUND AND OBJECTIVES[/b]: Skin tags (Acrochordons) are very common benign tumor of the skin. It is seen in 25% of population, particularly in women in advancing age and in pregnancy. Skin tags are sma...
CONSERVATIVE VS. OPERATIVE MANAGEMENT OF LONG BONE FRACTURES IN OSTEOPETROSIS: LONG-TERM STUDY IN 12 YRS. PERIOD
BACKGROUND Albers-Schonberg in 1907 described a rare developmental disease. [1] In 1926, Karshner introduced the term osteopetrosis. [2] Because of diminished bone resorption due to osteoclastic abnormality, b...