Clinical and microbiological profile of patients with diabetic foot ulcer – an observational study
Journal Title: JOURNAL OF MEDICAL COLLEGE CHANDIGARH - Year 2015, Vol 5, Issue 1
Abstract
Objective: Diabetic foot ulcer is a major healthcare problem that is a significant cause of morbidity, mortality and financial burden. This study was conducted to determine the clinical and microbiological profile of patients with diabetic foot ulcer. Materials and Methods: A total of 60 patients of diabetic foot ulcer presenting to the diabetic foot clinic in Government Medical College and Hospital, sector 32, Chandigarh were enrolled in an observational study. Age, sex, BMI, duration of diabetes, blood sugar and HbA1C levels, treatment being given for diabetes, neurological status of affected foot and wound culture were observed. Results: Diabetic foot ulcers were common in age> 50 years (68.3%). Patients presenting with diabetic foot ulcer were more frequently men (88.3%) with BMI 18-25 (73.3%) and had diabetes for a longer duration>10years (55%).Their fasting plasma glucose was mostly between 126-200mg/dl (91.7%), postprandial glucose between 200- 250mg/dl (40%) and HbA1C>9.5 (65%). Majority of the patients were on oral hypoglycemic agents (83.3%). 93.3% patients had sensory neuropathy for hot sensations and 53.3% and 55% had loss of vibration and cold sensation. Gram negative aerobes (85.4%) were the most common organism isolated from wound culture. Conclusions: Most of our patients were male. Majority of patients also had coexistent neuropathy and most had abnormally elevated glycosylated hemoglobin levels. Gram-negative microorganisms were commonly isolated from our patients. Most common isolates were from Enterobacteriaceae family.
Authors and Affiliations
Vineet Tanwar
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