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
Keywords
Related Articles
- EP ID EP333051
- DOI -
- Views 151
- Downloads 0
The Green House Effects of Anaesthesia
In last few decades, use of inhalational anesthetic gases has increased significantly due to the introduction of newer inhalational agents with inherent benefits and safety. In recent years, there has been an increasing...
Malrotation of gut with primary sclerosing cholangitis: an unusual presentation
Malrotation of gut is a familiar paediatric condition presenting in the neonates. Adults however present with obscure clinical symptoms, such as recurrent abdominal pain and vomiting often resulting in multiple hospital...
Septic Pulmonary Embolism Revisited. A Case Report and Points to Ponder
Septic pulmonary embolism is a common but under-diagnosed condition that mimics bacterial pneumonia and tuberculosis. We describe the successful management of a case of septic pulmonary embolism who was misdiagnosed as t...
Lesinurad: A novel drug for the treatment of hyperuricemia associated with Gout in combination with a Xanthine Oxidase Inhibitor
Lesinurad is a selective inhibitor of URAT 1(Uric acid absorption inhibitor) and doesn’t inhibit organic anion transporters (e.g. OAT1 & 3) which make it to be an effective uricosuric agent with minimal clinically signi...
Urinary Myiasis by Pericoma Species: A Case Report
Myiasis is infestation of humans by larvae (maggots) of Dipterous family. Occasionally such types of patients are encountered in any of the hospital setting. An unusual case report of urinary myiasis in 12-year-old boy i...