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Volume 4 Issue 2 (March - April, 2016)

Original Articles

Risk factors leading to complications in diabetic foot ulcer- A clinical study
Mohd Rehan Rashid

Introduction: Diabetes mellitus is a multi-system disease affecting many systems and tissues. Foot problems, including foot ulcerations, are common with diabetes. Foot ulceration risk factors are based on many factors and may differ from community to community. Present study aimed to analyze the risk factors leading to complication in diabetic foot. Material and Methods: This study was conducted in 200 patients of diabetic foot in the Department of general surgery at Hind Institute of Medical Sciences, Safedabad, Barabanki, Uttar Pradesh, India. Detailed history, clinical findings and investigations were recorded. Data were collected on a special proforma for analysis. Results: Commonest presenting lesion was ulcers (59%), followed by cellulitis (26%), and gangrene (15%). Trauma is the initiating factor in most of the cases. Out of which 82% of patients had infection. Most common microorganism grown from wound discharge culture was staphylococcus aureus (53%), 142 patients were treated with wound debridement out of them skin grafting was done in 30 patients, 28 of patients underwent amputation. Prognosis was better in patients with controlled blood sugar level. Conclusion: Early screening for diabetic foot ulceration risk factors is an important process. Screening for foot complications should start at the time of diagnosis of diabetes and integrated with sustainable patient education at primary care level by training of health care providers at primary care level.

Key words: Diabetes, foot ulcers, neuropathy, ischemia

Corresponding Author: Dr. Mohd Rehan Rashid, Assistant Professor, Department of Surgery, Hind Institute of Medical Sciences, Safedabad, Barabanki, Uttar Pradesh, India

This article may be cited as: Rashid MR. Risk factors leading to complications in diabetic foot ulcer- A clinical study. J Adv Med Dent Scie Res 2014;4(2):174-177.

 
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