ABSTRACT
To determine frequency and extent of foot lesion and the susceptibility pattern of infective organisms in Diabetic foot. [Descriptive] cross sectional study. Surgical Unit -II Holy Family Hospital, Rawalpindi completed in 4 months [5 Feb.2008 to 5 June, 2008]. A total of 50 consecutive patients with diabetic foot lesions were assessed for angiopathy, neuropathy and extent of foot lesion. Necessary investigations including x-ray foot, pus for culture and sensitivity and fungal scraping were carried out. 40% of total patients were insulin dependent diabetics [IDDM] out of which 80% were on irregular treatment. 52% of total patients were non insulin dependent [NIDDM] out of which 73% were on irregular treatment and 8% of total patients were getting no treatment. Most of the infection were due to staphylococcus aureus [22%], pseudomonas [18%] Proteus [16%] E.Coli [12%] Streptococci[12%]. Angiopathy was present in 62% patients and partial or complete sensory loss was present in 74% patients. 54% patients had Osteomyelitis. 61% patients had partial or complete sensory loss in Grade I, II, III and in [Grade IV and V], 100% patients had partial or complete sensory loss. All the patients in Grade IV and V had random blood sugar values more than 200md/dl, showing poor glycaemic control. Diabetic foot lesions are more common in older age group, mostly in males and present in fairly advanced grades [Grade III, IV and V]. Main contributing factors are sensory neuropathy, angiopathy, poor glycaemic control. Most common infecting organisms are staphylococci and pseudomonas