Diabetic Foot in Uttaranchal

ABSTRACT

The aim of the study was to evaluate the clinical and the bacteriological profile of patients with diabetic foot. The clinical and the bacteriological profile along with the antibiotic sensitivity pattern was assessed in patients with Diabetes mellitus over 3 years period (From January 2001 to December 2004). The foot ulcers were categorized as mild or non-limb threatening and severe or limb threatening. Cultures from the wounds were sent prior to the first debridement and the antibiotic sensitivity was done in each case. The possible risk factors responsible for these ulcers were also recorded. Out of 61 cases of diabetic foot ulcers, non-limb threatening infections were seen in 38 patients (62.29%) and the limb threatening was seen in 23 patients (37.7%). Of these 23 patients with limb threatening infections, 14 (60.87%) had to undergo amputation during one-year follow-up. The organisms isolated from the cultures included Staphylococcus sp in 15 patients (28.84%), Streptococcus sp in 11 (21.15%), Pseudomonas sp in 8 (15.38%), Enterococcus sp in 30 (57.69%) and anaerobes in 27 patients (51.92%). The antibiotics to which they were found to be most sensitive included Amoxy-Clav 49 (94.23%), Ceftrioxone 48(92.30%), Ceftazidime 41 (78.84%), Cefurexime 46 (88.46%), Chloremphenicol 44(84.61%), Amikacin 46(88.46%) and Polymixin- B 46 (88.46%).