Assessment Of Predisposing Factors, Clinical Profile and Outcomes Of Diabetic Foot Ulcer

Abstract

Diabetic foot ulcer (DFU) is the most common consequence of diabetes mellitus. DFUs result from a combination of multiple causes including peripheral neuropathy and peripheral arterial disease. It is preventable if the risk factors are identified and treated early. Objectives: The aim of present study is to evaluate the predisposing factors, clinical profile and outcome of diabetic foot ulcer (DFU). Methods: All DFU patients who were aged >18 years and admitted during the study period were enrolled in this study. The socio-demographic characteristic, predisposing factors, clinical profile, examination of foot lesion, microbiological profile and outcome were recorded. Results: A total of 300 patients with DFU were evaluated in this study. Most of the patients were 45-60 years age group, predominantly male. 95.3% were type 2 DM. A significant association between duration of diabetes, glycemic control, peripheral neuropathy, and ulcer size were found with diabetic foot ulcer healing. The most common isolates from culture were monomicrobial and Gram-negative bacteria. DFU outcomes (healing & amputation) were statistically significantly associated with the severity of the Diabetic foot infections. Conclusion: Modifiable factors like good glycemic control, early management of ulcers and early treatment of peripheral neuropathy can influence Diabetic foot ulcer outcomes