Diabetic Foot Infection: A Study in a Tertiary Care Hospital

Abstract

As per projections half a billion people would suffer maturity onset diabetes by 2030, world over, with concentration in middle income nations [1]. Diabetes and its complication involve complex etiology including increased susceptibility to infections. Diabetic foot ulcer is common major complication [2]. Around 15% of patients with type 2 diabetes have foot problem increasing instances of hospitalization. [3]. Neuropathy, peripheral vascular insufficiency, repeated trauma is traditionally believed to contribute to the complications. Besides the neurovascular alterations, age, gender, body mass index, duration of diabetes, glycosylated hemoglobin profiles etc are found influential in various studies [4]. Evidence on predictive value of simple indicators for risk of diabetic foot is crucially required in addressing the problem. Clinical history, examination, diagnostic investigation data must undergo continuous evaluation with such intent [5]. Infection management in diabetic foot is challenging task wherein microbial diagnosis is critical. Infective organisms and their sensitivity patterns are studied regularly with changing time, demography and region. The present study has analyzed the reports of the cases of diabetic foot infections from middle and upper middle income group of North Indian patient treated at a tertiary care hospital.