ANALYTICAL STUDY OF DIABETIC FOOT INFECTIONS AND OTHER SSTIs
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 32
Abstract
BACKGROUND In the modern era, diabetes is the most common metabolic disorder. Infections and mortality are 4.2 times higher in diabetics than in non-diabetics.[1] Most commonly they are highly difficult to treat, especially of foot and other lower limb infections. The objectives of this study are 1. to know the morbidity and mortality of diabetic infections of the foot and other SSTIs and 2. to estimate the amputation rates (both major and minor) of the lower limbs, in diabetic patients. MATERIALS AND METHODS We have studied retrospectively 290 cases of diabetic infections of lower limb and other areas operated by single surgeon [1st Author] for the last 10 years. We have classified and analysed in the following order1. The site of lesion. 2. Severity of the lesion and part involved. 3. Associated complications if any. 4. Mode of surgical treatment. 5. Outcome- morbidity and mortality. The surgical management is classified into surgery done in 100% of patients1. Simple incisions and debridement– 81.35% 2. Tendon and muscle excisions– 12.4% 3. Amputations, both major and minor– 17.2% 4. Vascular (ischaemic) management- both conservative and reconstructive– 4.8% 5. Management of septic shock– 4.8% 6. Reconstructive and rehabilitative procedures like split skin grafts (13.1%) and major amputations (2.7%) are also studied. RESULTS Nearly, 95% of patients recovered well. Among them, minor amputations like removal of the part of toe or whole toe or two toes includes 50 out of 290. Some of the patients presented with already amputated toe (in other hospitals) with non-healing wound. They are also included in the amputations category. Major amputations like below knee, above knee, knee disarticulation- 2.7%. 5 (1.7%) patients died due to septic shock (3), GI bleed (1) and MI (1). Nearly 9 patients (3.1%) have left the hospital without completion of treatment for various reasons (LAMA)- 3.1%. CONCLUSION The amputation rate, especially major amputation rate in diabetic foot is decreased considerably
Authors and Affiliations
Chandu Sambasivudu, K. P. K. N. Venkata Ramana
Keywords
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- EP ID EP541197
- DOI 10.14260/jemds/2018/809
- Views 78
- Downloads 0
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