Introduction- Diabetes mellitus
is a worldwide problem. Its incidence is
globally as well as it is on the rise in India. Patients with diabetes
mellitus have a
15% life time risk of developing a foot ulcer 1 . Foot disorders are a
major source of
morbidity and a leading cause of hospitalization for those affected
with the largest number of people suffering from diabetes mellitus
United States & China 2 . In India diabetes mellitus is expected to
people by 2034. India with 62 million people as diabetics is referred to
as the “DIABETIC
CAPITAL” of the world.
Diabetes is one
of the leading cause of non-traumatic lower extremity amputation.
pathologies synergistically affecting the foot in a diabetic patient are
ischemia & infection along with immune dysfunction. Approximately
diabetic foot ulcers are purely neuropathic whereas 45% have both
ischaemic components 3 . Ulcers, necrotizing infections, cellulitis
and gangrene are
the common modes of presentation in a diabetic foot.
As we know most
patients of diabetes mellitus have foot affections, there is lack of
regarding podiatry care as foot being the most ignored part.
1. To study the
clinical and pathological pattern of foot infections in diabetic
2. To study the
microbiological flora in diabetic foot patient.
It is a prospective, observational study
All the diabetic patients presenting with
foot infections of any form in the
department of surgery at our Hospital,
attached to my College.
3. Sample size-
We expect atleast 30- 40 patients during
the study period.
Adult patients of either gender. Between 18 to 80
years of age
suffering from foot infections
with diabetes mellitus.
Both type 1 and type 2 diabetes mellitus patients
will be included.
All the patients with diabetic foot
undertaking treatment in Hospital of
my city will be chosen from different
surgical units in the hospital. The patients
will be examined and data will be recorded on
a pre-tested pro forma which
Clinical history and examination (general and local).
Routine laboratory investigations (if any)
Understanding the pattern and progression of disease helps
in better treatment ,planning and management towards limb salvage.
Interaction with patients can lead to better
counseling of patients regarding podiatry care for as to prevent future
1. D.G. Mote and S.D. Mote. Diabetic foot
infections and management: A
Rural Indian Perspective. International
Journal of Biomedical Research
2015; 6(09): 705-708
2. Hilary King, Ronald E. Aubert, William H.
Herman. Global Burden of
Diabetes, 1995-2025: Prevalence,
numerical estimates, and projections.
Diabetes Care 1998; 21:1414 -1431.
3. Karakkattu Vijayan Kavitha, Shalbha Tiwari,
Purandare, Sudam Khedkar, Shilpa Sameer
Unnikrishnan. Choice Of Wound Care In Diabetic
Ulcer: A Practical Approach. World J
Diabetes 2014 August 15;