Introduction- Diabetes mellitus is a worldwide problem. Its incidence

Introduction- Diabetes mellitus
is a worldwide problem. Its incidence is

increasing
globally as well as it is on the rise in India. Patients with diabetes

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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 diabetes
mellitus.

 

The countries
with the largest number of people suffering from diabetes mellitus

are India,
United States & China 2 . In India diabetes mellitus is expected to
affect

80 million
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.

The three
pathologies synergistically affecting the foot in a diabetic patient are

neuropathy,
ischemia & infection along with immune dysfunction. Approximately

60%of all
diabetic foot ulcers are purely neuropathic whereas 45% have both

neuropathic and
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

 

awareness
regarding podiatry care as foot being the most ignored part.

 

Objectives-

 

1. To study the
clinical and pathological pattern of foot infections in diabetic

    patients.

 

2. To study the
microbiological flora in diabetic foot patient.

 

Methodology-

 

1. Study
design/Study type-

 

     It is a prospective, observational study

 

2. Study
population-

 

    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.

 

4. Selection
criteria-

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.

 

5. Data
collection procedure-

 

    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

     includes

 

 

Clinical history and examination (general and local).
Routine laboratory investigations (if any)

 

Implications-

 

 

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
foot complications.

 

Reference-

 

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,
Vedavati Bharat

     Purandare, Sudam Khedkar, Shilpa Sameer
Bhosale, Ambika

     Unnikrishnan. Choice Of Wound Care In Diabetic
Foot

     Ulcer: A Practical Approach. World J
Diabetes 2014 August 15;

     5(4):546-556.

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