Abstract

CLINICO-BACTERIOLOGICAL PROFILE OF DIABETIC FOOT ULCER AMONG THE PATIENTS ATTENDING RURAL TERTIARY HEALTH CARE CENTRE

Background: Worldwide diabetic foot is a major medical problem leading to disability and economic instability to family and country. Objectives: To assess the clinical and bacteriological profile of diabetic foot ulcer among rural Indian residents and its association with demographic factors. Methodology: Hospital based cross-sectional study was carried out in the rural tertiary care centre during the year 2010 to 2012. A total 78 diabetic foot ulcer cases were enrolled, interviewed, clinically examined and bacteriological assed as per structured questionnaire and methods. Results: Maximum, 70.51% cases were above the age of 50 years with higher proportion, 76.9% seen in males. The majority of cases, 97.4% were belonged to type II DM with maximum, 48.7% cases had a duration of ulcer less than of ten days. Maximum, 67.94% ulcers were seen on Right foot, 53.8% ulcers were of grade III and above. Neuropathy, the major associated complication was seen in 68% cases and average 1.8 bacteria were identified per sample. Conclusion: As the grade of diabetic foot ulcer is increased, the bacterial count is also increased.

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