Clinical profile and outcome of patients with diabetic foot infection: A single centre study
Abstract
Introduction: Diabetes mellitus with its limb and life-threatening complication such as diabetic foot infection and amputation are increasing at epidemic rates all over the world.
Aim of the study: The study aims to find out the clinical profile and outcomes of patients with diabetic foot infections (DFI).
Methods: This was a prospective study conducted at a tertiary care institute. A total of 82 patients were included and analyzed in this study from January 2020 to December 2022. This study recruited patients >18 years of age, with DFI. All patients underwent a detailed history and clinical examination. Patients were classified as per the International Working Group on the Diabetic Foot -IDSA classification. The patients were followed up every month for 3 months. Clinical outcome was studied regarding the rate of amputations, readmissions, and mortality.
Result: A total of 82 patients were included and analyzed in this study. There are 36 (43.90%) patients from the age range 55-65 which is height and the lowest is 2(2.44%) patients from the age range 15-24. The ulcer healing during follow-up of the study, the mean±SD of the baseline is 14.85±23.12. After 1 month the percentage of wound healing is 20.88% and the mean±SD is 11.75±22.68, after 2 months the percentage of wound healing is 43.16% and the mean±SD is 8.44±22.05 and after 3 months the percentage of wound healing is 57.04% and the mean±SD is 6.38±21.19. The p-value of follow-up duration is equal to <0.001 which was shown as a significant change.
Conclusion: This study shows the predominance of monomicrobial growth and Gram-negative organisms in diabetic foot patients. With the increase in the severity of DFI, there was an increased rate of hospital readmissions, amputations (major and minor), and mortality. Dimensions of the ulcer may have a bearing on the rate of minor amputations.
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References
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