Abstract

A PROFILE ON TREATMENT AND MANAGEMENT OF DIABETIC FOOT ULCER IN A TERTIARY CARE MIMS TEACHING HOSPITAL

Dr. Vinutha M. D.*, Dr. Vishwas A. T. L., Dr. Chetan B., Dr. Bhanushree D. M. and Dr. Suresha B. S.

ABSTRACT

Aim: Diabetic foot ulcers are common and estimated to affect 15% of all diabetics. Increased life expectancies have contributed significantly to this exponential rise, with diabetes now contributing to 9% of global mortality, equating to 4 million deaths per year. So the aim of the study involves profile on treatment and management of diabetic foot ulcer. Methodology: This was a prospective cross-sectional study conducted at the department of surgery in MIMS. 120 diabetic foot ulcer cases are enrolled in our study. A well designed data collection form and questionnaire form was used for collecting the details. The information were documented and subjected to suitable statistical methods. Result: Out of 120 patients, male 75(62.5%) patients are more compare to female patients 45(37.5%) to develop diabetic foot ulcers (DFUs). Patients having the past history of diabetes mellitus 1-5 years are more prone to develop DFUs. Age between 51-60 years patients are at high risk. In our study 272 antibiotics are prescribed to treat various infections in diabetic foot ulcer among them Ceftriaxone was most commonly prescribed antibiotics. Our study reveals that insulin therapy is most used 65.4 % when compare to that of oral hypoglycemic drugs. Analgesics are most commonly used as supportive therapy. Conclusion: Neuropathy occurred most frequently either singly or with peripheral vascular disease. Good management of diabetes mellitus and proper selection of drugs in diabetic foot ulcer remain the best solution to prevent amputations.

Keywords: Foot ulcers, Diabetes, Insulin, Cross-sectional, Hypoglycemic agents.