Abstract

Introduction: Diabetic foot is one of the common problems encountered by surgeons in India. The surgeon would be better equipped to treat if data regarding the demographics, clinical presentation and factors leading to foot complications in diabetics is available along with the treatment and outcomes. Materials and Methods: This study aims to describe the clinical profile of patients with diabetic foot. This is a retrospective study. The study material was obtained from the patient records from 2018 to 2019. A total of 40 patients were included in the study. The demographics, clinical features, treatment and outcomes were noted. Statistical analysis was done. Results: Most common presentation was diabetic foot ulcers in 50% patients. Other presentations included cellulitis and gangrene. In 20% cases, diabetes was newly diagnosed. The mean duration of diabetes was 5 years. Treatment included regular dressings for 27.5% patients, debridement for 30%, incision and drainage in 15% and amputations in 15% patients. Empirical antibiotics given were amoxicillin-clavulanate and cephalosporins. The mean duration of hospital stay was 12.9 days. All patients improved with treatment. Conclusion: Early treatment is effective and limb saving. This study suggests inadequate control of diabetes and infection as a major cause for diabetic foot which may progress to sepsis with/without gangrene in the presence of PAD or neuropathy.

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