Frequency of Different Complication Associated with Diabetic Foot and its Bacteriology

Abstract

Objective: To assesses the frequency of postoperative complication, microbial isolates of patients with diabetic foot infections and their antibiotic susceptibility pattern.

Methodology:  This cross sectional study was carried out on 150 diabetic patients with infected diabetic foot. Patients were admitted for surgical intervention. Major variables of study were post-operative complications includes wound infection, stump dehiscence, septicemia and gas gangrene. micro-organisms isolated, type of antibiotic. SPSS version 23 was used for data analysis.

Results: Majority of the patients between 40-50 years. Most of the patients 69.3% were males. The mean hospital stay was 14.41±2.92 days. Majority of the patients, 79.3% were >7 days of hospital stay. Wound infection was the most common post-operative complication i.e. 48.7%. The most common organism culture, 39.3%, was vulgaris. While, frequently used antibiotics was ciprofloxacin i.e. 62.7%. Debridement & non-stick dressingwas the most common surgical management of diabetic foot i.e. 36.0%.

Conclusion: Wound infection and gas gangrene are the main post operative complications of diabetic foot, Valgaris and Staphylococcus aureus were main responsible micro-organisms. Among antibiotics therapy Amikacin and vancomycine can cover gram positive and gram negative more effectively.