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ANALYSIS OF RISK FACTORS FOR DIABETIC FOOT INFECTIONS LEADING TO HOSPITAL ADMISSION , SEEN IN A TERTIARY DIABETIC CENTRE. AIM : 1)To analyze the risk factors associated with, and leading to hospital admission for diabetic foot infection.
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ANALYSIS OF RISK FACTORS FOR DIABETIC FOOT INFECTIONS LEADING TO HOSPITAL ADMISSION , SEEN IN A TERTIARY DIABETIC CENTRE.
AIM:1)To analyze the risk factors associated with, and leading to hospital admission for diabetic foot infection. 2)To develop strategies to reduce the incidence of surgeries and amputations. METHODS:Consecutive patients admitted for foot-infection in D.R.C(n=72) during the period from May 06 to July 06 were included in the study.History in the form of questionnaires, including mode of injury, previous treatment taken before admission (if yes,from whom,after how many days of injury) were analyzed.Biochemical parameters at baseline and at discharge were tabulated.Wound morphology was compared according to Texas’ Classification.Outcome ,in comparison to various parameters were analyzed.
TEXAS’ CLASSIFICATION % of patients Texas’ Classification
BLOOD GLUCOSE AT BASELINE & AFTER INTERVENTION Blood Glucose Time
HbA1c Vs INTERVENTION Percentage of Patients HbA1c Level
DURATION OF INFECTION Vs INTERVENTION Percentage of Patients Duration of Infection
PREVIOUS TREATMENT Vs INTERVENTION Percentage of Patients Level of Intervention
1)Elderly, long duration of diabetes.high HbA1c levels & patient with diabeticneuropathy are at particular risk for foot injury and infection. • 2)Family physician seems to play an important role in the initial management, who needs to be made more aware of impending adverse outcome of foot injury in a diabetic patient. • 3)E-Coli is the most frequently isolated organism. • 4)Outcome of patient is influenced by • Duration of diabetes • Duration of foot-infection • HbA1c levels • Previous treatment sought 5)Proper intervention leads to reduction of blood sugars at all time of the day. 6)Aggressive education & awareness about foot care, appropriate foot-wear & importance of seeking of timely medical advise in case of foot injury can reduce the level of intervention in all group ofdiabetic patients.