Prevalence of DFU among diabetic patients and its management

Amit Kumar, S. Sai Prasanna, R. Charishma, R. Satya Divya, R. Sowjanya
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Abstract

: To study the prevalence of DFU among diabetic patients and the management of DFU among diabetic patients.: Prospective observational study. : The study was conducted in inpatients with diabetes of all departments and inpatients with diabetic foot ulcer (DFU) of surgical department of age 20 to 80 of both genders with sample size 150 were included from September 2019 to march 2020. The prevalence of DFU among diabetic patients was 16%. Among them more diabetic cases were seen in age group of 50-59 and DFU in 40-49 and More diabetic cases are observed in male compared to female. DFU observed equally and the most common causative organism for DFU was staphylococcus aureus followed by proteus species, klebsiella and pseudomonas aeruginosa and more cases of DFU were noticed in diabetic patients with duration of 6-10 years. As the main cause of DFU is infection the primary treatment is anti microbial therapy and the most prescribed class of antibiotics is cephalosporins followed by nitroimidazoles, penicillins, oxazolidinones, lincosamides etc. surgical procedures like debridement, amputation and sometimes both were done in 9,14,1 patients respectively. : Our study revealed the information regarding the prevalence of DFU among diabetic patients is due to lack of knowledge and uncontrolled diabetes may develop poor circulation which leads to wound that may heal slowly which leads to DFU.
糖尿病患者DFU的患病率及处理
目的:探讨糖尿病患者DFU的患病率及处理方法。前瞻性观察性研究。本研究于2019年9月至2020年3月在各科室糖尿病住院患者和外科20 ~ 80岁糖尿病足溃疡住院患者(DFU)中进行,样本量为150例,男女均可。糖尿病患者DFU患病率为16%。其中50 ~ 59岁以糖尿病多见,40 ~ 49岁以DFU多见,且男性多于女性。DFU观察结果相同,最常见的病原菌为金黄色葡萄球菌,其次为变形菌、克雷伯菌和铜绿假单胞菌,病程6 ~ 10年的糖尿病患者中DFU发生率较高。由于感染是DFU的主要原因,主要的治疗方法是抗微生物治疗,最常用的抗生素是头孢菌素类,其次是硝基咪唑类、青霉素类、恶唑烷酮类、林可胺类等。分别有9例、14例、1例患者采用清创、截肢等手术治疗,有时两者都采用。我们的研究表明,关于糖尿病患者DFU患病率的信息是由于缺乏知识,不受控制的糖尿病可能发展为血液循环不良,导致伤口愈合缓慢,从而导致DFU。
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