Title: A Clinicopathological Study and Management of Diabetes Skin Ulcers – An Institutional Experience
Authors: Padmanabh S Inamdar, Prateik Mote, Jayaprakash Kashalikar, Madhukar Mote
DOI: https://dx.doi.org/10.18535/jmscr/v4i12.08
Abstract
Background: Diabetes is a worldwide problem. A good number of diabetic patients develop wound in one point of time or other during the course of their illness. The etiopathogenesis of diabetic lesions are multifactorial. Ulcer can develop anywhere on the body parts but foot is the most vulnerable part.
Aims and Objectives: Limb problems such as ulceration, infection, gangrene are quiet common in diabetic patients. So the study was taken up to identify the complications and to study the patients of Diabetes Mellitus having various skin lesions. We wanted to asses various methods of treatment adopted in these patients including length of stay, duration of required, types of treatment, Size of ulcer & Ratio of ulcer over upper & lower extremities, Morbidity & Mortality.
Material and Methods: An observational study of 100 Patients clinically presenting with diabetic wound admitted & treated in Department of Surgery, Bharati Vidyapeeth Deemed University Medical College & Hospital, Sangli. Various factors affecting diabetic foot ulcers and its management were studied.
Results: Diabetes affects all age groups and mainly manifested in middle age. All the patients with diabetic wound had longer hospital stay as compared to non diabetic patients. Commonest presenting lesion in foot was ulcer followed by cellulites and gangrene. Most common causative organism was pseudomonas followed by staphylococcus aureus and E coli. The etiopathogenesis of diabetic lesions are multifactorial. Diabetic neuropathies, vasculopathy, poor control of diabetes and bacterial infection are among the most common.
Key Words: diabetes mellitus, skin ulcers, wound dressing, skin grafting.
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