Foot Complications in Patients with Diabetes: Experience in a Teaching Hospital, Rajshahi, Bangladesh
Journal of Surgery
Volume 8, Issue 6, December 2020, Pages: 171-177
Received: Jun. 16, 2020;
Accepted: Jul. 13, 2020;
Published: Nov. 4, 2020
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AKM Shamsul Haque, Department of Surgery, Pabna Medical College, Pabna, Bangladesh
Habibun Nobi Md Shafiquzzaman, Department of Surgery, Rajshahi Medical College, Rajshahi, Bangladesh
Md Shohorab Hossain, Department of Surgery, Pabna Medical College, Pabna, Bangladesh
Goutom Kumar Ghosh, 250 Bedded General Hospital, Pabna, Bangladesh
Diabetic foot complications are the most common cause of non-traumatic lower extremity amputations. The aim of this study was to determine the different pattern of foot complication associated with Diabetes mellitus. Methods & Materials: This experimental study was conducted on a total of 50 patients of diabetic foot complications admitted in the department of Surgery (in-patient) in Rajshahi Medical College & Hospital (RMCH), Rajshahi, Bangladesh during the period from June 2009 to December, 2009. Either sex ranging from above 15 years were included in the study. Approval committee of BCPS approved the dissertation protocol including the Ethical clearance. Written consent was obtained from each subject. Data were collected using a structured questionnaire containing all the variables of interest (research instrument). The researcher used simple statistical data analyzed tools to analyze the collected data to determine the findings of this study. Results: A total of 50 diabetic patients were included in this study as per inclusion criteria of either sex. Among the patients 30 (60%) were male and 20 (40%) were female. The age group of the patients (30-40) years, were 02 (4%), (41-50) years, were 10 (20%), (51-60) years, were 32 (64%), (61-70) years, were 06 (12%). The overall diabetic foot complications of the patients were as follows: ulceration were 13 (26%) cellulitis were 08 (16%), cellulitis with abscess were 21 (42%), gangrene were 06 (12%), gangrene with septicemia was 01 (2%), and bony involvement was 01 (2%). The trauma were found in 28 (56%) patients. After operation, the foot complication prevailed in 06 (12%) patients and from skin diseases, the foot complication arose in 04 (08%) patients as well as from other causes 12 (24%) patients suffered from foot complications. Neurological changes were noted only in 12 (24%) patients. Vascular changes were found only in the feet of the 06 (12%) patients. Mid foot were the highest number 30 (60%) of the location of foot ulcers. Culture was done 25 (50%) of the studied patients. Proteus were 05 (20%), Klebsiela were 03 (12%), Staphylococci were 04 (16%) and Pseudomonus were 02 (8%). Pain impaired/absent in one/both feet were found in 31 (62%) of the patients. Impaired/absent temperature sensation was noted in 07 (14%) of the patients and absent ankle reflex were noted in 09 (18%) patients. Dry skin were 14 (28%), hyper pigmentation were 05 (10%), hypo pigmentation were 04 (8%), cracked skin were 06 (12%) and normal skin was found in 21 (42%) cases. Wound debridement and dressing were 23 (46%) highest in treatment modalities option. Conclusion: Combined with an aggressive wound care program, can result in a favorable outcomes.
AKM Shamsul Haque,
Habibun Nobi Md Shafiquzzaman,
Md Shohorab Hossain,
Goutom Kumar Ghosh,
Foot Complications in Patients with Diabetes: Experience in a Teaching Hospital, Rajshahi, Bangladesh, Journal of Surgery.
Vol. 8, No. 6,
2020, pp. 171-177.
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