Abstract

A STUDY OF FACTORS INFLUENCING THE PHARMACOTHERAPY OF DIABETIC FOOT ULCER

P. Syamjith*, Dr. Vinod K. R., Venkidesh R. and Vipuldas M. K.

Abstract

Objective of study: The aim of study was to understanding the treatment strategies and factors influencing of diabetic foot ulcers, in patients presenting with diabetic foot at Malabar area in Kerala (hospital and home care units). Methods: This prospective analytic study was conducted from June 2013 – Jan 2014 at Govt Hospital and Home care unit in Malabar, Kerala (total population 50). Diabetic patients who presented with foot ulcers were enrolled in this study. Demographics of patients along with ulcer size, age, and site, patient history, past medication, socio economical status, diet controlling, physical activities, patient education and wound management with healing rate were recorded. Wounds were managed with daily dressings, nursing care and debridement of necrotic tissue along with appropriate antibiotic ointments and their outcome are monitored. Results and discussion: Out of 50 patients’ majority of male population having DFU in the age range of 61-70 years. Out of 28% of good QoL patients only 14.3% of subjects having faster wound healing rate. In 74% of total male population only 16% of them having faster healing rate and females are in good caring in DFU (31%). 42% of subjects were not following physical activities so that 57.2% of them having D grade wounds. out of total population 26% subjects were used metrogyl powder and NS, it showing good healing rate, 76% A grade wounds and no D grade wounds in this method. 54% patients following diet controlling (40.7% A grade wound). 46% of subjects are diabetic educated. 68% of subjects from Govt Hospital in that no A grade wound but 32% of subjects from Home care unit so that 56.25% of A grade wounds are there. Conclusion: The result of this study has highlighted the gaps in their knowledge and practice and underscores the urgent need for a patient friendly educational intervention coupled with regular physician reinforcement to reduce the risk of diabetic foot ulcer and amputations.

Keywords: Diabetic foot ulcer, Quality of life, debridement, off-loading, neuropathy.