Abstract

A PROSPECTIVE OBSERVATIONAL STUDY OF DIABETIC FOOT ULCER (D.F.U.) IN EASTERN PART OF INDIA, WEST BENGAL

Dr. Sourav Ballav*, Dr. Suresh Kumar Jaiswara and Dr. Gouranga Maity

ABSTRACT

Background: The metabolic disorder, Diabetes mellitus proceeds through the association of various co- morbidities. Among the various morbid pathological conditions like Diabetic Retinopathy, Diabetic Neuropathy, Diabetic Cardiopathy, Diabetic Kidney Disease, the Diabetic Foot Ulcer is one of the most commonly visible pathological finding. The most challenging clinical aspect of Diabetes mellitus is early control and its prevention from the amputation of lower limb. Despite of lack of scientific data regarding D.F.U, an effort has been done to present the current scenario. Aim: This study was undertaken to evaluate the current scenario of D.F.U patient in West Bengal. Materials and Methods: Total 60 D.F.U patients were selected randomly from OPD of Raghunath Ayurveda Mahavidyalaya and Hospital, Contai, West Bengal and the study duration was 1 year. Result: The study showed that the most common age group of the patient suffering from D.F.U ranges between 45years to 55 years with a minimum history of Diabetes mellitus > 15 years and the commonly involved site of the ulcer was toe followed by planter aspect. Staphylococcus aureus and streptococci were commonest micro organisms found in pus culture. Conclusion: This study indicates toward more concern to the increase risk of trauma and ischemia of lower limbs due to peripheral neuropathy which may cause loss of sensation and ultimately leading to amputation.

Keywords: Diabetic Foot Ulcer, Diabetic Retinopathy, Diabetic Neuropathy, Diabetic Cardiopathy, Diabetic Kidney Disease, Amputation.