OSTEOMYELITIS IN PATIENTS WITH DIABETIC FOOT ULCERS
Keywords:
Diabetes, foot ulcer, osteomyelitisAbstract
Objective: To determine the frequency of factors leading to osteomyelitis in diabetic foot ulcers patients.
Material & Methods: It was a cross sectional, descriptive study conducted in the department of medicine, Bacha Khan Medical Complex, Mardan and Hayatabad Medical Complex, Peshawar from June, 2014 to May, 2015. A total of 217 patients were included. This was a multicentre study project with data collection from various medical, surgical and orthopedic units of Bacha Khan Medical Complex, Mardan and Hayatabad Medical Complex, Peshawar. All patients between ages of 18 to 65 years of either sex whether admitted through outpatients or emergency with either type I and type II diabetes having osteomyelitis in diabetic foot ulcers were included in the study. Patients who had foot ulcer of less than one month duration, complicated fractures associated with ulcers or osteomyelitis caused by diseases other than diabetes mellitus were excluded from the study. Data was analyzed in SPSS version 16. Mean + SD was calculated for quantitative variables like age. Frequencies and percentages were calculated for categorical variables like risk factors and gender.
Results: The study results show that 4%, 38% and 48% patients were in age range of 31-40 years, 41-50 years and 51-60 years respectively. Mean age was 51 years with SD ± 1.26. Fifty-five percent patients were male and 45% patients were female. Forty-seven percent patients had Peripheral neuropathy, 46% patients had peripheral artery disease while 7% patients had foot deformities.
Conclusion: Peripheral neuropathy; peripheral arterial diseases are recognized risk factors for foot ulceration. These risk factors should be taken into consideration while educating diabetic patients.
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