STUDY TO KNOW THE COMMON PATHOGENS INVOLVED IN DIABETIC FOOT INFECTION

Objective: To identify the most common pathogens in diabetic foot patients with different degrees of infection.

Study Design: A descriptive study.

Place and duration of study: In the Surgical Department Unit II of Holy Family Hospital, Rawalpindi for one year period from January 2018 to December 2018.

Patients and methods: In this study, 120 diabetic patients with various types of foot infections due to causality and attended the Surgical unit were included in the study. The patients included in this study were older than twelve years old and both sexes were present. A detailed history followed the Complete blood tests, clinical examination, renal parameters, complete urine test, CXR, X-ray foot, routine examinations for culture sensitivity and ECG were recorded. The lesions were classified according to the Wagner classification and appropriate surgical and medical management was given.

Results: This analysis was performed in 120 diabetic patients; ninety-six (81.0%) were male and female were twenty-four (24%). The male to female ratio was 5:2. The majority of subjects (n = 66) were between 50 and 60 years of age. In most of these patients, the forefoot was mostly related to large or small fingers. Patients were divided into five classes according to the infection severity and Wegner's diabetic foot infection classification.

Conclusion: Staphylococcus aureus, followed by pseudomonas aurogenosa and protein were the most common pathogen.

Key words: Infection, Diabetic Foot Disease, Diabetic Foot Pathogens, Complication.