Comparison of Outcomes of Two Different Treatment Methods In The Management of Diabetic Foot Ulcer
M.V.R.
Harsha Vardhan1, Y. Suraj Varma1, S. Parimalakrishnan1,
Junior Sundresh*2
1.Department
Of Pharmacy, Annamalai University
ABSTRACT
The aim of this study was to compare the
outcomes of surgical versus non- surgical treatment in the management of
Diabetic Foot Ulcer. A Prospective Observational Study which was carried out in
the Department of Surgery of Rajah Muthiah Medical College Hospital a tertiary
health care hospital in Chidambaram, Cuddalore District, Tamilnadu in the
period of November 2016 to April, 2017 (6 months). The patient demographic,
disease, ulcer size, drugs and treatment prescribed were collected in a
specially designed data collection form which also included bacterial culture
tests. Upon enrolment for the study 65% (39) of the patients diagnosed for
diabetic foot were male and 35% (21) were female. The demographic
classification suggests that diabetic foot incidence has increased upon ages of
people ranging between the mean ages of 45+/- 5 years to 60+/-5 years. The
bacterial distribution over the patients showed that, out of which Escherichia coli (28.3%) and Staphylococcus aureus (15%) are the most
common bacteria. The outcomes mainly depend upon the grading of infection and
ulcer size. The superficial ulcers can be treated more effectively with
antibiotics and regular dressings, whereas the deep ulcers and gangrene should
be intervened with surgical procedures. The assessed study reports that
clinical pharmacist intervention by patient education and medication
counselling creates a significant influence in medication adherence
Keywords:
Diabetic foot ulcer, surgical treatment, Non-surgical treatment, management