Smithamol SUNNY, Anita ANN SUNNY, Rama PARTHASARATHY, Shanmugasundaram RAJESHKUMAR, Swathy PRADEEP

Patient counseling, risk factors and comorbidity assessment in diabetic foot ulcer

Diabetic foot ulcer usually develops due to lack of knowledge and awareness regarding the consequences of the disease progression and poor foot care among diabetics. The objective of the study is to enhance knowledge, attitude and clinical practice among diabetic foot ulcer patients through pharmacist counseling, and to assist physician in the selection of cost effective antibiotics. Data on the disease condition such as duration of illness, type of diabetes, category of infections, classification of foot ulcer, risk factors, comorbidities and antibiotics used were collected and analyzed. Additionally, the details of culture sensitivity report for sensitive and resistant microorganisms with respect to antibiotics were recorded. Appropriate patient education on diabetic foot ulcer helps to improve their knowledge, attitude, and practice significantly. The commonest microbial isolates identified in diabetic foot ulcer patients were Klebsiella pneumonia, Pseudomonas aeruginosa and Staphylococcus aureus. Culture sensitive drugs found were meropenem, amoxicillin with clavulanic acid, clindamycin and the resistant drugs were cefepime, levofloxacin and penicillin. KEYWORDS

PDF

___

Tentolouris N, Boulton AJM, Al-Sabbagh S, Jude EB, Walker MG. Mortality in diabetic & non- diabetic patients after amputations performed from 1990-1995-5 year follow up study. Diabetes Care. 2004; 27(7): 1598-1604. [CrossRef]
Desalu OO, Salawu FK, Jimoh AK, Adekoya AO. Diabetic foot care: Self-reported knowledge and practice among patients attending three tertiary hospitals in Nigeria. Ghana Med J. 2011; 45(2): 60-65. [CrossRef]
Kafaie P, Noorbala MT, Soheilikhah S, Rashidi M. Evaluation of patients' education on foot self-care status in diabetic patients. Iran Red Crescent Med J. 2012; 14(12) 829–832. [CrossRef]
Lavery LA, Armstrong DG, Wunderlich RP, Mohler MJ, Wendel CS, Lipsky BA. Risk factors for foot infections in individuals with diabetes. Diabetes Care. 2006; 29(6) 1288-1293. [CrossRef]
Prompers L, Huijberts M, Schaper N, Apelqvist J, Bakker K, Edmonds M, Holstein P, Jude E, Jirkovska A, Mauricio D, Piaggesi A, Reike H, Spraul M, Van Acker K, Van Baal S, Van Merode F, Uccioli L, Urbancic V, Ragnarson Tennvall G. Resource utilisation and costs associated with the treatment of diabetic foot ulcers. Prospective data from the Eurodiale study. Diabetologia. 2008; 51(10): 1826-1834. [CrossRef]