Pattern of Anaerobic Microbial Infection in Diabetic Foot Ulcers and Its Outcome

Objective:

To determine pattern of anaerobic microbial infection in patients with diabetic foot ulcers and surgical implication and outcome.

Methodology:

This Descriptive Study was conducted in surgical D unit department of Surgery, Khyber Teaching Hospital, Peshawar from 5th October 2020 to 5th April 2021. A total of 125 patients, selected through non-probability consecutive sampling, for both genders with Diabetes mellites Type II having diabetic foot ulcers were included in the study. Required results were then obtained from labs and a pre-designed Performa was used to extract the data at time of discharge.

Results:

Age range in this study was from 20 to 80 years with mean age of 57.752±6.89 years. Pepto streptococcus species was found in 22.4% patients, Bacteroides fragilis 12%, Bacteroides spp 23.2%, Porphyromonas 11.2%, Clostridium perfringens 15.2% and E.coli was 16%. Healing was seen in 80.8% patients, Toe Amputation 13.6% and Limb Amputation was 5.6%.

Conclusion:

The study recorded 100% infection rate among the diabetic foot ulcer subjects. Peptostreptococcus spp and Bacteroides spp were mostly found anaerobic organisms.