European Journal of Cardiovascular Medicine

Aim: This study aims to assess clinical and microbiological profile of diabetic foot patients. Material & Methods: We conducted descriptive type of study on patients with type 2 Diabetes mellitus of duration more than 10 years having diabetic foot infections, visiting OPD/IPD of SGRD hospital, Vallah, Sri Amritsar from April 2021 to July 2022. All the patients were assessed through detailed history, comprising of clinical features of diabetes, its duration, risk factors associated with it, detailed foot examination. Diabetic foot ulcer was classified according to University of Texas foot ulcer classification and microbiological profile was studied. Results: We recruited 100 patients, out of which71 % were males and 29 % constituted female population. Predominant symptom with which the patients presented was foot ulcer(88%) but the  less frequent symptom was gangrene (12%). As per University Of Texas Foot Ulcer Classification, 45% patients were in grade 3D followed  by 24% in grade 2B & only 1 % in grade 3C. Out of 100 patients, 46% swab culture showed growth of organism whereas 54% patients swab culture were sterile. The most commonly cultured organismis E.coli. On antimicrobial culture susceptibility, all Gram-positive organisms were sensitive to Linezolid and resistant to Erythromycin. All gram negative organisms were sensitive to Gentamicin except Pseudomonas which was  sensitive to Tigecycline only. Among gram negative organisms, only E.aerogenes, E.coli, Klebsiella and M.morganii shows resistance to ciprofloxacin. Conclusion: Poor control of Diabetes Milletus puts a patient at higher risk of skininfections as being in a state of hyperglycaemia impairs the efficiency of the body’s immune or defence mechanism. . Poor healing status is a major cause of lower extremity amputations in diabetics. Early microbiological diagnosisand accurate treatment can decrease morbidity significantly.