Analysis of in-hospital course and treatment outcomes in patients with diabetic foot syndrome in the Department of Hypertension and Diabetology, Medical University of Gdansk in the 2008 year

Abstract

Foot ulcers in patients with diabetes remain a significant health and economical problem. In many cases ulcers can be treated on outpatient basis however patients with severe infection and some of them with moderate infection require admission. We have conducted retrospective analysis of hospitalisation and treatment outcomes in 51 patients admitted to the Department of Hypertension and Diabetology of Medical University in Gdańsk in the year 2008. Most of the subjects were characterized by poor diabetic control and presence of many complications. In most analysed cases infection was classified as stage 3 and 4 according to Polish Diabetic Association classification system. In the study population 28 amputations were performed, 21 (78%) in patients with confirmed osteomielitis. In the group of subjects with osteomielitis mean ESR was 96 mm/h. The main pathogen revealed in microbiological studies was Staph. Aureus, however in majority of patients the infection was polymicrobial and the flora included anaerobes. (Diabet. Prakt. 2010; 11, 6: 204–209)