A Hospital Based Prospective Study to Evaluate the Effect of Collagen Dressing in Diabetic Foot Ulcer Patients
Keywords:Diabetic Foot Ulcer, Collagen Dressing, Wound Healing, Infection.
Background: Diabetic foot is one of the most significant and devastating complications of diabetes and is defined as a foot affected by ulceration that is associated with neuropathy and/or peripheral arterial disease of the lower limb in a patient with diabetes. The aim of this study to estimate the efficacy of Collagen dressing in patients with diabetic foot ulcer.Materials & Methods: A hospital based prospective study done on 30 patients with diabetic foot ulcer, who reported at department of general surgery in district hospital Dholpur during two year periods. All diabetic foot ulcer patients, with ulcer size less than 150 sqcm attending the Surgery Department were invited to participate in the study. All patients underwent a standard clinical and laboratory evaluation. Briefly, information about age, known DM duration, smoking habits, arterial blood pressure, and anthropometric measurements were collected. Critically ill patients and patients with underlying bone osteomyelitis or malignancy were excluded. In all patients, wound size was measured before treatment initiation.Results: In our study, overall, the chronic leg ulcer was found most commonly in elder age group above 50yrs. A significant reduction in healing was seen in patient presented with infection, with a mean percentage reduction in ulcer size of (45.42 ± 16.67), when compared to (68.56 ± 14.23) in patient who had no infection. P-value was <0.05* which is statistically significant. Pearson correlation test was used to test the correlation between percentage reduction in ulcer size with duration of diabetes, ulcer, antibiotics, hospital stay and duration of healing, all showing negative correlation. Conclusion: The use of newer dressings with collagen dressing may increase the wound-healing potentials of these new treatments, and further studies will be required to evaluate the effects of the combined treatments.
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Copyright (c) 2022 Rambilas Singh, Pradeep Kumar Garg
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