Diabetic Foot Management in India- A 3 Year Audit from Tertiary Care Centre

Abstract

Diabetic foot is now considered a serious problem worldwide. The pattern of occurrence of it differs in different countries. The diabetic foot is often considered multidisciplinary in the west and it involves regular role of different specialist like vascular surgeons, plastic surgeons, orthopedicians, infectious disease specialist, etc. However, this cannot be applied to developing countries where disease occurs in different patterns and cost plays a major role. Further, the specialist managing it also differs. This 3 year audit from tertiary care centre from India shows for the first time that there is minimal role of different specialist in management of diabetic foot on regular basis. Further, the usage of modern wound therapy instrument technologies like hyperbaric oxygen therapy machine may not be required to achieve a good salvage rate. Presence of a qualified Diabetic foot surgeon at a super subspecialty level can diminish the role of different specialist and achieve good salvage rate without adding financial burden on the patients.