Microbiological Aspects of Necrotising Fasciitis Among Type II Diabetes Mellitus in a Tertiary Care Hospital

Abstract

Objective: To Elucidate the microbiological aspect of necrotizing fasciitis among type 2 Diabetes Mellitus patients. Design: This is a prospective descriptive study conducted in a tertiary care centre in a metropolitan city. Subjects/Patients: adult with type II diabetes mellitus patients who were diagnosed to have necrotizing fasciitis. Methods: Tissue for culture and histopathology was sent and work up for sepsis done. All details were entered in the Performa designed for entering the data, recording of treatment, antibiotics used, surgical procedures and outcome of every patient was recorded and analysed. Results: There were a total of 61 patients enrolled in our study, out of which there 43.5% had controlled sugars. The mean average age was 56.6±10.22 years. Cultured organism the most common organism grown in our clinical set up being beta-hemolytic streptococci. Sensitivity pattern most commonly was sensitive to clindamycin. Conclusion: Necrotizing fasciitis is a common condition encountered in our setup and high degree of suspicion is required acutely swollen limb in a diabetic patient. A detailed foot care is essential in these patients as they are prone for more severe infection than those followed foot care. start on 3rd generation cephalosporins and an extensive debridement.