خلاصة:
Diabetic septic foot (DSF) is a serious complication of diabetes mellitus (DM) as it is associated with high amputation rate, thereby DSF imposes socioeconomic burden to both; the patients` family and health sectors. The aim of this study was to identify the prevalence and risk factors associated with DSF among diabetic patients admitted to Hospitals in Khartoum State.A case-control study was conducted. Diabetic septic foot (DSF) represents cases and diabetic patients as controls. The results of the present study showed that; 74 out of the 154 DM (48.1%)recruited for the studyhave DSF. Sixty nine point nine percent of them having grade 3,4 and 5 according toWagner’s classification.Fifty two percent of the DSF are at age group ≤60 and 83.8% of the DSF weremales. A highly significant gender difference was observed (p=0.001) with male risk = 4.5 folds that of females (OR=4.55).Ninety five point seven percent of DSF and 86.6% of DM are at low socioeconomicstatus,such low status increases the risk of DSF more than three folds (OR=3.4).Family history of diabetes showed no significant difference between the two groups (p=0.62). Retinopathy shows high significant association with DSF predisposition and it increases the risk of DSF to four folds (P=0.011, OR=4.33). However hypertension and heart diseases are insignificantly associated with DSF (OR=0.39 and 0.17 respectively).Alcohol consumption and smoking cigarette increase the risk of DSF predisposition tomore than 8 folds (OR=8.8) and 2 folds (OR=2.69) respectively.