Diabetic hand infection in the tropics

Gill, Geoff; Archibald, Lennox K.; Abbas, Zulfiqarali G.

doi:10.1002/pdi.530

Cited by 5 publications

(15 citation statements)

References 7 publications

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“…Ampu tation rates due to diabetic hand infections range from 14-35 % [10]. Moreover, in a previous study, only 54 % of patients recovered without any complications, while 20 % died [11]. Therefore, a multi disciplinary approach is vitally needed in the treatment of diabetic…”

Section: Introductionmentioning

confidence: 99%

Is the Preoperative Glycated Hemoglobin (HbA1c) Level Predictive of the Severity of Diabetic Hand Infection According to Surgical and Clinical Outcomes?

Gürbüz

Ekinci

2019

Exp Clin Endocrinol Diabetes

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Objective We purposed to investigate whether preoperative HbA1c level is associated with the severity of surgical treatment in diabetic hand infection cases. Materials and Methods Between December 2015 and October 2018, 102 patients were surgically treated due to diabetic hand infection. Of the patients, 75 who met the criteria for diabetic hand infection were included in the study. The patients were divided into two groups: Group 1, < 8.5% HbA1c level (poorly controlled); and Group 2, 8.5% or higher HbA1c level (uncontrolled). Preoperative, intraoperative, and postoperative data were recorded. Drainage, VAC, ray/open amputation, and microsurgical reconstruction were performed according to the examination and clinical findings. p<0.05 was considered statistically significant. Results The study groups consisted of 41 patients (5 female/36 male; median age 59 years, range 32–68) in Group 1 and 34 patients (6 female/28 male; median age 62 years, range 28–67) in Group 2. The mean follow-up period was 21.14±10.42 months in Group 1 and 16.70±10.19 months in Group 2, which were not significantly different (p>0.05). The most common microbiological pathogen was polymicrobial in both study groups (39% in Group 1 and 41.2% in Group 2). Drainage was the most common surgical procedure in both groups and there was no significant difference between the groups in terms of the surgical techniques that were used (p>0.05). Conclusion Although HbA1c level is an important biomarker for monitoring glycemia in diabetic patients, it is not associated with the severity of surgical treatment in diabetic hand infections.

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Section: Introductionmentioning

confidence: 99%

Is the Preoperative Glycated Hemoglobin (HbA1c) Level Predictive of the Severity of Diabetic Hand Infection According to Surgical and Clinical Outcomes?

Gürbüz

Ekinci

2019

Exp Clin Endocrinol Diabetes

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“…This is linked to the responsibility of women for farming and planting crops in rural areas in Africa (40,41). Reviewing the literature, we found male dominance overall in subject ratio.…”

Section: Discussionmentioning

confidence: 76%

“…Furthermore, hand elevation, optimal glycemic control, aggressive intravenous antibiotics, early and adequate surgical incision and drainage of pus, debridement of necrotic tissue, and in some cases prompt amputation must be performed if indicated (40,41). In a study where the rate of amputation was 39%, the increased rate of amputation was attributed to deep tissue infection, renal failure, and polymicrobial infections (27).…”

Section: Discussionmentioning

confidence: 99%

“…The majority of reports related to hand infections in diabetes are from developing countries in the tropical world and it is defined as diabetic hand syndrome with musculoskeletal manifestations such as limited joint mobility, Dupuytren's contracture, and trigger fingers (10,11,(13)(14)(15)17,19,21,24,31,37,40,41). Diabetes and related complications are common in Turkey but only three studies about hand complications related to diabetes from this country were found in the literature (2,6,20).…”

Section: Discussionmentioning

confidence: 99%

“…In most of the published reports related to tropical hand syndrome in developing countries in the tropical world, the majority of the subjects were female (11,14,19,40,41). This is linked to the responsibility of women for farming and planting crops in rural areas in Africa (40,41).…”

Section: Discussionmentioning

confidence: 99%

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Hand infection in patients with diabetes: a series of 17 cases and a pooled analysis of the literature

2018

Turk J Med Sci

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The aim of this study was to report the clinical characteristics and the treatment outcomes of hand infections in diabetic patients and to review the literature. Materials and methods:The medical records of 17 patients with diabetic hand infections admitted to the Diabetic Foot Care Center of two different clinics from January 2012 to October 2017 were reviewed. To perform the pooled analysis, published series (32 studies) were searched in two international databases (www.scopus.com and www.pubmed.com).Results: Of the 17 patients (mean age 61.7 ± 8.5 years), 8 (47.1%) were female. All cases were type 2 diabetes mellitus. The mean duration of diabetes was 9.0 ± 5.96 years and the mean HbA1c was 7.86 ± 1.88%. There was necrosis in 8 patients (47.1%). The most common causes were injury during saw and hammer use in 5 patients (29.4%) and injury due to inappropriate nail cutting in 3 patients (17.6 %). Nine (52.9%) patients were operated on. No patients underwent any major amputations or died. In 32 publications, 704 patients with diabetic hand infections were found. The average age was 53.43 years (n = 591) and 84.29% of patients (322/382) were found to have type 2 DM. The mean duration of diabetes was 4.12 years (n = 317) and the mean HbA1c was 10.58% (n = 140). The rate of surgical operation was 74.59% (323/433). Conclusion:Diabetic hand injuries often occur when using hand tools such as hammers, saws, and knives, and when cutting nails. It is necessary to use conservative treatment rather than amputation. These patients should consult experienced health care professionals.

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Tropical diabetes hand syndrome with autoamputation of the digits: case report and review of literature

Raimi¹,

Alese²

2014

Pan Afr Med J

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The tropical diabetes hand syndrome is a complication affecting patients with diabetes mellitus in the tropics, and consists of localized cellulitis, swelling and ulceration of the hands which may progress to fulminant sepsis and gangrene of the whole limb. It is associated with a poor outcome. We report a 32 year old woman with tropical diabetes hand infection with autoamputation of the digits, review the relevant literature, and highlight the need for prevention and early hospital presentation in diabetics with hand infection, in order to prevent potentially crippling or fatal complications.

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Diabetic hand infection in the tropics

Cited by 5 publications

References 7 publications

Is the Preoperative Glycated Hemoglobin (HbA1c) Level Predictive of the Severity of Diabetic Hand Infection According to Surgical and Clinical Outcomes?

Is the Preoperative Glycated Hemoglobin (HbA1c) Level Predictive of the Severity of Diabetic Hand Infection According to Surgical and Clinical Outcomes?

Hand infection in patients with diabetes: a series of 17 cases and a pooled analysis of the literature

Tropical diabetes hand syndrome with autoamputation of the digits: case report and review of literature

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