Different Procedures in Management of Diabetic Foot Infections

El-Maadawy, Gamal; Sabry, Alaa; Elden, A. M.; Salm, N.; Mera, María Katherine Reyes; Elkhalek, H. A.

doi:10.3923/tmr.2010.16.30

Cited by 2 publications

(2 citation statements)

References 29 publications

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“…Despite the efforts of conservative therapy, there will always be a percentage of ulcers that necessitate hospitalization. These cases may require surgical debridement, resection of distal osseus and soft tissue structure, endovascular intervention, daily dressings, strict glycemic control, and intravenous antibiotic therapy for eradication of infection [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Clinical profile and outcome of diabetic foot ulcer, a view from tertiary care hospital in Semarang, Indonesia

Pemayun

Naibaho

2017

Diabetic Foot & Ankle

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Background: This study attempted to determine the disease burden in terms of clinical profile and outcome of diabetic foot ulcer (DFU) admissions at a tertiary care hospital in a developing country. Methods: In this descriptive study, the data were collected from the medical record of diabetic patients with foot ulcer who were treated in Dr. Kariadi General Hospital during a 3-year period. The demographic characteristic, type of foot lesion, etiology, isolated microorganism, treatment, and outcome were reviewed. Results: Foot problems accounted for 16.2% of total diabetic admission (n = 1429). All patients had type 2 diabetes with no gender predominance. The mean age was 54.3 ± 8.6 years and diabetes control was very poor. Before admission, the ulcers had already developed for 4.7 ± 2.9 weeks; however, the majority of patients were unaware of the preceding causes. Ulcers were neuropathic in 42.2% of cases, neuroischemic in 29.9%, and pure ischemic at lesser percentage. More than 70% of ulcers were in Wagner grade ≥3 with infection event in nearly all patients. The most common isolates from culture were Gram-negative bacteria. A total of 98 (36.3%) lower extremity amputations (LEAs) at various level of the foot were carried out, including major LEA in 24 patients and multiple amputations in seven patients. Mortality rate due to DFU reached 10.7%. Conclusions: Diabetic foot problems constitute a source of morbidity, a reason for LEA surgery as well as being a cause of death among patients with diabetes mellitus.

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Section: Introductionmentioning

confidence: 99%

Clinical profile and outcome of diabetic foot ulcer, a view from tertiary care hospital in Semarang, Indonesia

Pemayun

Naibaho

2017

Diabetic Foot & Ankle

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“…There will always be a percentage of ulcers that require hospitalization, despite the best efforts of conservative management [4,5]. Surgical debridement, excision of the distal osseus and soft tissue structure, and endovascular surgery may be required in certain instances [6,7,8,9]. Diabetic foot issues can be life or limb threatening, but they haven't received the same amount of attention as other diabetes complications [10].…”

Section: Introductionmentioning

confidence: 99%

Clinical Profile and Outcome of Diabetic Foot Ulcer in Teritary Care Hospital

Kavipriya

Rahman

2021

JPRI

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Background: The goal of this study was to estimate the disease burden of diabetic foot ulcer (DFU) admissions in a tertiary care hospital in a developing country in terms of clinical profile and outcome. Method: In this descriptive study, the data were collected from the medical record of diabetic patients with foot ulcer who were treated in Saveetha medical college and hospital between the period of February to November 2020. The demographic characteristic, type of foot lesion, etiology, isolated microorganism, treatment, and outcome were reviewed. Results: There were 180 admissions with diabetic foot problems involving 100 patients. All of the patients had type 2 diabetes, and there was no gender bias. The average age was 50, and diabetes control was poor. The majority of patients had no knowledge what had caused their symptoms. In 56 % of cases, ulcers were neuropathic, 25% were neuro ischemic, and a smaller fraction were pure ischemia. More than 70% of ulcers were Wagner grade 3 or higher, with infection occurring in nearly every patient. Gram-negative bacteria were the most prevalent isolates from culture. A total of 30 lower extremity amputations (LEAs) were performed at various levels of the foot. Conclusion: Diabetic foot problems are a source of morbidity, a reason for LEA surgery, and a cause of death in people who have diabetes mellitus.

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Different Procedures in Management of Diabetic Foot Infections

Cited by 2 publications

References 29 publications

Clinical profile and outcome of diabetic foot ulcer, a view from tertiary care hospital in Semarang, Indonesia

Clinical profile and outcome of diabetic foot ulcer, a view from tertiary care hospital in Semarang, Indonesia

Clinical Profile and Outcome of Diabetic Foot Ulcer in Teritary Care Hospital

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