Prevalence of diabetic foot ulceration and associated risk factors: an old and still major public health problem in Khartoum, Sudan?

Almobarak, Ahmed O.; Awadalla, Heitham; Osman, Mugtaba; Ahmed, Mohamed H.

doi:10.21037/atm.2017.07.01

Cited by 82 publications

(69 citation statements)

References 19 publications

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“…The previous study reported retinopathy, neuropathy, and septic foot in 72.6 per cent, 68.2 per cent, and 12.7 per cent respectively, the findings were higher than the present findings. The lower rates of diabetes septic foot in the present sample compared to a previous study 19 conducted in Khartoum, Sudan (18.1 per cent vs. 2.5 per cent) may be due to the difference in the duration of diabetes or the degree of glycaemic control.…”

Section: Discussioncontrasting

confidence: 84%

The relationship between periodontitis and diabetic retinopathy: A cross-sectional longitudinal study

ALBalawi¹,

Alali²,

Alenezi³

et al. 2020

amj

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RESEARCHPlease cite this paper as: Albalawi HB, Alali NM, ALEnezi SH, Mirghani HO. The relationship between periodontitis and diabetic retinopathy: A cross-sectional longitudinal study. AMJ 2020;13(2):50-54. ABSTRACT BackgroundPeriodontal disease is regarded as the sixth complication of diabetes mellitus. The association of periodontitis with diabetic retinopathy is controversial. AimsThe study aimed to assess the association of periodontitis with diabetic retinopathy.

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Section: Discussioncontrasting

confidence: 84%

The relationship between periodontitis and diabetic retinopathy: A cross-sectional longitudinal study

ALBalawi¹,

Alali²,

Alenezi³

et al. 2020

amj

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“…The prevalence of diabetic foot ulcer is about 13% in North America, 3% in Europe, 7.2% in Africa, 18.1% in Khartoum, Sudan, 15% in Tanzania, 13% in Cameroon and 9.5% in Nigeria (Almobarak et al 2017).…”

Section: Introductionmentioning

confidence: 99%

Aerobic bacteria associated with diabetic foot ulcers and their susceptibility pattern

2019

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Background: Foot ulcers in diabetes mellitus subjects cause morbidity and mortality and lead to non-traumatic amputations worldwide. Knowledge of the microbial burden in the ulcers may improve patients' care and management. Objectives: This prospective study was designed to isolate, identify and carry out antibiotic susceptibility testing on bacterial isolates associated with diabetic foot ulcers among subjects in University of Calabar Teaching Hospital. Methods: Subjects with diabetic foot ulcer were recruited after obtaining ethical clearance from the Research Committee and informed consent from the subjects. Samples were obtained from subjects using sterile swabs and subjected to microscopy and culture. Isolates were identified using standard bacteriological techniques. Kirby-Bauer method was used for susceptibility testing. Results: Out of the 50 subjects recruited, 19 (38.1%) were males and 31 (62.0%) were females with mean age of 55.4 ± 10.1 and a minimum age of 40.0 years. All the subjects had grade 4 wounds. The study recorded 100% infection rates among subjects with 70.0% polymicrobial infections. A total of 97 isolates were obtained from the 50 subjects accounting for the average of 1.94 isolates per subject. The most prevalent isolate was Staphylococcus aureus (32 (32.9%)), while the least isolated pathogen was Klebsiella pneumonia (10 (20.4%)). Females harboured more isolates (61 (62.9%)) than males (36 (37.1%)), but infection rates were not significantly associated with gender (χ² = 15.0, p ≥ 0.05). Erythromycin was the most effective antibiotic agent (65.6%) against S. aureus while gram-negative bacteria were more susceptible to augmentin (87.5%) and ciprofloxacin (75.0%). Conclusion: The multiple antibiotic resistance of the bacterial isolates calls for the need to monitor resistance. The best practice is to perform antibiotic susceptibility testing before treatment. Wounds should be evaluated for bacterial agents before treatment is instituted. Information on the mi.uction of morbidity and amputation rates on the patients.

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“…However, some studies in line with our study had reported a higher frequency of DFU. For instance, studies in Sudan, India, and North America have reported the DFU prevalence of 18.1%, 14.3%, and 13.0%, respectively (7,11,12). As one of the most common diabetes-related complications, DFU leads to serious outcomes such as premature mortality, disability, and low quality of life (16).…”

Section: Discussionmentioning

confidence: 99%

“…ioral factors such as smoking have been reported as the most important determining factors of DFU (11)(12)(13)(14).…”

Section: Introductionmentioning

confidence: 99%

Frequency of Diabetes Foot Ulcer and Related Factors Among Adult Diabetic Patients in the Diabetes Center of Kerman, Iran

Khalooei

Meymand

2019

Shiraz E-Med J

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Background: Diabetic Foot Ulcer (DFU) as one of the main complications of diabetes mellitus has serious outcomes such as infection, foot amputation, low quality of life, and premature death. Objectives: This study was conducted to assess the DFU prevalence and its related factors among diabetic patients. Methods: The population of this cross-sectional study included adult diabetic patients in the Diabetes Center of Kerman University of Medical Sciences. The data were recorded in a questionnaire using patients' medical records, interviews with them, and physical examination. The collected data were imported to SPSS version 22 software and analyzed. Results: Of 400 diabetic patients enrolled in the study, 69% (n = 276) were female. The mean (± SD) of their age was 57.1 (± 11.9) years and 72% (n = 288) were younger than 65. The frequency of DFU during the total course of the disease and its annual prevalence were 17.3% (n = 69) and 11.8% (n = 49) among diabetic patients, respectively. More than one-third (37.7%) of the DFU patients and 6.6% of all the patients were admitted to a hospital due to DFU. Major or minor amputation was performed for 14.5% (n = 10) of the total DFU patients and 2.5% of the total patients. Having diabetes-related complications was determined as the strongest predictor of DFU (OR = 7.016, 95% CI = 2.67-18.38), followed by smoking (OR = 3. 80, 95% CI = 2.06-6.99) and age over 64 years (OR = 3.70, 95% CI = 1.299-10.568). Conclusions: The frequency of DFU was high among diabetic patients attending the Diabetes Center of Kerman University of Medical Sciences. Also, hospital admission and foot amputation due to DFU had a considerable frequency. Therefore, there is a crucial need to improve the quality of foot care services and emphasize foot self-care as essential components of diabetes self-management at all levels of the health service delivery system to decrease the risk of DFU.

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Prevalence of diabetic foot ulceration and associated risk factors: an old and still major public health problem in Khartoum, Sudan?

Cited by 82 publications

References 19 publications

The relationship between periodontitis and diabetic retinopathy: A cross-sectional longitudinal study

The relationship between periodontitis and diabetic retinopathy: A cross-sectional longitudinal study

Aerobic bacteria associated with diabetic foot ulcers and their susceptibility pattern

Frequency of Diabetes Foot Ulcer and Related Factors Among Adult Diabetic Patients in the Diabetes Center of Kerman, Iran

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