The challenge of diabetic foot care: Review of the literature and experience at Queen Elizabeth Central Hospital in Blantyre, Malawi

Kasiya, Marianne M; Mang’anda, G; Heyes, Sue; Kachapila, Rejoice; Kaduya, Lydia; Chilamba, Joy; Goodson, Patrick; Chalulu, K; Allain, Theresa J.

doi:10.4314/mmj.v29i2.26

Cited by 33 publications

(36 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…According to theatre registers for three central hospitals fifty-six (56) cases of amputations were reported for 2017 (unpublished data from theatre registers for 2017). Although Kasiya and colleagues [1] in their study showed a decrease in the number of amputation at a QECH the from 18 in 2010 to 11 in 2016, the number of diabetic foot ulcers was still high. However the study showed high numbers of patient with DFU were lost to follow up.…”

Section: Nature and Magnitudementioning

confidence: 83%

“…There is limited evidence available on the burden of diabetic foot amputation in Malawi; the prevalence of diabetic complications including diabetic foot ulcers have not been described well in studies [1]. However there has been an increase in the number of patients with DFU that may lead to major amputations, toe amputation as and wound debridement among hospitalized diabetic patients in most.…”

Section: The Problemmentioning

confidence: 99%

“…Health care workers are not trained and mentored on diabetic care foot management and education. According to [1] health care providers at QECH diabetic clinic have been trained in foot care and management including other district hospitals and health centres in the south. This has improved diabetic foot care and reduced rate of amputations.…”

Section: Patient and Providersmentioning

confidence: 99%

“…This option allows for the capture and identification of undiagnosed diabetes among people in community population and links them for early treatment and management. [1] reports that the prevalence of impaired blood glucose and diabetes is high (5.4%) in rural areas than in urban areas. This means that most people in the rural areas have undiagnosed diabetes and needs to be screened and referred early for treatment to prevent foot complications.…”

Section: Diabetic Screening Treatment Follow-up and Subsequent Refementioning

confidence: 99%

See 3 more Smart Citations

An Evidence-Based Policy Brief Improving Foot Care in Diabetic Patients: Reduces Amputations

Chinkhata¹

2019

JDM

View full text Add to dashboard Cite

Included: • Description of a health system problem; • Possible options for addressing this problem; • Strategies for implementing these options. Not included: recommendations This policy brief does not make recommendations regarding which policy to choose. Who is this policy brief for? Policymakers, healthcare professionals, training institutions and other stakeholders that have an interest in the problem addressed in this evidence-based policy brief, Community leaders, non-governmental organizations. Why was this policy brief prepared? To inform discussions about health policies and programmes in relation to diabetic foot care by summarising relevant literature available on foot care in diabetic patients and possible solutions to reduce amputations. What is an evidence-based policy brief? Evidence based policy briefs bring together global research evidence (from systematic/literature reviews) and local evidence to inform discussions about health policies and programmes. Systematic review: A summary of studies addressing a clearly formulated question that uses systematic and explicit methods to identify, select, and critically appraise the relevant research, and to collect and analyze data from this research.

show abstract

Section: Nature and Magnitudementioning

confidence: 83%

Section: The Problemmentioning

confidence: 99%

Section: Patient and Providersmentioning

confidence: 99%

Section: Diabetic Screening Treatment Follow-up and Subsequent Refementioning

confidence: 99%

See 2 more Smart Citations

An Evidence-Based Policy Brief Improving Foot Care in Diabetic Patients: Reduces Amputations

Chinkhata¹

2019

JDM

View full text Add to dashboard Cite

show abstract

“…The DFU is a leading cause of hospital admission in diabetic patients (9). The studies found that between 20 and 50% of hospitalization episodes of diabetic patients were due to DFU (9,17). A study showed that the mean duration of hospitalization was 11.4 days and the cost imposed on each hospitalized DFU patient was 7636 Euros (18).…”

Section: Discussionmentioning

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

View full text Add to dashboard Cite

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.

show abstract

Potassium permanganate in treatment of diabetic foot ulcer: A randomized clinical trial

Haghdoost,

Mobayen,

Baghi

et al. 2024

Health Science Reports

View full text Add to dashboard Cite

Background and AimsDiabetic foot ulcers (DFU) are a severe complication in diabetes patients, often resulting in significant morbidity and mortality due to non‐healing. This study investigated the effectiveness of 5% topical potassium permanganate on these ulcers.MethodsA clinical trial was conducted on 23 patients with Wagner grade I and II DFU. Patients in the control group received standard treatment, while those in the intervention group also received 5% potassium permanganate topically. Data were recorded at 0, 7, 14, and 21 days for analysis.ResultsAmong 23 patients studied, 7 (30.4%) were male and 16 (43.7%) female, with an average age of 59 ± 4 years. Both groups showed a statistically significant decrease in wound size and infection over time (p < 0.001). The intervention group, however, had a more substantial reduction in wound size and infection rate (p < 0.05).ConclusionPotassium permanganate, when applied topically, is both well‐tolerated and effective in enhancing wound healing and reducing infection in DFU, suggesting its potential as a complementary treatment.

show abstract

The challenge of diabetic foot care: Review of the literature and experience at Queen Elizabeth Central Hospital in Blantyre, Malawi

Cited by 33 publications

References 26 publications

An Evidence-Based Policy Brief Improving Foot Care in Diabetic Patients: Reduces Amputations

An Evidence-Based Policy Brief Improving Foot Care in Diabetic Patients: Reduces Amputations

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

Potassium permanganate in treatment of diabetic foot ulcer: A randomized clinical trial

Contact Info

Product

Resources

About