The major clinical outcomes of diabetic foot infections: One center experience
| Autor: | Adem Özkara, Mehmet Fettah Arikan, Tuncay Delibasi, Yusuf Selcoki |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Gangrene
medicine.medical_specialty business.industry Vascular disease medicine.medical_treatment microbiology General Medicine medicine.disease Diabetic foot Surgery Peripheral neuropathy Amputation amputation Internal medicine Diabetes mellitus medicine risk factors Medicine Complication business diabetic foot Foot (unit) |
| Zdroj: | Open Medicine, Vol 3, Iss 4, Pp 464-469 (2008) |
| ISSN: | 2391-5463 |
| DOI: | 10.2478/s11536-008-0018-x |
| Popis: | Diabetes mellitus with its limb and life-threatening complications such as diabetic foot infection and amputation are increasing at epidemic rates all over the world. The objective of this study was to determine the rate of lower extremity amputation, the risk factors and the bacteriologic profile for diabetic foot lesions. The records of all 84 patients with diabetic foot infections of a large general hospital over a 4-year period were retrospectively included. The most commonly isolated pathogens were Staphylococcus aureus (39%), Pseudomonas aeruginosa (14%), Proteus mirabilis (14%), Escherichia coli (14%), Group B streptococci (12%), and Klebsiella pneumonia (8%). The variables, independently associated with higher foot infections, were inadequate diabetic regulation (93%), peripheral neuropathy (88.1%), peripheral vascular disease (73.8%), smoking (56%), past history of ulcer (28.5%), penetrating injury (20.3%), inadequate foot wear (15%) and Charcot osteoartropathy (10.7%). The general amputation rate was 38.1%. Diabetic foot ulcers and its complication rates including infection, gangrene and lower extremity amputation in Turkey are still high. Preventive care of the foot in patients with diabetes mellitus is extremly important. Therefore early diagnosing of risk factors for diabetic foot infections in the primary care setting and their adequate therapy under multidisciplinary approach should not be neglected. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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