Clinical and surgical characteristics of infected diabetic foot ulcers in a tertiary hospital of Mexico
Por:
Cervantes-Garcia, Estrella, Maria Salazar-Schettino, Paz
Publicada:
6 sep 2017
Resumen:
Background: The objective of this study was to determine the clinical
and surgical characteristics of diabetic foot ulcers in a tertiary level
hospital in Mexico.
Methods: We performed a longitudinal, descriptive study from July, 2012
to August, 2015 on a sample composed of 100 patients with type 2
diabetes mellitus and infected diabetic foot ulcers. We analyzed
socio-demographic variables, comorbidities, characteristics of ulcers,
and the applied treatment.
Results: We found that the most affected areas were the forefoot (48%)
and the plantar region (55%) of the foot. Also, most of the patients
arrived with advanced stages of diabetic foot ulcers, since 93% of the
lesions were of grades III-V according to the Wagner classification.
Moreover, lesions usually present with advanced states of infection,
since 60% of the lesions were of grades 3-4 in the PEDIS scale. In
addition, the great majority of the patients are prone to complications
because we found that 43% of the patients suffered from hypertension,
47% of the patients had chronic kidney disease, and 45% reported
smoking. In fact, 45% of the patients eventually suffered an
amputation. We also found that the situation is more difficult because
the great majority of the patients (96%) have a low level of education
and very low income and they do not have any health insurance.
Nevertheless, we also found that an efficient treatment can help in
avoiding amputations, since 53% of grade IV and 25% of grade V lesions
according to the Wagner system did not suffer an amputation.
Conclusions: Therefore, an effective antibiotic treatment and an
education of the patient on the adequate care of their lesions are
essential in increasing the welfare of patients, especially when they
have a low level of education.
Filiaciones:
Cervantes-Garcia, Estrella:
Univ Nacl Autonoma Mexico, Fac Med, Ave Univ 3000, Mexico City 0410, DF, Mexico
Maria Salazar-Schettino, Paz:
Univ Nacl Autonoma Mexico, Fac Med, Ave Univ 3000, Mexico City 0410, DF, Mexico
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