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2017 ; 8
(1
): 1367210
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Clinical and surgical characteristics of infected diabetic foot ulcers in a
tertiary hospital of Mexico
#MMPMID28904744
Cervantes-García E
; Salazar-Schettino PM
Diabet Foot Ankle
2017[]; 8
(1
): 1367210
PMID28904744
show ga
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.
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