Clinical profiles of diabetic foot ulcer patients undergoing major limb amputation at a tertiary care center in North-eastern Tanzania

Shabhay, Ahmed; Horumpende, Pius; Shabhay, Zarina; Mganga, Andrew; Baal, Jeff Van; Msuya, David; Chilonga, Kondo; Chugulu, Samwel

doi:10.1186/s12893-021-01051-3

Cited by 15 publications

(9 citation statements)

References 26 publications

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“…Even if you have chosen to forgo treatment, you should still get your blood sugar levels checked if anything changes in how you feel 93 . The American Diabetes Association, the Société Francophone du Diabete, and the European Association for the Study of Diabetes all recommend adapting therapy objectives to the patient's motivation, risk of hypoglycemia and other side effects, diabetes history, life expectancy, co-morbidities, cardiovascular consequences and financial resources if treatment is selected 90 . Given the intricacy of the factors involved, an official individual, and the various consideration for diabetic assessment and care in nursing homes summarize in table 2.…”

Section: Frailtymentioning

confidence: 99%

Individualized Approaches to Diabetes Care in Nursing Homes

Majeed¹,

Sultana²,

Shakeel³

et al. 2022

PJMHS

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Although diabetes care has been widely established as a single entity, data in older, frail individuals with numerous comorbidities and have limited polymedication. This group accounts for a sizable number of nursing home residents (NHs). We came together as a group of experts with multidisciplinary (endocrinologists, geriatricians, Nurses staff, general practitioners and diabetologists) with real-world practice in this field, which is becoming more and more important globally, to compile practical, straightforward guidance on the managing of senior, fragile patients of diabetes. An Individual Care Plan (ICP), which is presented in layman's terms, is the cornerstone of a patient's diabetes treatment. This is due to the demands placed on personnel of NH (medical coordinator, manager, nurses, and caregiver working at the front lines, and the other caregiver worker which is under training). The actual purpose of this document, which is released when the patient is admitted, is to made prescriptions ensure that given at and followed after admission. It details the need for proper treatment, regular monitoring, and dates and times for essential examinations and testing. This entails keeping tabs on the patient's HbA1c, as well as their blood and urine glucose levels and any complications that may arise from the condition (hypoglycemia, cardiovascular disease, foot disorders, ocular problems, malnutrition, kidney failure and peripheral neuropathy). Consequentially, staff education on the unique challenges of care for an elderly person with diabetes, emergency procedures, and maintaining an up-to-date ICP for use by medical professionals is essential. Keywords: Diabetes care, nursing home, staff nurses

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Section: Frailtymentioning

confidence: 99%

Individualized Approaches to Diabetes Care in Nursing Homes

Majeed¹,

Sultana²,

Shakeel³

et al. 2022

PJMHS

View full text Add to dashboard Cite

show abstract

“…Even if you have chosen to forgo treatment, you should still get your blood sugar levels checked if anything changes in how you feel 93 . The American Diabetes Association, the Société Francophone du Diabete and the European Association for the Study of Diabetes all recommend adapting therapy objectives to the patient's motivation, risk of hypoglycemia and other side effects, diabetes history, life expectancy, co-morbidities, cardiovascular consequences, and financial resources if treatment is selected 90 . Given the intricacy of the factors involved, an official individual, and the various consideration for diabetic assessment and care in nursing homes summarize in the table.…”

Section: Comorbiditymentioning

confidence: 99%

Individualized Approaches to Diabetes Care in Nursing Homes

Majeed¹,

Sultana²,

Perveen³

et al. 2022

PJMHS

View full text Add to dashboard Cite

Although diabetes care has been widely established as a single entity, data in older, frail individuals with numerous comorbidities and have limited polymedication. This group accounts for a sizable number of nursing home residents (NHs). We came together as a group of experts with multidisciplinary (endocrinologists, geriatricians, Nurses staff, general practitioners and diabetologists) with real-world practice in this field, which is becoming more and more important globally, to compile practical, straightforward guidance on the managing of senior, fragile patients of diabetes. An Individual Care Plan (ICP), which is presented in layman's terms, is the cornerstone of a patient's diabetes treatment. This is due to the demands placed on personnel of NH (medical coordinator, manager, nurses, and caregiver working at the front lines, and the other caregiver worker which is undertraining). The actual purpose of this document, which is released when the patient is admitted, is to made prescriptions ensure that given at and followed after admission. It details the need for proper treatment, regular monitoring, and dates and times for essential examinations and testing. This entails keeping tabs on the patient's HbA1c, as well as their blood and urine glucose levels and any complications that may arise from the condition (hypoglycemia, cardiovascular disease, foot disorders, ocular problems, malnutrition, kidney failure and peripheral neuropathy). Consequentially, staff education on the unique challenges of care for an elderly person with diabetes, emergency procedures, and maintaining an up-to-date ICP for use by medical professionals is essential. Keywords: Diabetes, nursing home, polymedication

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“…Diabetic foot ulcer (DFU) is one of the major complications for patients with diabetes, and has become an important cause of non-traumatic amputation [ 1 – 4 ]. Most patients with DFUs display peripheral vascular disease or diabetic neuropathy, and have impaired immunity [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Distribution and drug sensitivity of pathogenic bacteria in diabetic foot ulcer patients with necrotizing fasciitis at a diabetic foot center in China

Tang

et al. 2022

BMC Infect Dis

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Background Diabetic foot ulcer is one of the major complications for patients with diabetes, and has become an important cause of non-traumatic amputation. Necrotizing fasciitis is a life-threatening soft-tissue infection involving the fascia and subcutaneous tissue. When diabetic foot ulcers are complicated by necrotizing fasciitis (DNF), this increases the risk for amputation and mortality, making DNF treatment more complicated, and eventually leading to amputation and mortality. However, studies on pathogenic bacteria’s distribution and drug sensitivity in DNF patients remain lacking. This study investigated the distribution and susceptibility of pathogenic bacteria in DNF patients, and provided empirical antibacterial guidance for the clinic. Methods In a single diabetic foot center, the results from microbial cultures and drug susceptibility tests of patients with DNF from October 2013 to December 2020 were collected and analyzed. Results A total of 101 DNF patients were included in this study, of whom 94 had positive culture test results. A total of 124 pathogens were cultured, including 76 Gram-positive bacterial strains, 42 Gram-negative bacterial strains, and six fungal strains. Polymicrobial infections accounted for 26.7% and monomicrobial infections accounted for 66.3%. Staphylococcus aureus was the most common bacterium isolated, followed by Enterococcus faecalis and Streptococcus agalactiae. Pseudomonas aeruginosa, Klebsiella pneumoniae, and Proteus mirabilis were the most common Gram-negative bacteria. Thirty-five strains of multi-drug resistant bacteria were isolated, representing 28.2% of the total isolates. Gram-positive bacteria were more sensitive to levofloxacin, moxifloxacin, vancomycin, teicoplanin, tigecycline, and linezolid, while Gram-negative bacteria were more sensitive to amikacin, piperacillin/tazobactam, cefoperazone/sulbactam, ceftazidime, cefepime, imipenem, and meropenem. Conclusions Gram-positive bacteria were the main bacteria isolated from DNF patients. The bacterial composition, the proportion of multi-drug resistant bacteria among the pathogens, and the high risk for amputation should be fully considered in the initial empirical medication, and broad-spectrum antibacterials are recommended.

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Clinical profiles of diabetic foot ulcer patients undergoing major limb amputation at a tertiary care center in North-eastern Tanzania

Cited by 15 publications

References 26 publications

Individualized Approaches to Diabetes Care in Nursing Homes

Individualized Approaches to Diabetes Care in Nursing Homes

Individualized Approaches to Diabetes Care in Nursing Homes

Distribution and drug sensitivity of pathogenic bacteria in diabetic foot ulcer patients with necrotizing fasciitis at a diabetic foot center in China

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