Epidemiology of Diabetic Foot Infections in an Eastern Caribbean Population: A Prospective Study

Islam, Shariful; Harnarayan, Patrick; Cawich, Shamir O; Budhooram, Steve; Bheem, Vinoo; Mahabir, Vijai; Ramsewak, Samuel; Aziz, Imran; Naraynsingh, Vijay

doi:10.7812/tpp/12-126

Cited by 22 publications

(31 citation statements)

References 18 publications

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“…So far as we know, this is the largest study of retired workers to study shift work and its association with retired workers’ sleeping quality, and widely concerned aging people chronic diseases: diabetes and hypertension. Unfortunately, We cannot distinguish type 2 diabetes from type 1 diabetes in our study, but studies have confirmed that type 2 diabetes takes up 93% of diabetes patients in the elderly [41]. Furthermore, we did not collect data on dietary patterns, income and environmental noise; therefore we were unable to evaluate the confounding influences.…”

Section: Discussionmentioning

confidence: 83%

The Effects of Shift Work on Sleeping Quality, Hypertension and Diabetes in Retired Workers

et al. 2013

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BackgroundShift work has been associated with adverse health effects by disturbing circadian rhythms. However,its potential long-term health effects and the persistent effects after leaving shifts have not been well established.Methods and ResultsWe studied 26,463 workers from Tongji-Dongfeng Cohort in China. All the participants are retired employees of Dongfeng Motor Company. Information on demographics, occupational history and medical history were gathered through questionnaires. After adjusting potential confounders in the logistic regression models, shift work was associated with poor sleeping quality, diabetes and hypertension independently. We observed significant effects of shift work on poor sleeping quality, diabetes and hypertension; the ORs (95%CI) are 1.18 (1.09–1.27), 1.10 (1.03–1.17) and 1.05 (1.01–1.09) respectively. In the further analysis, we found elevated ORs (95%CI) for participants with poor sleeping quality, the ORs (95%CI) are 1.34 (1.08–1.60), 1.13 (1.05–1.21), 1.05 (1.03–1.07) and 1.05 (1.01–1.09) for 1–4, 5–9, 10–19, ≥20 years of shift work respectively. However, with the extension of leaving shift work duration, the effects of shift work on sleep quality gradually reduced.ConclusionsShift work may be an independent risk factor for sleeping quality, diabetes and hypertension even in retired workers. Applicable intervention strategies are needed for prevention of sleep loss, diabetes, and hypertension for shift workers.

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Section: Discussionmentioning

confidence: 83%

The Effects of Shift Work on Sleeping Quality, Hypertension and Diabetes in Retired Workers

et al. 2013

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“…Long‐term hyperglycemia may not only result in peripheral diabetic neuropathy, but also causes damaging pathological changes in blood vessels and local tissues. Cutaneous tissues with long‐lasting hyperglycemic blood supply may become thinner and fragile, making them more susceptible to damage by physical force or chemical reagents . Diabetic neuropathy is a common diabetic complication that can be found in 30–50% diabetic patients.…”

Section: Discussionmentioning

confidence: 99%

The risks and external effects of diabetic foot ulcer on diabetic patients: A hospital‐based survey in Wuhan area, China

Zhong

Wang

et al. 2017

Wound Repair Regeneration

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Diabetic foot ulcer (DFU) is a common complication observed in diabetic patients and affects diabetic patients in multiple ways. Severe DFU even leads to amputation in many cases. Early detection and intervention of DFU in diabetic patients can significantly relieve the pain caused by the ulcer and also keep patients from losing limbs in severe cases. In this study, the risks of diabetic patients getting DFU were estimated through a hospital‐based survey. This survey collected information from hospitalized diabetic patients in Wuhan City, Hubei Province, China, using a questionnaire. This investigation includes studies from two stages with 502 diabetic patients from 20 hospitals in Wuhan City. The results suggested that patients with a long history of diabetes are often associated with a high risk of DFU (χ2 = 11.428, p = 0.0007), smoking (χ2 = 8.386, p = 0.0007), diabetic complications (χ2 = 13.484, p < 0.0001), and especially patients with diabetic foot complications (χ2 = 57.6621, p < 0.0001). Foot lesions appeared to be important attributors to DFU since our data demonstrated close correlations between DFU and patients with calluses/corns (χ2 = 4.584, p = 0.0323), tinea pedis (χ2 = 4.030, p = 0.0447), and cracked skin (χ2 = 8.712, p = 0.0032). Only a small number of patients seek for the assistance from specialists, such as trimming toenails (3.4%), removing corn or calluses (1.4%) or treating wounds (11.78%), when they are suffering from foot problems. The findings of this study can potentially be utilized to develop an early DFU diagnostic method in diabetic patients and can provide objective evidence for suggesting that patients who are suffering from foot problems should seek professional help.

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“…Similar high prevalence of diabetic foot and associated complications were found in a study in China (Wu et al, 2015). Even higher prevalence rates were reported in a study carried out in the Eastern Caribbean region (Islam et al, 2013).…”

Section: Discussionmentioning

confidence: 83%

Diabetic Foot Among Elderly at Zagazig City: Risk Factors and Foot Care Practices

Hagrass¹,

Mohamed²

2016

AJNS

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Abstract:Background: Foot health problems are common in the elderly due to pathological changes in their feet. The aim of this study was to identify diabetic foot risk factors among the elderly at Zagazig City Subjects and methods; Analytic cross sectional study design was utilized. The study was conducted at Zagazig health insurance clinic for the elderly diabetic patients with purposive sample composed of (280) of the elderly diabetic patients. Tools, tool I, Interview questionnaire sheet composed of four parts (socio demographic characteristics, medical past &present history of diabetes, assessing patient foot care practice and assessment of risk factors of diabetic foot) and tool II, physical assessment of diabetic foot condition. Results it revealed that approximately one-half of the patients were 60-65 years old, only more than the third of studied patients had adequate foot care practice; the foot inspection revealed that the majority of them had abnormal foot and statistically significant relations between patients practice and their level of education, job type and income. The foot inspection revealed that the patients had no infection, no ulcer and no low blood flow had a higher percentage of normal examination. Conclusion The study found several factors associated with higher incidence of diabetic foot among the elderly diabetic patients including: low educational level, longer duration of diabetes, smoker, lack of foot care and poor footwear. Recommendations: Educate diabetic patients, about diabetic foot care practice through educational program to reduce the risk of complications.

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Epidemiology of Diabetic Foot Infections in an Eastern Caribbean Population: A Prospective Study

Cited by 22 publications

References 18 publications

The Effects of Shift Work on Sleeping Quality, Hypertension and Diabetes in Retired Workers

The Effects of Shift Work on Sleeping Quality, Hypertension and Diabetes in Retired Workers

The risks and external effects of diabetic foot ulcer on diabetic patients: A hospital‐based survey in Wuhan area, China

Diabetic Foot Among Elderly at Zagazig City: Risk Factors and Foot Care Practices

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