Prevention and Treatment of Leg and Foot Ulcers in Diabetes Mellitus

Boike, Allan; Maier, Marc A.; Logan, Daniel

doi:10.1016/b978-1-4160-6643-9.00057-6

Cited by 8 publications

(4 citation statements)

References 14 publications

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“…People with diabetes have about a 25% chance of developing a foot ulcer in their lifetime (Spichler et al, 2015). Most lower extremity amputations in the United States are preceded by a foot ulcer (Boike et al, 2010). In a study by Raja polymicrobial growth was found in 42.8% and 57.2% patients had pure growth whereas in our study the rate of isolation was 34% and 66% respectively.…”

Section: Resultscontrasting

confidence: 48%

Diabetic Foot Infections: Characterization and Antibiotic Resistance Pattern of Aerobic Bacterial Isolates in a Tertiary Care Hospital of North Kerala

George¹,

Ameena²

2017

Int.J.Curr.Microbiol.App.Sci

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Section: Resultscontrasting

confidence: 48%

Diabetic Foot Infections: Characterization and Antibiotic Resistance Pattern of Aerobic Bacterial Isolates in a Tertiary Care Hospital of North Kerala

George¹,

Ameena²

2017

Int.J.Curr.Microbiol.App.Sci

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“…2 Lower extremity amputations in the United States are preceded by a foot ulcer. 3 Objective of the paper is to study the culture and sensitivity pattern of aerobic bacterial isolates in diabetic foot infections, in a suburban tertiary care hospital in Mumbai.…”

Section: Introductionmentioning

confidence: 99%

Culture and sensitivity pattern of aerobic bacterial isolates in diabetic foot infections, in a suburban tertiary care hospital in Mumbai

2021

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Background: The most common complication observed in patients with diabetes mellitus is diabetic foot infection; it is the bone or soft tissue infection below the malleoli. The most common pathogens involved in this infection are Staphylococcus species and beta haemolytic streptococci. Severe, chronic, or formerly dealt with infections are usually polymicrobial. Hence, the aim of the study was to understand the microbiological profile and antimicrobial susceptibility pattern of pathogens causing diabetic foot infections.Methods: Post approval from Institutional Ethics Committee, a retrospective study was carried out based on review of records of 117 patients with diabetic foot infections over two-year period from 2018 through 2019. All demographical and microbiological data was analysed.Results: Out of 117 patients of diabetic foot infections, 71 (60.68%), patients showed bacterial growth. Amongst 71 patients 45% of patients had gram positive infection. 52% patients had gram negative infection. 3% patients had poly-microbial growth. Most common organism isolated were Staphylococcus aureus 28%, Morgaellamorgagni 11%, Proteus mirabilis 9%, Citrobacter koseri 8%, E. coli 8%. Incidence of Staphylococcus aureus (MRSA and MSSA) was 3% each. Staphylococcus aureus had sensitivity to Rifampicin, Cefoperazone, Tigecycline.Conclusions: Diabetic foot infections are common complication worldwide. Understanding the microbiology will help to deal better in management and prognosis of patients. Hence, it is mandatory to characterize the causative agents, and its antimicrobial susceptibility pattern to ensure successful outcome of diabetic foot infections.

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“…The development of neurotrophic foot ulcers in patients with diabetes mellitus has several components, including neuropathy, biomechanical pressure and vascular supply disorders. Peripheral neuropathy is clearly the dominant factor in the pathogenesis of diabetic foot ulcers 9 .…”

Section: Introductionmentioning

confidence: 99%

A Case Report on the Siddha Management of Diabetic Foot Ulcer (Dfu): Left Plantar Foot

Samraj¹,

Kannan²,

Sathiyarajeswaran³

2019

Int. J. Res. Ayurveda Pharm.

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Background: Diabetic foot ulcer (DFU) is quoted as Madumegapun (Diabetic Ulcer) in the Siddha literatures. Diabetic foot is one of the most significant and devastating complications of diabetes and is defined as a foot affected by ulceration that is associated with neuropathy. Case Report: Sixty-one years old male from sub-urban area of Chennai, Tamil Nadu, a farmer by occupation was admitted in the In-patient Department of Siddha Hospital with complaints of ulcer in the left plantar aspect of foot with foul odor, pus discharge from the ulcer, swelling in the peri-wound area, Pain, altered gait along with a mild gangrene with osteomyelitis for the past 12-months associated with history of Diabetes mellitus for the past 20 years. Severity of the ulcer was measured by the Diabetic Ulcer Severity Score (DUSS), Classification of Ulcer by the 'Wagner Ulcer Classification System' (WUCS), prognosis by 'Leg Ulcer Measurement Tool' (LUMT). And, it emphasizes on the importance of proper medication for DFU and to focus on the Siddha management with D5 Chooranam (Anti-diabetic Siddha drug) and Maththan Thailam (Wound healing Siddha external Oil) and Palagaraiparpam. Conclusion: Intervention of Siddha medicine can potentially heal the Diabetic foot ulcer with regulating the blood sugar level. They could have a massive impact, in reducing infection rates, amputations, plastic surgeries and improving the overall quality of life and lower the economic burden in treating DFU.

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Prevention and Treatment of Leg and Foot Ulcers in Diabetes Mellitus

Cited by 8 publications

References 14 publications

Diabetic Foot Infections: Characterization and Antibiotic Resistance Pattern of Aerobic Bacterial Isolates in a Tertiary Care Hospital of North Kerala

Diabetic Foot Infections: Characterization and Antibiotic Resistance Pattern of Aerobic Bacterial Isolates in a Tertiary Care Hospital of North Kerala

Culture and sensitivity pattern of aerobic bacterial isolates in diabetic foot infections, in a suburban tertiary care hospital in Mumbai

A Case Report on the Siddha Management of Diabetic Foot Ulcer (Dfu): Left Plantar Foot

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