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Diyabetik el enfeksiyonları ve hiperbarik oksijen tedavisi

Year 2014, , 649 - 654, 16.01.2015
https://doi.org/10.3944/AOTT.2014.3225

Abstract

Amaç: Bu çalışmanın amacı, hiperbarik oksijen tedavisi (HBOT) ile tedavi ettiğimiz diyabetli hastalardaki el enfeksiyonlarının klinik özelliklerinin ve sonuçlarının değerlendirilmesi idi.

Çalışma planı: Bu geriye dönük çalışmaya Ocak 2006-Şubat 2011 tarihleri arasında HBOT uygulanan 10 diyabet hastası dahil edildi.

Bulgular: Nekrotizan yumuşak doku enfeksiyonu nedeniyle 1 hastaya sağ el işaret parmağı proksimal interfalangeal eklem seviyesinden, diğer bir hastaya ise sol el üçüncü parmak distal falanks seviyesinden ampütasyon uygulandı. Sekiz olgudaki ülserler ise ampütasyona gerek kalmadan tamamen iyileşti.

Çıkarımlar: Standart tedaviye ek uygulanacak HBOT, doku oksijenlenmesini arttırarak ve bozulmuş yara iyileşmesini düzelterek diyabetik el ülserlerinin tedavisine katkıda bulunabilir.

References

  • World Health Organization: Diabetes Factsheet No: 312. [cited 2011 January 23]. Available from: http://www.who. int/mediacentre/factsheets/fs312/en/index.html.
  • Jeffcoate WJ, Harding KG. Diabetic foot ulcers. Lancet 2003;361:1545-51. CrossRef
  • Lavery LA, van Houtum WH, Armstrong DG, Harkless LB, Ashry HR, Walker SC. Mortality following lower ex- tremity amputation in minorities with diabetes mellitus. Diabetes Res Clin Pract 1997;37:41-7. CrossRef
  • Unachukwu C, Babatunde S, Ihekwaba AE. Diabetes, hand and/or foot ulcers: a cross-sectional hospital-based study in Port Harcourt, Nigeria. Diabetes Res Clin Pract 2007;75:148-52. CrossRef
  • Gill G, Archibald L, Abbas ZG. Diabetic hand infections in the tropics. Pract Diab Int 2003;20:275. CrossRef
  • Al-Matubsi HY, Hamdan F, Alhanbali OA, Oriquat GA, Salim M. Diabetic hand syndromes as a clinical and di- agnostic tool for diabetes mellitus patients. Diabetes Res Clin Pract 2011;94:225-9. CrossRef
  • Abbas ZG, Lutale J, Gill GV, Archibald LK. Tropical diabetic hand syndrome: risk factors in an adult diabetes population. Int J Infect Dis 2001;5:19-23. CrossRef
  • Gill GV, Famuyiwa OO, Rolfe M, Archibald LK. Tropical diabetic hand syndrome. Lancet 1998;351:113-4. CrossRef
  • Houshian S, Seyedipour S, Wedderkopp N. Epide- miology of bacterial hand infections. Int J Infect Dis 2006;10(4):315-9. CrossRef
  • Gill GV, Famuyiwa OO, Rolfe M, Archibald LK. Seri- ous hand sepsis and diabetes mellitus: specific tropi- cal syndrome with western counterparts. Diabet Med 1998;15:858-62. CrossRef
  • Wang C, Lv L, Wen X, Chen D, Cen S, Huang H, et al. A clinical analysis of diabetic patients with hand ulcer in a diabetic foot centre. Diabet Med 2010;27:848-51. CrossRef
  • Fitzgibbons PG, Weiss AP. Hand manifestations of diabe- tes mellitus. J Hand Surg Am 2008;33:771-5. CrossRef
  • Papanas N, Maltezos E. The diabetic hand: a forgotten complication? J Diabetes Complications 2010;24:154-62.
  • Cheng NC, Su YM, Kuo YS, Tai HC, Tang YB. Factors affecting the mortality of necrotizing fasciitis involving the upper extremities. Surg Today 2008;38:1108-13. CrossRef
  • Kindwall EP. Hyperbaric medicine practice. North Palm Beach, FL: Best Publishing Company; 1995. p. 142-72.
  • Löndahl M, Katzman P, Nilsson A, Hammarlund C. Hyperbaric oxygen therapy facilitates healing of chron- ic foot ulcers in patients with diabetes. Diabetes Care 2010;33:998-1003. CrossRef
  • Cianci P. Advances in the treatment of the diabetic foot: Is there a role for adjunctive hyperbaric oxygen therapy? Wound Repair Regen 2004;12:2-10. CrossRef
  • Niinikoski JH. Clinical hyperbaric oxygen therapy, wound perfusion, and transcutaneous oximetry. World J Surg 2004;28:307-11. CrossRef
  • Çimşit M. Hyperbaric medicine theory and application. [Book in Turkish] Istanbul: Eflatun Yayınevi; 2009. p. 35- 58.
  • Mutluoglu M, Uzun G, Yildiz S. Hyperbaric oxygen therapy in the treatment of diabetic foot ulcers--prudent or problematic: a case report. Ostomy Wound Manage 2010;56:32-5.
  • Abbas ZG, Gill GV, Archibald LK. The epidemiology of diabetic limb sepsis: an African perspective. Diabet Med 2002;19:895-9. CrossRef
  • Coppini DV, Best C. A case of hand ulceration in the dia- betic foot clinic--a reminder of hand neuropathy in ‘at risk’ patients. Diabet Med 2000;17:682-3. CrossRef
  • Benotmane A, Faraoun K, Mohammedi F, Benkhelifa T, Amani ME. Infections of the upper extremity in hospi- talized diabetic patients: A prospective study. Diabetes Metab 2004;30:91-7. CrossRef
  • Kaya A, Aydin F, Altay T, Karapinar L, Ozturk H, Kara- kuzu C. Can major amputation rates be decreased in dia- betic foot ulcers with hyperbaric oxygen therapy? Int Or- thop 2009;33:441-6. CrossRef
  • Huang KC, Tsai YH, Hsu RW. Hyperbaric oxygen thera- py facilitates surgery on complex open elbow injuries: pre- liminary results. J Shoulder Elbow Surg 2007;16:454-60.

Diabetic hand infections and hyperbaric oxygen therapy

Year 2014, , 649 - 654, 16.01.2015
https://doi.org/10.3944/AOTT.2014.3225

Abstract

Objective: The aim of this study was to discuss the clinical characteristics and results of hand infections in diabetic patients treated with hyperbaric oxygen therapy (HBOT).

Methods: This retrospective study included 10 patients with diabetes mellitus who underwent HBOT due to hand infections between January 2006 and February 2011.

Results: Amputation was performed at the level of the right hand index finger proximal interphalangeal joint in 1 patient and at the level of the distal phalanx of the left hand middle finger in 1 due to necrotizing soft tissue infection. Ulcers of 8 patients healed completely without amputation.

Conclusion: The addition of HBOT to the standard treatment may contribute to the healing of hand ulcers in diabetics by increasing the tissue oxygenation and correcting the process of disturbed wound healing.

References

  • World Health Organization: Diabetes Factsheet No: 312. [cited 2011 January 23]. Available from: http://www.who. int/mediacentre/factsheets/fs312/en/index.html.
  • Jeffcoate WJ, Harding KG. Diabetic foot ulcers. Lancet 2003;361:1545-51. CrossRef
  • Lavery LA, van Houtum WH, Armstrong DG, Harkless LB, Ashry HR, Walker SC. Mortality following lower ex- tremity amputation in minorities with diabetes mellitus. Diabetes Res Clin Pract 1997;37:41-7. CrossRef
  • Unachukwu C, Babatunde S, Ihekwaba AE. Diabetes, hand and/or foot ulcers: a cross-sectional hospital-based study in Port Harcourt, Nigeria. Diabetes Res Clin Pract 2007;75:148-52. CrossRef
  • Gill G, Archibald L, Abbas ZG. Diabetic hand infections in the tropics. Pract Diab Int 2003;20:275. CrossRef
  • Al-Matubsi HY, Hamdan F, Alhanbali OA, Oriquat GA, Salim M. Diabetic hand syndromes as a clinical and di- agnostic tool for diabetes mellitus patients. Diabetes Res Clin Pract 2011;94:225-9. CrossRef
  • Abbas ZG, Lutale J, Gill GV, Archibald LK. Tropical diabetic hand syndrome: risk factors in an adult diabetes population. Int J Infect Dis 2001;5:19-23. CrossRef
  • Gill GV, Famuyiwa OO, Rolfe M, Archibald LK. Tropical diabetic hand syndrome. Lancet 1998;351:113-4. CrossRef
  • Houshian S, Seyedipour S, Wedderkopp N. Epide- miology of bacterial hand infections. Int J Infect Dis 2006;10(4):315-9. CrossRef
  • Gill GV, Famuyiwa OO, Rolfe M, Archibald LK. Seri- ous hand sepsis and diabetes mellitus: specific tropi- cal syndrome with western counterparts. Diabet Med 1998;15:858-62. CrossRef
  • Wang C, Lv L, Wen X, Chen D, Cen S, Huang H, et al. A clinical analysis of diabetic patients with hand ulcer in a diabetic foot centre. Diabet Med 2010;27:848-51. CrossRef
  • Fitzgibbons PG, Weiss AP. Hand manifestations of diabe- tes mellitus. J Hand Surg Am 2008;33:771-5. CrossRef
  • Papanas N, Maltezos E. The diabetic hand: a forgotten complication? J Diabetes Complications 2010;24:154-62.
  • Cheng NC, Su YM, Kuo YS, Tai HC, Tang YB. Factors affecting the mortality of necrotizing fasciitis involving the upper extremities. Surg Today 2008;38:1108-13. CrossRef
  • Kindwall EP. Hyperbaric medicine practice. North Palm Beach, FL: Best Publishing Company; 1995. p. 142-72.
  • Löndahl M, Katzman P, Nilsson A, Hammarlund C. Hyperbaric oxygen therapy facilitates healing of chron- ic foot ulcers in patients with diabetes. Diabetes Care 2010;33:998-1003. CrossRef
  • Cianci P. Advances in the treatment of the diabetic foot: Is there a role for adjunctive hyperbaric oxygen therapy? Wound Repair Regen 2004;12:2-10. CrossRef
  • Niinikoski JH. Clinical hyperbaric oxygen therapy, wound perfusion, and transcutaneous oximetry. World J Surg 2004;28:307-11. CrossRef
  • Çimşit M. Hyperbaric medicine theory and application. [Book in Turkish] Istanbul: Eflatun Yayınevi; 2009. p. 35- 58.
  • Mutluoglu M, Uzun G, Yildiz S. Hyperbaric oxygen therapy in the treatment of diabetic foot ulcers--prudent or problematic: a case report. Ostomy Wound Manage 2010;56:32-5.
  • Abbas ZG, Gill GV, Archibald LK. The epidemiology of diabetic limb sepsis: an African perspective. Diabet Med 2002;19:895-9. CrossRef
  • Coppini DV, Best C. A case of hand ulceration in the dia- betic foot clinic--a reminder of hand neuropathy in ‘at risk’ patients. Diabet Med 2000;17:682-3. CrossRef
  • Benotmane A, Faraoun K, Mohammedi F, Benkhelifa T, Amani ME. Infections of the upper extremity in hospi- talized diabetic patients: A prospective study. Diabetes Metab 2004;30:91-7. CrossRef
  • Kaya A, Aydin F, Altay T, Karapinar L, Ozturk H, Kara- kuzu C. Can major amputation rates be decreased in dia- betic foot ulcers with hyperbaric oxygen therapy? Int Or- thop 2009;33:441-6. CrossRef
  • Huang KC, Tsai YH, Hsu RW. Hyperbaric oxygen thera- py facilitates surgery on complex open elbow injuries: pre- liminary results. J Shoulder Elbow Surg 2007;16:454-60.
There are 25 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Article
Authors

Figen Aydin This is me

Ahmet Kaya This is me

Ahmet Savran This is me

Mustafa İncesu This is me

Cengiz Karakuzu This is me

Anil Murat Ozturk This is me

Publication Date January 16, 2015
Published in Issue Year 2014

Cite

APA Aydin, F., Kaya, A., Savran, A., İncesu, M., et al. (2015). Diabetic hand infections and hyperbaric oxygen therapy. Acta Orthopaedica Et Traumatologica Turcica, 48(6), 649-654. https://doi.org/10.3944/AOTT.2014.3225
AMA Aydin F, Kaya A, Savran A, İncesu M, Karakuzu C, Ozturk AM. Diabetic hand infections and hyperbaric oxygen therapy. Acta Orthopaedica et Traumatologica Turcica. January 2015;48(6):649-654. doi:10.3944/AOTT.2014.3225
Chicago Aydin, Figen, Ahmet Kaya, Ahmet Savran, Mustafa İncesu, Cengiz Karakuzu, and Anil Murat Ozturk. “Diabetic Hand Infections and Hyperbaric Oxygen Therapy”. Acta Orthopaedica Et Traumatologica Turcica 48, no. 6 (January 2015): 649-54. https://doi.org/10.3944/AOTT.2014.3225.
EndNote Aydin F, Kaya A, Savran A, İncesu M, Karakuzu C, Ozturk AM (January 1, 2015) Diabetic hand infections and hyperbaric oxygen therapy. Acta Orthopaedica et Traumatologica Turcica 48 6 649–654.
IEEE F. Aydin, A. Kaya, A. Savran, M. İncesu, C. Karakuzu, and A. M. Ozturk, “Diabetic hand infections and hyperbaric oxygen therapy”, Acta Orthopaedica et Traumatologica Turcica, vol. 48, no. 6, pp. 649–654, 2015, doi: 10.3944/AOTT.2014.3225.
ISNAD Aydin, Figen et al. “Diabetic Hand Infections and Hyperbaric Oxygen Therapy”. Acta Orthopaedica et Traumatologica Turcica 48/6 (January 2015), 649-654. https://doi.org/10.3944/AOTT.2014.3225.
JAMA Aydin F, Kaya A, Savran A, İncesu M, Karakuzu C, Ozturk AM. Diabetic hand infections and hyperbaric oxygen therapy. Acta Orthopaedica et Traumatologica Turcica. 2015;48:649–654.
MLA Aydin, Figen et al. “Diabetic Hand Infections and Hyperbaric Oxygen Therapy”. Acta Orthopaedica Et Traumatologica Turcica, vol. 48, no. 6, 2015, pp. 649-54, doi:10.3944/AOTT.2014.3225.
Vancouver Aydin F, Kaya A, Savran A, İncesu M, Karakuzu C, Ozturk AM. Diabetic hand infections and hyperbaric oxygen therapy. Acta Orthopaedica et Traumatologica Turcica. 2015;48(6):649-54.