The evalution of diabetic Foot infection followed in our clinic for last three years

Year 2017, Volume: 1 Issue: 1, 11 - 14, 23.04.2017

Petek Konya , Neşe Demirtürk

https://doi.org/10.30565/medalanya.261700

Cited By: 3

Abstract

Aim: In
this study, we aimed to evaluate the patients, treated in our clinic, with
diabetic foot infection retrospectively.

 Method: Clinical outcome and treatment results
of all patients, hospitalized between January 2011 and January 2014 in our
clinic, were evaluated retrospectively.

 Results: Among patients 39(73.6%) were male and
14 (26.4% )were female and mean age was 67.28±12.5(22-89) years. Patients were evaluated
according to Pedis classification, and 28 patients were grade 2, 23 patients were
grade 3 and 2 patients were grade 4.

 Conclusion: Diabetic foot infections
rate are increasing and sharing regional data is important for diagnosis and
treatment in order to determine the etiology and suitable emphrical therapy, 

Keywords

Diabetic foot, Infection, ; Antibiotic, Amputation

Son üç Yılda Kliniğimizde İzlenen Diyabetik Ayak İnfeksiyonlarının Değerlendirilmesi

Abstract

Amaç: Bu çalışmada, kliniğimizde tedavi gören
Diabetik ayak İnfeksiyonlu (DAİ) hastaların retrospektif olarak
değerlendirilmesi amaçlanmıştır.

 Yöntem: Kliniğinimizde Ocak 2011- Ocak 2014
yılları arasında takip edilen tüm hastaların klinik bulguları ve tedavi
sonuçları retrospektif olarak değerlendirildi. Hastaların demografik verileri,
diyabetin tipi, PEDIS sınıflamasına gore diyabetik ayak evrelemesi, aldıkları
tedaviler ve tedavi sonuçları değerlendirildi.

 Bulgular: Hastaların 39’u
(%73.6) erkek, 14’ü (%26.4) kadındı. Yaşları 44 ile 89 arasında değişmekte olup
ortalama yaş 67.28±12.5 olarak hesaplandı..OlgularPedis sınıflamasına gore
değerlendirildiğinde 28 (%52.8) hasta grade 2, 23 hasta (% 43.4) grade 3 ve 2
hasta (%3,8) grade 4 olarak sınıflandırıldı.

 Sonuç: Her geçen gün sıklığı artan DAİ’nın
tanı ve takibinde, bölgesel verilerin paylaşılması, ülkemizdeki etiyoloji ve
uygun ampirik antimikrobiyal tedavinin belirlenmesi açısından önemlidir.

Keywords

Diyabetik ayak, Enfeksiyon, Antibiyotik, Amputasyon

References

• 1. Kandemir O, Akbay E, Şahin E Milcan A, Gen R. Risk factors of infection of the diabetic foot with multi-antibiotic resistant microorganisms, Journal of İnfection 2007; 54,439-445
• 2. Katz D, Friedman D, Ostrovski E, et al. Diabetic foot infection in hospitalized adults. J İnfect Chemother 2016;22(3):167-73.
• 3. Zandman-Goddard G, Feldbrin Z, Ovadia S, Zubkov T, Lipkin A, Wainstein J. A multi-disciplinary approach to diabetic foot patientsean organizational model for the treatment of leg complications in diabetic patients. Harefuah 2011;150(7):593-5, 616.
• Apelqvist J, Larsson J. What is the most effective way to reduce incidende of amputation in the diabetic foot? Diabetes Metab Res Rev 2000; 16(Suppl1):S75-83.
• 5. Boultan AJM. The diabetic foot. Med Clin Norh Am 1988;72(6):1513-30.
• 6. Chuan F, Tang K, Jiang P, Zhou B, He X.Reliability and validity of the perfusion extent, depth,infection and sensation (PEDIS) classification system and score in patients with diabetic foot ulcer. PLoS One. 2015;10(4):e0124739.
• 7. Zukic E, Gojak R, Novakovic A,Gazibera B Predictive Role of Preventive Measures in Preventing the Progression of Diabetic Foot. Mater Sociomed 2015; 27(4): 234–36.
• 8. Aliasgharpour M, Nayeri ND. The care process of diabetic foot ulcer patients: a qualitative study in Iran. J Diabetes Metab Disord. 2012;11(1):27.
• 9. Tentelouris N, Al-Sabbagh S, Walker M G, et al. Mortality in diabetic and nondiabetic patients after amputations performed from 1990 to 1995. Diabetes Care 2004;27(7):1598-1604.
• 10. Karakoç A, Ersoy RU, Arslan M, Toruner FB, Yetkin I Change in amputation rate in aTurkish diabetic foot population. J. Diabetes Complications. 2004;18(3):169-72.
• 11. Hartemann-Heurtier A, Robert J, Jacqueminet S, Ha Van G, Golmard JL, Jarlier V, et al. Diabetic foot ulcer and multidrug-resistant organisms: risk factors and impact. Diabet Med. 2004;21(7):710-5.
• 12. Akhi MT, Ghotaslou R, Asgharzadeh M, Varshochi M, Pirzadeh T, Memar MY et al. Bacterial etiology and antibiotic susceptibility pattern of diabetic foot infections in Tabriz, Iran. GMS Hyg Infect Control. 2015;10:Doc02.
• 13. Özkan, Y, Çolak R, Demirdağ K, Yıldırım MA, Özalp, G, Koca SS. Diyabetik Ayak Sendromlu 142 Olgunun retrospektif Değerlendirilmesi. Turkiye Klinikleri J Endocrin 2004;2(3):191-5.