Epidemiological and clinical characteristics of patients with diabetic foot of the San Carlos, Cojedes, Venezuela

Authors

  • Rosangel Andreina Caiafa León Hospital Dr. Egor Nucete, San Carlos, estado Cojedes, Venezuela
  • Lariana Isabel Carlés Blanco Hospital Dr. Egor Nucete, San Carlos, estado Cojedes, Venezuela
  • Luisiana Glaycar González Rubio Hospital Dr. Egor Nucete, San Carlos, estado Cojedes, Venezuela
  • Carmen Cecilia León Castillo Hospital Dr. Egor Nucete, San Carlos, estado Cojedes, Venezuela
  • Gilberto Bastidas Pacheco Universidad de Carabobo, Venezuela https://orcid.org/0000-0002-5805-6926

DOI:

https://doi.org/10.33064/iycuaa2013583992

Keywords:

diabetes mellitus, diabetic foot, sensitivity, epidemiology, ulcers, insulin

Abstract

Diabetes mellitus (DM) is a chronic degenerative disease of absolute or relative lack of insulin. Ulcers in the lower extremities are common complications of diabetes, as shown in 15% of cases. This study characterized clinic - epidemiologically to patients with diabetic foot, in the municipality of San Carlos, Cojedes state, Venezuela. The research was descriptive, with two stages a retrospective and one prospective. Were 113 patients with diabetic foot, 63.7% men and 36.3% women. Five had DM I. Stage II of Wagner was the most frequent in DM II and grade I in patients with DM I. Staphilococcus aureus isolated pathogens and all are sensitive to ciprofloxacin and vancomycin. 

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Author Biographies

Carmen Cecilia León Castillo, Hospital Dr. Egor Nucete, San Carlos, estado Cojedes, Venezuela

Servicio de Medicina Interna

Gilberto Bastidas Pacheco, Universidad de Carabobo, Venezuela

Departamento de Salud Pública

References

ADENIYI, A., SANYA, A., FASANMADE, A., BORODO, M., ULOKO, A., Relationship between Duration of Diagnosis and Neuromusculoskeletal Complications of MiddleAged Type 2 Diabetes Patients. West African Journal Medicine, 29(6): 393-397, 2010.

• BARCENILLA, S., Diabetes Mellitus: “la pandemia del mundo desarrollado”. Especial XVIII Congreso SED. 28 de abril de 2006.

• BRAUCHLE, M., FUNK, J., KIND, P., WERNER, S. Ultraviolet B and H2O2 are potent inducers of vascular endothelial growth factor expression in cultured keratinocytes.

Journal of Biological Chemistry, 271(36): 21793-21797, 1996.

• CARLS, G., GIBSON, T., DRIVER, V., WROBEL, J., GAROUFAL, R., DEFRANCIS, R., WANG, S., BAGALMAN, J., CHRISTINA, J., The economic value of specialized lower-extremity medical care by podiatric physicians in the treatment of diabetic foot ulcers. Journal of the American Podiatric Medical Association, 101(2): 93-115, 2011.

• EGINTON, M., BROWN, K., SEABROOK, G., TOWNE, J., CAMBRIA, R., A prospective randomized evaluation of negative-pressure wound dressings for diabetic foot wounds. Annals of Vascular Surgery, 17(6): 645-649, 2003.

• FAGLIA, E., FAVALES, F., ALDEGHI, A., CALIA, P., QUARANTIELLO, A., BARBANO, P., et al., Change in major amputation rate in a center dedicated to diabetic foot care during the 1980s: prognostic determinants for major amputation. Journal of Diabetes & its Complications, 12(2): 96-102, 1998.

• FAGLIA, E., MANTERO, M., CAMINITI, M., CARAVAGGL, C., DE GIGLIO, R., PRITELLI, C., CLERICI, G., FRATINO, P., DE CATA, P., DALLAPAOLA, L., MARIANI, G., POLI, M., SETTEMBRINI, P., SCIANGULA, L., MORABITO, A., GRAZIANI, L., Extensive use of peripheral angioplasty, particularly infrapopliteal, in the treatment of ischaemic diabetic foot ulcers: clinical results of a multicentric study of 221 consecutive diabetic subjects. Journal of Internal Medicine, 252(3): 225-232, 2002.

• JIMÉNEZ, N., Diabetes mellitus: actualización. Acta Médica Costarricense, 42(2): 53-65, 2006.

• KING, H., AUBERT, R., HERMAN, W., Global Burden of Diabetes, 1995-2025. Diabetes Care, 21, 1414-1431, 1998.

• KOSTEV, K., DIPPEL, F., ROCKEL, T., SIEGMUND, T., Risk of diabetic foot ulceration during treatment with insulin glargine and NPH insulin. Journal of Wound Care,21(10): 483-484, 2012.

• MARTÍNEZ, F., MENDIOLA, I., RAMOS, F., Epidemiología y costos de atención del Pie Diabético. En: Mc Graw-Hill interamericana (Eds.) Pie Diabético Atención Integral. 2 ed., México: Mc Graw- Hill, p 5-16, 2003.

• MOSS, S., KLEIN, R., KLEIN, B., Long-term incidence of lower-extremity amputations in a diabetic population. Archives of Family Medicine, 5(7): 391-398, 1996.

• MOXEY, P., GOGALNICEANU, P., HINCHLIFFE, R., LOFTUS, I., JONES, K., THOMPSON, M., HOLT, P., Lower extremity amputations-a review of global variability in incidence. Diabetic Medicine, 28(10): 1144-1153, 2011.

• MUSA, A., Diabetic foot leasions as seen in Nigerian teaching hospital: pattern and asimple classification. East African Journal Public Health, 9(1): 50-52, 2012.

• OPS. La Diabetes en las Américas. Boletín Epidemiológico, 22(2): 783p., 2001.

• O’REILLY, D., LINDEN, R., FEDORKO, L., TARRIDE, J., GIFFENING, W., BOWEN, J., GOEREE, R., Prospective, double-blind, randomized, controlled clinical trial comparing standard wound care with adjunctive hyperbaric oxygen therapy (HBOT) to standard wound care only

for the treatment of chronic, non-healing ulcers of the lower limb in patients with diabetes mellitus: a study protocol. Trial, 12(69): 1-10, 2011.

• PALUMBO, P., MELTON, L., Peripheral vascular disease and diabetes. In: Diabetes in America. Data Compiled 1984 (NIH publ. no. 85-1468), p. 1. US Government Printing Office, Washington, DC, 1985.

• PROMPERS, L., HUIJBERTS, M., SCHAPER, N., APELQVIST, J., BAKKER, K., EDMONDS, M., HOLSTEIN, P., JUDE, E., JIRKOVSKA, A., MAURICIO, D., PIAGGESI, A., REIKE, H., SPRAUL, M., ACKER, K., MERODE, F., VAN, F., UCCIOLI, L., URBANCIC, V., TENNVALL, G., Resource utilisation and costs associated with the treatment of diabetic foot ulcers. Prospective data from the Eurodiale Study. Diabetologia, 51(10): 1826-1834, 2008.

• RAMSEY, S., NEWTON, K., BLOUGH, D., MCCULLOCH, D., SANDHU, N., REIBER, G., WAGNER, E., Incidence, outcomes, and cost of foot ulcers in patients with diabetes. Diabetes Care, 22(3): 382-387, 1999.

• RIVAS, F., PANZARELLI, A., Diabetes mellitus: manifestaciones cutáneas estudio clínico descriptivo. Dermatología Venezolana, 32(3): 123-128, 1994.

• RODRÍGUEZ, W., SÁEZ, T., Obesidad, hipertensión arterial y diabetes mellitus: ¿puntos de partida o finales de un mismo problema? Medicina Interna de Mexico, 24(5): 342-345, 2008.

• ROMERO, J., HERNÁNDEZ, C., TOVAR, A., MONTIEL, M., SÁNCHEZ, J., Morbilidad de pacientes con Pie Diabético ingresados al servicio de cirugía del hospital universitario Dr. Alfredo Van Grieken coro, estado Falcón enero 2000- diciembre 2004. Revista Venezolana de Cirugía, 60(1): 21-26, 2007.

• SAEED, N., Frequency of patients with diabetes taking proper foot care according to international guidelines and its impact on their foot health. Journal of the Pakistan Medical Association, 60(9): 732-735, 2010.

• SHEA, K., Antimicrobial therapy for diabetic foot infections. A practical approach. Postgraduate Medicine,106, 85-86, 1999.

• TAYLOR, S., JOHNSON, B., SAMIES, N., RAWLINSON, R., WILLIAMSON, L., DAVIS, S., KOTRADY, J., YORK, J., LANGAN, E., CULL, D., Contemporary management of diabetic neuropathic foot ulceration: a study of 917 consecutively treated limbs. Journal of the American

College of Surgeon, 212(4): 532-545, 2011.

• TOL, A., POURREZA, A., SHOJAEEZADEH, D., MAHMOODI, M., MOHEBBI, B., The Assessment of Relations between Socioeconomic Status and Number of Complications among Type 2 Diabetic Patients. Iranian Journal of Public Health, 41(5): 66-72, 2012.

• TURNS, M., The diabetic foot: an overview for community nurses. British Journal of Community Nursing, 17(9):422-433, 2012.

• VALENSI, P., GIROD, I., BARON, F., MOREAU-DEFARGES, T., GUILLON, P., Quality of life and clinical correlates in patients with diabetic foot ulcers. Diabetes and Metabolic, 31(3 Pt 1): 263-271, 2005.

• WAGNER, F., The dysvascular foot: a system for diagnosis and treatment. Foot ankle, 2, 64- 67, 1981.

• WEINGARTEN, M., SAMUELS, J., NEIDRAUER, M., MAO, X., DIAZ, D., MCGUIRE, J., MCDANIEL, J., JENKINS, L., ZUBKOV, L., PAPAZOGLOU, E., Diffuse near-infrared spectroscopy prediction of healing in diabetic foot ulcers: A human study and cost analysis. Wound Repair and Regeneration, 20(6): 911-917, 2012.

• WESTPHAL, C., NEAME, I., HARRISON, J., BOWER, V., GURR, J. M., A diabetic foot ulcer pilot study: does silicone gel sheeting reduce the incidence of reulceration? Journal of the American Podiatric Medical Association, 101(2): 116-123, 2011.

• ZELEN, C., STOVER, B., NIELSO, D., CUNNINGHAM, M., A prospective study of negative pressure wound therapy with integrated irrigation for the treatment of diabetic foot ulcers. Open access journal of plastic Surgery, 11, 34-41, 2011. Dictiotopografía

• GARCÍA, A., Influencia de la Diabetes Mellitus en el pronóstico de la lesión neuroinfecciosa de los pies. Revista Electrónica de Portales Médicos, 4(9). De: http://www.portalesmedicos.com/publicaciones/articles/1535, 2009.

• SARMIENTO, G., BRACAMONTE, M., CAMARGO, H., HURAZO, J., Gérmenes más frecuentemente encontrados en pacientes con pie diabético en el hospital IVSS Dr.

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Published

2013-08-30

Issue

No. 58 (2013)

Section

Artículos de Investigación

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Copyright (c) 2013 Rosangel Andreina Caiafa León, Lariana Isabel Carlés Blanco, Luisiana Glaycar González Rubio, Carmen Cecilia León Castillo, Gilberto Bastidas Pacheco

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