The medical management of diabetes mellitus with particular reference to the lower extremity: the Jamaican experience
West Indian med. j
;
50(supl.1): 46-49, Mar. 1-4, 2001.
Artigo
em Inglês
| LILACS
| ID: lil-473084
ABSTRACT
Predisposing factors for the diabetic foot include peripheral neuropathy, peripheral vascular disease (PVD), hyperglycaemia and increased duration of diabetes. From the records of patients admitted to the University Hospital of the West Indies with the diabetic foot, we reviewed the results of the microbiology of wound swabs from diabetic foot ulcers. We noted the high prevalence of P VD (66.6), peripheral neuropathy (50), hyperglycaemia (75.6) and increased duration of diabetes (17.5 years). A history of past foot ulcers was common and 87.2had polymicrobial infection. The commonest organisms were gram positive organisms which were usually sensitive to the 2 antibiotic regimes that were commonly used. Euglycaemia, a favourable lipid profile, control of blood pressure, yearly foot examination and institution of measures to prevent foot trauma are important in the prevention of foot ulceration.
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Índice:
LILACS (Américas)
Assunto principal:
Pé Diabético
/
Extremidade Inferior
/
Diabetes Mellitus
Tipo de estudo:
Estudo de etiologia
/
Fatores de risco
Limite:
Humanos
País/Região como assunto:
Caribe Inglês
/
Jamaica
Idioma:
Inglês
Revista:
West Indian med. j
Assunto da revista:
Medicina
Ano de publicação:
2001
Tipo de documento:
Artigo
/
Congresso e conferência
País de afiliação:
Jamaica
Instituição/País de afiliação:
University of the West Indies/JM
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