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Trends in Medical Research
  Year: 2010 | Volume: 5 | Issue: 1 | Page No.: 16-30
DOI: 10.3923/tmr.2010.16.30
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Different Procedures in Management of Diabetic Foot Infections

G. El-Maadawy, A. Sabry, A. Mohi Elden, N. Salm, M. Mera and H. Abd Elkhalek

This study was conducted to evaluate different procedures in management of diabetic foot infection. Once infection is suspected, aggressive medical and surgical management is instituted. Patients eligible for the study were outpatients followed in the period from January 2003 to the end of 2009. The 776 patients, those included in the study, were followed for a median of 3.3 years (0-6 years). Study subjects were predominantly men (78.2%) and with a median age of 65 years (range of 28-91 years). A total of 93% of patients had type II diabetes and 47% of those were treated with insulin. The median duration of diabetes was 9 years. There were no lower-extremity amputations of any level in stage A (non-infected-non-ischemic) and stage B wounds, regardless of depth. Patients presented in stages C and D had significantly lower Ankle\Brachial Indices (ABIs) than those in non-ischemic stages A and B. Furthermore, significantly more of the patients in ischemic stages had non-palpable pulses. Conservative measures, in a group of patients; were successful without amputation. Present study has confirmed the effectiveness of existing interventions in the management of diabetic foot complications. Each of these interventions, when used appropriately results in excellent outcome and reduce the risk of foot ulceration and with it the risk of amputation.
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How to cite this article:

G. El-Maadawy, A. Sabry, A. Mohi Elden, N. Salm, M. Mera and H. Abd Elkhalek, 2010. Different Procedures in Management of Diabetic Foot Infections. Trends in Medical Research, 5: 16-30.

DOI: 10.3923/tmr.2010.16.30






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