The medical management of diabetes mellitus with particular reference to the lower extremity: the Jamaica experience
West Indian med. j
; West Indian med. j;50(suppl. 1): 46-9, Mar. 1-4, 2001. tab
Article
em En
| MedCarib
| ID: med-425
Biblioteca responsável:
JM3.1
Localização: JM3.1; R18.W4
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 PVD (66.6 percent), peripheral neuropathy (50 percent), hyperglycaemia (75.6 percent) and increased duration of diabetes (17.5 years). A history of past foot ulcers was common and 87.2 percent had 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.(Au)
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Coleções:
01-internacional
Base de dados:
MedCarib
Assunto principal:
Pé Diabético
/
Diabetes Mellitus
Tipo de estudo:
Risk_factors_studies
Limite:
Adult
/
Aged
/
Humans
País/Região como assunto:
Caribe ingles
/
Jamaica
Idioma:
En
Revista:
West Indian med. j
Ano de publicação:
2001
Tipo de documento:
Article