Diabetic Foot Infections and the Role of Doppler USG in Prognosis.
ABS TRACT Objective: To determine the value of patient characteristics, laboratory parameters, and imaging procedures in the assessment of the severity and prognosis of diabetic foot infections (DFIs). Material and Methods: Demographic and clinical characteristics of 71 patients with DFI were evalua...
| Publicado en: | Turkiye Klinikleri Journal of Medical Sciences Vol. 32; no. 1; pp. 32 - 39 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Turkiye Klinikleri
Feb2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104544642&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104544642 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13000292 1VOP jtl: Turkiye Klinikleri Journal of Medical Sciences issn: 13000292 maglogo: N pubinfo: dt: Feb2012 vid: 32 iid: 1 pid: 67298 pub: Turkiye Klinikleri artinfo: ui: 104544642 2011503882 10.5336/medsci.2010-21385 104544642 ppf: 32 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Diabetic Foot Infections and the Role of Doppler USG in Prognosis. aug: au: Tunçcan, Özlem Güzel Dizbay, Murat Hizel, Kenan Karakus, Resul Kanat, Derya O. Ata, Nesrin affil: Department of Infectious Diseases and Clinical Microbiology, Gazi University Faculty of Medicine, Ankara sug: subj: Diabetic Foot Physiopathology Diabetic Foot Risk Factors Diabetic Foot Ultrasonography Adult Aged Aged, 80 and Over Chi Square Test Confidence Intervals Data Analysis Software Demography Diabetic Foot Pathology Human Logistic Regression Middle Age Multivariate Analysis Odds Ratio P-Value Prognosis Retrospective Design Severity of Illness Adult: 19-44 years Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years ab: ABS TRACT Objective: To determine the value of patient characteristics, laboratory parameters, and imaging procedures in the assessment of the severity and prognosis of diabetic foot infections (DFIs). Material and Methods: Demographic and clinical characteristics of 71 patients with DFI were evaluated retrospectively. Patient characteristics and clinical data including diabetes status and wound related information, laboratory and radiologic findings, and outcomes were recorded. Results: In patients between 35 and 60 years old, the frequency of recurrent diabetic foot infections were four and half-times higher than in those over 60 years (OR 4.55, 95% CI 1.50-13.83, p= 0.007). The white blood cell count was significantly higher in severe infections (p<0.05). Gram negative microorganisms were predominantly isolated from the wound cultures of patients aged between 35 and 65 years (p= 0.04). Pathological findings in Doppler Ultrasonography (dUSG) was correlated with smoking (p= 0.004). There was no significant association between the severity of the wound and pathological findings in dUSG. However, presence of a pathological finding in dUSG was correlated with amputation (p=0.001). Moreover, the probability of poor outcome was four-fold higher in patients with a pathology in dUSG in the logistic regression analysis (OR 4.32, 95% CI, 1.24-14.97, p= 0.025). Conclusion: In the management of empirical therapy, gram negative microorganisms should be considered, especially in patients of 35-65 years of age. Pathological findings in dUSG were found to be related to poor outcome such as amputation. Therefore, all patients with diabetic foot should be screened with dUSG to identify those at risk for amputation. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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