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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2014, Number 3

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Rev Esp Med Quir 2014; 19 (3)

Management of diabetic foot in internal medicine from 2011 to 2012. Hospital Regional 1º de Octubre

Camacho-Ortiz JI, Conrado-Aguilar S, Rosas-Barrientos JV

Language: Spanish
References: 40
Page: 284-293
PDF size: 476.37 Kb.


ABSTRACT

Background: The foot of the patient with diabetes mellitus includes a number of symptoms in interacting sensitivity loss due to sensory neuropathy, alteration in pressure points due to motor neuropathy, autonomic dysfunction and decreased flow blood from peripheral vascular disease leading to the appearance of lesions and ulcers associated with trauma to go unnoticed. This situation results in a risk of amputation of the affected limb. It can prevent the implementation of prevention programs, based on early detection of neuropathy risk factors assessment and implementation of treatment algorithms that includes the proper management of the acute injury, with specific antibiotic therapy and care that promote proper healing.
Objective: report the initial diagnostic and therapeutic management of patients with diabetes mellitus and ulceration on foot to the entrance to internal medicine.
Material and Methods: We reviewed records of patients hospitalized with foot ulceration during the period March 2011 to March 2012.
Results: We identified 56 clinical records of patients hospitalized in the Internal Medicine from Hospital Regional 1º de Octubre, of which only included for analysis covering 39 medical records with the inclusion criteria. Men were 31 (80%) and eight women (20%). The duration of diabetes 19.23 ± 7.3 years. No significant difference in relation to the management and the degree of injury p = 0.236.
Conclusions: The lack of unification to classify the diabetic foot properly, influences the management of these lesions, affecting their evolution.


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