CLINICAL AND PARACLINICAL CHARACTERISTICS OF FOOT INFECTIONS IN TYPE 2 DIABETES MELLITUS PATIENTS AT CAN THO CITY GENERAL HOSPITAL IN 2023 – 2024
Main Article Content
Abstract
Background: Type 2 diabetes and foot infections represent serious medical conditions that can result in ulceration, tissue necrosis, and a heightened risk of limb amputation. Objectives: To characterize clinical and paraclinical features and assess the factors associated with the severity of foot infections in individuals with type 2 diabetes. Material and methods: Cross-sectional descriptive study on 95 type 2 diabetic patients with foot infections admitted for diagnosis and treatment at Can Tho City General Hospital. Results: The study population consisted predominantly of female patients (68.4%) with a mean age of 62.96 years and long-standing, poorly controlled diabetes (mean HbA1c 10.7%). The most common site of infection was the toes. Severity of infection, as assessed by the Wagner-Meggitt scale, was high in 58.95% of cases and moderate in 50.5% according to IDSA 2012 criteria. Patient age and a history of peripheral arterial disease were identified as significant risk factors for higher Wagner grades. Conclusion: The majority of patients were female with long-standing type 2 diabetes. Infections were classified as severe according to the Wagner scale and moderate according to IDSA 2012 criteria. Advanced age and peripheral arterial disease were associated with higher Wagner grades.
Article Details
Keywords
Type 2 Diabetes, Diabetes foot infection, Wagner – Meggitt, IDSA 2012
References


2. Kim J. The pathophysiology of diabetic foot: a narrative review. Journal of Yeungnam Medical Science. 2023. 40(4), 328-334, doi:10.12701/jyms.2023.00731.


3. Nguyễn T. B., Nguyễn Q. B. Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và một số yếu tố liên quan ở bệnh nhân đái tháo đường có cắt cụt chi dưới. Vietnam Journal of Diabetes and Endocrinology. 2020. (41), 65-70, doi:10.47122/vjde.2020.41.10.


4. Lae B., Nguyễn Q. B., Nguyễn T. T. T. Đặc điểm lâm sàng, cận lâm sàng bệnh động mạch chi dưới ở nhân đái tháo đường típ 2 có loét bàn chân tại Khoa Nội Tiết, Bệnh viện Bạch Mai. Tạp Chí Y Học Việt Nam. 2024. 534(1),54-58, doi:10.51298/vmj.v534i1.8029.


5. Schmidt B. M., Kaye K. S., Armstrong D. G., Pop-Busui R. Empirical Antibiotic Therapy in Diabetic Foot Ulcer Infection Increases Hospitalization. Open Forum Infectious Diseases. 2023. 10(10), ofad495, doi:10.1093/ofid/ofad495.


6. Zhang J., Chen D., Li X., Ding M., Xu J., et al. The association between estimated glomerular filtration rate and prognosis in patients with diabetic foot osteomyelitis. International Wound Journal. 2022. 19(7), 1650-1657, doi:10.1111/iwj.13765.


7. Kurup R., Ansari A. A., Singh J., Raja A. V. Wound care knowledge, attitudes and practice among people with and without diabetes presenting with foot ulcers in Guyana. The Diabetic Foot Journal. 2019. 22(3), 123-130.

