Clinical profile and surgical management of diabetic foot in Benghazi, Libya. Issue 1 (March 2016)

• Record Type: Journal Article
• Authors: Benkhadoura, Mohamed; Alswehly, Mohamed; Elbarsha, Abdulwahab
• Is Part Of: Foot and ankle surgery. Volume 22:Issue 1(2016:Mar.)
• Page Start: 55
• Page End: 58
• Publication Date: 2016-03
• Subjects: Diabetic foot -- Surgical management -- Benghazi; Foot -- Surgery -- Periodicals; Ankle -- Surgery -- Periodicals; Ankle -- surgery -- Periodicals; Foot -- surgery -- Periodicals; Ankle -- Surgery; Foot -- Surgery; Periodicals; Electronic journals; 617.58
• DOI: 10.1016/j.fas.2015.04.011
• Languages: English
• ISSNs: 1268-7731

Abstract

Highlights: Medical records of 542 patients admitted with diabetic foot to a major teaching hospital were studied. 52% of patients presented with grade III–V ulcers according to Wagner's grading system. The overall amputation rate was 34%. The mortality rate was 2%, and comprised mainly patients presented as Wagner's grades IV and V and those who had comorbid diseases. There is a need to establish a dedicated facility with multidisciplinary team to improve patients outcome. Abstract: Background: The aim of this study was to outline the patterns and management of diabetic foot ulcer (DFU) and compare our experience with other published data. Patients and methods: All consecutive patients admitted to Al-Jala Hospital with diabetic foot from June, 2008 to May, 2013 were reviewed retrospectively. Results: A total of 542 patients were studied, Wagner's grade III ulcers were the most prevalent (31%), followed by grade II (25%). About 10% of patients underwent major amputations and 24.2% underwent minor amputations. The amputation rate was 34%, and the mortality rate was 2%. Conclusion: Diabetic foot infections cause significant morbidity and mortality among patients with diabetes in Benghazi. There is a need to establish a diabetic foot clinic in Benghazi with a multidisciplinary team to reduce the rates of hospital admission and amputation, as well as hospital stay duration.