Assessment of diabetic foot infections treated in palliative care unit of our hospital
Tuba Demirci Yıldırım1, Utku Erdem Soyaltın1, Mustafa Yıldırım1, Mert Kumbaracı2, Şükran Köse3, Harun Akar1
1İzmir Tepecik Eğitim ve Araştırma Hastanesi İç Hastalıkları Kliniği, İzmir, Türkiye
2İzmir Tepecik Eğitim ve Araştırma Hastanesi Ortopedi ve Travmatoloji Kliniği, İzmir, Türkiye
3İzmir Tepecik Eğitim ve Araştırma Hastanesi Enfeksiyon Hastalıkları Kliniği, İzmir, Türkiye
Keywords: Diabetes; foot ulcers; prevention.
Abstract
Objectives: This study aims to assess the treatment administered in patients with diabetic foot infections and palliative care services in the palliative care unit of our hospital.
Patients and methods: File information of nine male patients (mean age 51.37±11 years; range 38 to 66 years) treated in our hospital’s palliative care unit as of its opening date of 12 June 2013 and diagnosed as diabetic foot infection was retrospectively analyzed.
Results: Patients’ mean diabetes age was 9.12±6.9 years. Four patients had previously undergone amputation due to diabetic foot infection. All patients were receiving intensive insulin therapy. Patients’ mean glycosylated hemoglobin value was 9.2±3.7, mean fasting blood glucose value was 178 mg/dL, and postprandial blood glucose value was 262 mg/dL. Primary treatments administered in patients were blood sugar regulation, palliative support, combined broad-spectrum antibiotherapy, daily wound dressing, and hyperbaric oxygen therapy. Also, diabetic patient training was prioritized.
Conclusion: The treatment of diabetic foot infection requires a multidisciplinary approach. Internal medicine, orthopedics, infectious diseases clinic, and wound care services are involved in disease management. We believe that awareness trainings for diabetic patients regarding all complications of diabetes including diabetic foot are a significant part of the management of this disease.