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Abstract
Diabetic foot ulcers are serious complications of Diabetes Mellitus and are known to be resistant to conventional treatment; they may herald severe complications and may lead to lower limb amputation if not treated wisely. Objectives: To assess the efficacy of conservative management and LowLevel Laser Therapy (LLLT) in the treatment of diabetic foot ulcers. Setting: Baghdad Teaching Hospital. Time, from January 2015 through April 2020. Patients and methods: A prospective randamised study included (45) patients who were proved to have a diabetic foot ulcer, the ulcers were graded according to Wagner classification into six grades from (0 to 5), and patients with Wagner grades 1, 2, and 3 were treated conservativly by wound cleaning, controlling of blood sugar in the ward and send for laser therapy. Results: There were six patients with grade 1 ulcers, and all of them (100%) showed complete healing over a period of 3 weeks of conservative treatment and laser therapy. Also, 22 patients out of 25 (88%) with grade 2 ulcers and 11 patients out of 14 (78.6%) with grade 3 ulcers showed complete healing in about six weeks of treatment. Forty-five patients were treated by laser, and only six patients (13.3%) showed minor complications (itching, numbness, erythema, or even blisters), which were reported after the 2nd. Weak of treatment. Conclusion: Diabetic foot ulcers are a common problem in Baghdad Teaching Hospital; it is most commonly occure in patients with long-standing uncontrolled diabetes. Conservatie treatment by wound cleaning, controlling of blood sugar, and laser therapy (LLLT) was proved to be effective in treating grade 1,2 and 3 ulcers and decreasing the time of ulcer healing
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References
- Lipsky BA, Berendt AR, Cornia PB, et al. 2012 Infectious Diseases Society of America clinical practice guideline for the diagnosis and treatment of diabetic foot infections. Clin Infect Dis. 2012;54 (12): e132–e173.
- Lipsky BA, Aragon-Sanchez J, Diggle M, et al. IWGDF guidance on the diagnosis and management of foot infections in persons with diabetes. Diabetes Metab Res Rev. 2016;32 (Suppl 1):45–74.
- Mutluoglu M, Lipsky BA. Non-surgical treatment of diabetic footosteomyelitis. Lancet Diabetes Endocrinol. 2017;5 (8):668
- Nagaraj Chitra, Ramakuri Monica, Konapur Kavita S. Burden of foot problems in diabetic subjects a community-based study among urban poor in Bangalore, India. J. Diabetic Foot Complicat. 2014;6 (3):60–66.
- Gebrekirstos Kahsu, Solomon Gebrekiros, Fantahun Atsede. Prevalence and factors associated with diabetic foot ulcer among adult patients in ayder referral hospital diabetic clinic Mekelle, North Ethiopia. J. Diabetes Metab. 2015;(6(8
- Spanos K., Saleptsis V., Athanasoulas A., Karathanos C., Bargiota A., Chan P. Factors associated with ulcer healing and quality of life in patients with a diabetic foot ulcer. Angiology. 2017;68 (3):242–250. Epub 2016/05/27. [PubMed] [Google Scholar
- Cancienne Jourdan M., Werner Brian C., Hassanzadeh Hamid, Anuj Singla, Shen Frank H., Shimer Adam L. The association of perioperative glycemic control with deep postoperative infection after anterior cervical discectomy and fusion in patients with diabetes. World Neurosurgery. 2017; 102:13–17.
- Guzman J.Z., Skovrlj B., Shin J., Hecht A.C., Qureshi S.A., Iatridis J.C. The impact of diabetes mellitus on patients undergoing degenerative cervical spine surgery. Spine. 2014; 39:1656–1665. [PMC free article] [PubMed] [Google Scholar]
- Khan Yasmee, Manal M., Khan M., Farooqui Raza. Diabetic foot ulcers: a review of current management. Int. J. Res. Med. Sci. 2017;5 (11):4683–4689. [Google Scholar]
- Gulam-Abbas Z., Lutale J.K., Morbach S., Archibald L.K. Clinical outcome of diabetes patients hospitalized with foot ulcers, Dar es Salaam, Tanzania. Diabet. Med. 2002; 19:575–579. [PubMed] [Google Scholar]
- Almobarak A.O., Awadalla H., Osman M., Ahmed M.H. Prevalence of diabetic foot ulceration and associated risk factors: an old and still major public health problem in Khartoum, Sudan. Ann. Transl. Med. 2017;5 (17):340. Epub 2017/09/25. [PMC free article] [PubMed] [Google Scholar]
- . Lavery L.A., Armstrong D.G., Wunderlich R.P., Mohler M.J., Wendel C.S., Lipsky B.A. Risk factors for foot infections in individuals with diabetes. Diabetes Care. 2006;29 (6):1288–1293. Epub 2006/05/30. [PubMed] [Google Scholar]
- Thewjitcharoen Yotsapon, Krittiyawong Sirinate, Porramatikul Sriurai, Parksook Wyn, Chatapat Lapakorn, Watchareejirachot Orawan. Outcomes of hospitalized diabetic foot patients in a multi-disciplinary team setting: Thailand's experience. J. Clin. Transl. Endocrinol. 2014; 1:187–191. [PMC free article] [PubMed] [Google Scholar]
- Tewahido D., Berhane Y. Self-care practices among diabetes patients in Addis Ababa: a qualitative study. PLoS One. 2017;12 (1) [PMC free article] [PubMed] [Google Scholar]
- Bekele F., Fekadu G., Bekele K., Dugassa D. Incidence of diabetic foot ulcer among diabetes mellitus patients admitted to Nekemte referral Hospital, Western Ethiopia: a prospective observational study. Endocrinol. Metab. Syndrome. 2019; 8:300. [Google Scholar]
- Agha R.A., Borrelli M.R., Vella-Baldacchino M., Thavayogan R., Orgill D.P. For the STROCSS group, the STROCSS statement: strengthening the reporting of cohort studies in surgery. Int. J. Surg. 2017; 46:198–202. [PMC free article] [PubMed] [Google Scholar]
- Mariam T.G., Alemayehu A., Tesfaye E., Mequannt W., Temesgen K., Yetwale F. Prevalence of diabetic foot ulcer and associated factors among adult diabetic patients who attend the diabetic follow-up clinic at the university of a gondar referral hospital, North west Ethiopia, 2016: institutional-based cross-sectional study. J. Diabetes Res. 2017; 2017:2879249. Epub 2017/08/10. [PMC free article] [PubMed] [Google Scholar]
- Margolis D.J., Taylor L., Hoffstad O., Berlin J. The association of wound size wound duration, and wound grade on healing. Diabetes Care. 2002; 25:1835–1839. [PubMed] [Google Scholar
- Wong M.L., Coppini D.V. Diabetic foot infections: an audit of antibiotic prescribing in a diabetic foot clinic. Pract. Diabetes Int. 2006;23 (9):401–405. [Google Scholar]
- Eneroth Magnus, Larsson Jan, Jan Apelqvist. Deep foot infections in patients with diabetes and foot ulcer: an entity with different characteristics, treatments, and prognosis. J. Diabet. Complicat. 1999; 13:254–263. [PubMed] [Google Scholar]