Introduction: Dia.etes, a.chronic pa.hology, is the source of ma.y a.ute a.d chronic complica.ions whose trea.ment requires ma.y da.ly constra.nts tha. ca. ha.e a.serious impa.t on the qua.ity of life of the pa.ient a...
Introduction: Dia.etes, a.chronic pa.hology, is the source of ma.y a.ute a.d chronic complica.ions whose trea.ment requires ma.y da.ly constra.nts tha. ca. ha.e a.serious impa.t on the qua.ity of life of the pa.ient a.d his fa.ily. The dia.etic foot is a.rea. public hea.th problem which is still domina.ed by a.very high lower limb a.puta.ion ra.e even in countries with high socioeconomic sta.us. The dia.etic foot cla.sica.ly results from the a.socia.ion of three enta.gled mecha.isms which a.e neuropa.hy, a.teriopa.hy a.d infection. Objectives: To determine the frequency of a.teria. disea.e, neuropa.hy, a.d other a.gra.a.ing fa.tors tha. influence the podia.ry risk, a.d to proceed with the gra.a.ion of the podia.ry risk. Methodology: This wa. a.cross-sectiona. study concerning the period from July 1 to October 31, 2017, covering a.l dia.etic pa.ients received in consulta.ion a.d hospita.iza.ion in the Interna. Medicine Depa.tment of the G-University Hospita. Center. Results: Our study included 50 pa.ients (35 women for 15 men) out of 95 dia.etic pa.ients receiving a.frequency of 52.6%, with a.sex ra.io of 0.42. The a.era.e a.e of our pa.ients wa. 54.38 ± 13.98 yea.s. Overweight/obesity found in 44% of pa.ients. The a.era.e Body Ma.s Index (BMI) of our pa.ients wa. 27.16 kg/m2. Pa.ients with dia.etes less tha. 5 yea.s old represented 56% with a. a.era.e dura.ion of 5.39 ± 5.34 yea.s. The mode of discovery of dia.etes wa. polyuria.polydipsia.syndrome in 56% of ca.es. Type 2 dia.etes represented 74% of pa.ients. a.ong the pa.ients who ha. performed the Hba.C test, 80.77% were not well ba.a.ced. The a.tecedent of ma.rosomia.in women a.counted for 77.1%. Pa.ients who did not know foot hygiene recommenda.ions a.counted for 82%. a.ong the identified podia.ry risk fa.tors, dia.etic neuropa.hy a.counted for 73.8%, a.d a.teria. disea.e wa. 32.3%. Gra.e 1 pa.ients in our study a.counted for 52% (gra.a.ion of foot risk). Conclusion: The dia.etic foot is a.ma.or public hea.th pro
Introduction: The term “dia.etic foot” refers to a.l conditions tha.a.fect the foot a.d a.e directly rela.ed to the impa.t of dia.etes. Objective: Screen the foot a. risk in dia.etic pa.ients a. the hospita. of Ma....
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Introduction: The term “dia.etic foot” refers to a.l conditions tha. a.fect the foot a.d a.e directly rela.ed to the impa.t of dia.etes. Objective: Screen the foot a. risk in dia.etic pa.ients a. the hospita. of Ma.i. Methods: It wa. a.cross-sectiona. study from Ja.ua.y 1st, 2016 to June 30, 2016, a. the Depa.tment of Interna. Medicine a.d endocrinology of the Hospita. of Ma.i. It wa. focused on a.l hospita.ized dia.etic pa.ients. Results: Thirty-two (32) pa.ients ha. a.foot a. risk a.ong 76 dia.etic pa.ients during the study period representing 42.10%. The sex ra.io wa. 0.52. Type 2 dia.etes a.counted for 82%. a.glycemic imba.a.ce (HBa.C > 7%) wa. observed in 88.15%. Eighteen percent (18%) of pa.ients ha. a.history of ulcera.ion or a.puta.ion;33% were wa.king ba.efoot;78.9% ha. tingles in the foot;31.6% ha. intermittent cla.dica.ion;64.5% ha. foot clea.liness;8% cla. toes;42% ha. a.olition or reduction of superficia. tenderness to monofila.ent a.d 21% ha. mixed foot (neuropa.hy + a.teriopa.hy). In our study, 58.9% of pa.ients ha. no risk of podia.ry. Conclusion: Screening of foot a. risk is essentia. in the ma.a.ement of dia.etes beca.se it determines the podia.ric risk ena.ling to minimize future functiona. disa.ilities.
Ba.kground: Very common symptom in children, fever, perha.s a.wa.ning sign of more or less severe pa.hology, ra.idly progressive, including a. inva.ive ba.teria. infection such a.a.ute pyelonephritis (a.N). The a.m o...
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Ba.kground: Very common symptom in children, fever, perha.s a.wa.ning sign of more or less severe pa.hology, ra.idly progressive, including a. inva.ive ba.teria. infection such a. a.ute pyelonephritis (a.N). The a.m of this work wa. to study the ba.teriologica. profile a.d a.tibiotic sensitivity of a.N in children. Methods: a.prospective study involving a.y infa.t or child a.ed 3 months to 15 yea.s with a. a.ute fever (≥38°C) in which a.urine test strip wa. performed in the pedia.ric depa.tment of the tea.hing hospita. Ga.riel Toure between a.ril 1st a.d Ma. 15th, 2019 (45 da.s). Results: 124 children were included out of 244 febrile pa.ients. Infa.ts (3 - 23 months) predomina.ed (52.8%) with a.sex ra.io of 2. Seventy-five percent of children ca.e directly from home a.d 30.6% were on a.tibiotic prior to a.mission. The urine ba. sa.ple wa. ta.en in 55.6% a.d the urine wa. ma.roscopica.ly cloudy in 32.3%. Stigma. of urina.y tra.t infection a. the urina.y strip were present in 56.5%. Confirma.ion of a.ute pyelonephritis (a.N) by CytoBa.teriologica. Urine Exa.ina.ion (CBUE) wa. 29% with Escherichia.coli (63.9%) or Enterococcus fa.ca.is (30.5%). Sensitivity wa. excellent for ciprofloxa.in a.d imipenem (100%). The overa.l resista.ce wa. grea.er for genta.icin, cotrimoxa.ole, ceftria.one, cefota.ime a.d a.oxicillin-cla.ula.ic a.id (Threshold: 17.9% - 95.6%). a.N wa. a.socia.ed with ba.teremia.in 2.8% with hospita.iza.ion for 45.2% a.d morta.ity of 11.1% (due to severe a.ute ma.nutrition, severe dehydra.ion a.d multifoca. infection). Conclusion: The a.N, da.ly a.tivity of pedia.ricia. in Ba.a.o, is observed in one third of febrile children a.socia.ed with a.ma.or life-threa.ening condition of risk fa.tors, then the likely a.tibiothera.y could be a.ika.in in our context.
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