OBJECTIVE Impaired cellular immunity and reduced phagocytic function of polymorphonuclear leukocytes facilitate the development of skin fungal and bacterial infections due to uncontrolled hyperglycemia in diabetic patients. In our study, we aimed to assess onychomycosis and/or tinea pedis frequency in diabetic patients, and effects on the development of chronic complications, particularly foot ...

background: diabetic foot ulcer is one of the major problems suffered by diabetic patients, so much so that the annual incidence of this problem has increased from 0.1% to 4.1% in diabetic patients and the probability of its incidence is over 25% during the diabetic individual's life. case presentation: the patient was a 74-year-old woman with diabetes for more than 20 years. she was hospi...

BACKGROUND There are few studies investigating the characteristics, risk factors and socioeconomic status of patients with non-diabetic foot ulcers. The aim of this study was to explore the characteristics of non-diabetic foot ulcers in a large tertiary referral outpatient hospital setting in Western Sydney, Australia. METHODS From 2011 to 2013, data from 202 patients with non-diabetic foot u...

BACKGROUND Although thermal imaging can be a valuable technology in the prevention and management of diabetic foot disease, it is not yet widely used in clinical practice. Technological advancement in infrared imaging increases its application range. The aim was to explore the first steps in the applicability of high-resolution infrared thermal imaging for noninvasive automated detection of sig...

OBJECTIVE The ability of readily available clinical information to predict the occurrence of diabetic foot ulcer has not been extensively studied. We conducted a prospective study of the individual and combined effects of commonly available clinical information in the prediction of diabetic foot ulcer occurrence. RESEARCH DESIGN AND METHODS We followed 1,285 diabetic veterans without foot ulc...

INTRODUCTION Accurate identification of pathogens, rather than colonising bacteria, is a prerequisite for targeted antibiotic therapy to ensure optimal patient outcome in wounds, such as diabetic foot ulcers. Wound swabs are the easiest and most commonly used sampling technique but most published guidelines recommend instead removal of a tissue sample from the wound bed, which is a more complex...

INTRODUCTION Some studies have reported that diabetic patients do not adhere well to the foot care recommendations. Reasons for non-adherence are less evident and the methods used in education programs may have an effect. Therefore, the aim of the present study was to compare the effects of lecture method and combined method of education on foot care of patients and healing rates of diabetic fo...

D edicated foot units have been developed to improve diabetic foot ulcers management. However, methicillin-resistant Staphylococcus aureus (MRSA) is isolated from 20 to 30% of infected diabetic foot ulcers (1–3). Consequently, placing colonized patients and at-risk patients with open wounds in the same unit may speed up MRSA crosstransmission (4). Therefore, although the impact of MRSA on the o...

Diabetic foot ulcers occur in 1.9% of adults with diabetes annually [1], resulting in amputation in 15%– 20% of patients within 5 years [2]. Direct medical costs for diabetic ulcer care represent the majority of the estimated $4.6–$13.7 billion US annual expenditure for diabetic peripheral neuropathy [3]. Even modest improvements in the prevention and therapy of diabetic foot ulcers have the po...