TITLE:
Ulcero-Necrotic Wound: Socio-Economic Impact, Kayes, Mali
AUTHORS:
Lamine Issaga Traore, Sidy Sangare, Gaoussou Sogoba, Mamaye Kouyate, Abdoulaye Cisse, Bakary Skeita, Sadio Dembele, Lassina Goita, Adama Sdiakité, Mariam Sanogo, Moussa Camara, Drissa Traore
KEYWORDS:
Ulcero-Necrotic Wound, Surgery, Disability, Socio-Economic
JOURNAL NAME:
Surgical Science,
Vol.13 No.6,
June
24,
2022
ABSTRACT: The
issue of wound care has always played an important role in the practice of
medicine. This is evidenced by Ambroise Paré’s decision to publish his
first work on this subject, “La manière de traiter les Plaies” (The Way
of Treating Wounds) in 1545. Objective: To evaluate
the therapeutic methods we practice and to describe the impact of the pathology
on socio-economic and professional development. Patients and Method: This was a retrospective study carried out at the Fousseyni Daou Hospital in
Kayes from January 1, 2018, to December 31, 2020. We included all patients with an ulcero-necrotic
wound on immunocompetent terrain hospitalized in the department. Patients with
ulcerative necrotic wounds of diabetes, HIV, or cancerous origin were not included. The parameters studied were:
etiologies, local care, sequelae, and socio-economic
and professional aspects. Results: We collected 57
patients of whom 43 were men and 14 were women, i.e. a sex ratio of 3. The mean age was 40.7 years with a
standard deviation of 8.4 with extremes (7 years and 80 years). The average
consultation time was 25.1 days. The most represented socio-professional
stratum was agropastoralism in 37 cases (65%). The predominant etiological
factor was neglected traumatic wounds in 34 cases (59.6%). The site was the
lower limb in 39 cases (68.5%). The germ found was Staphylococcus aureus in 21
cases (36.8%). The particularity during local care was the use of table sugar
in 9 cases (15.7%) and maggot therapy in 2 cases (3.5%). Hyperthermia was the
clinical sign of aggravation in 22 cases (38.6%) and we diagnosed 2 cases
(3.5%) of tetanus. The mortality rate was 15.7% (9 cases) and 30 cases (52.7%)
of sequelae after recovery. The average length of hospitalization was 38 days.
Hospital care was provided by the social welfare service in 35 cases (61.4%). Nineteen (19) patients (39.5%) were unable to
resume their socio-professional activity. Conclusion: Ulcero-necrotic wounds are complex to manage and
can have a lifelong influence on the socio-professional and economic
activity of patients.