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Epidemiological and Clinical Features of Diabetic Foot in Cotonou

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DOI: 10.4236/jdm.2015.53021    2,014 Downloads   2,510 Views   Citations

ABSTRACT

This was a retrospective and descriptive study conducted from 1 July 2006 to 31 July 2011 and carried on 122 cases of diabetic foot collected a total of 706 diabetic patients hospitalized over a period of 5 years. Objective: To study the characteristics of diabetic feet in Cotonou. Results: The mean age of patients was 58.05 years ± 10.65 years, ranging from 35 years to 70 years. The sex ratio was 1.5. Duration of diabetes before the onset of diabetic foot was 11 years. The overall prevalence of diabetic foot was 21.53%. Of these, 95% had neuropathy, 70.40% had arterial disease and all had a foot infection. The amputation rate was 31.96% and the mortality rate was 17.21%. Conclusion: The occurrence of diabetic foot is earlier than in the West, and hence there is a need for early treatment of diabetes.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Hode, A. , Djrolo, F. and Amoussou-Guenou, D. (2015) Epidemiological and Clinical Features of Diabetic Foot in Cotonou. Journal of Diabetes Mellitus, 5, 173-180. doi: 10.4236/jdm.2015.53021.

References

[1] Besse, J.L., Leemrijse, T. and Deleu, P.A. (2011) Diabetic Foot: The Orthopedic Surgery Angle. Orthopaedics & Traumatology, Surgery & Research: OTSR, 97, 314-329.
http://dx.doi.org/10.1016/j.otsr.2011.03.001
[2] Grimaldi, A., Cornet, P., Masseboeuf, N., Popelier, M. and Sachon, C. (1997) Guide pratique du diabète. Collection Médiguide du Généraliste, Paris.
[3] Frykberg, R.G. (2002) Diabetic Foot Ulcers: Pathogenesis and Management. American Family Physician, 66, 1655-1662.
[4] Frykberg, R.G., Armstrong, D., Giurini, J., Edwards, A., Kravette, M., Kravitz, S., et al. (2000) Diabetic Foot Disorders: A Clinical Practice Guideline. Data Trace Publishing Company, Towson.
[5] World Bank (2014) Benin: Country at a Glance.
http://www.worldbank.org/en/country/benin
[6] Nouedoui, C., Teyang, A. and Djoumessi, S. (2003) Epidemiological Study and Treatment of the Diabetic Foot in Yaounde Diabetic Center, Cameroon. Tunisie Medical, 81, 20-25.
[7] Monabeka, H.G. and Nsakala-Kibangou, N. (2001) Epidemiological and Clinical Aspects of the Diabetic Foot at the Central University Hospital of Brazzaville. Bulletin de la Société de pathologie exotique, 94, 246-248.
[8] Amoussou-Guenou, K.D., Zannou, D.M., Ade, G., Djrolo, F., Avimadje, M., Bigot, A., Koffi-Tessio, A. and Houngbe, F. (2006) Morbidity of Diabetic Foot in Internal Medicine CNHU HKM, Cotonou. Mali Medical, 21, 4-7.
[9] Tchakonté, B., Ndip, A., Aubry, P., Malvy, D. and Mbanya, J.C. (2005) The Diabetic Foot in Cameroon. Bulletin de Société de Pathologie Exotique, 98, 94-98.
[10] Sani, R., Ada, A., Bako, H., Adehossi, E., Metchendje Noundui, J., Baoua, B.A., Seibou, A. and Kolle, L. (2010) Le pied diabétique: Aspects épidémiologiques, cliniques et thérapeutiques à l’hopital national de Niamey. A propos de 90 cas. Médecine d’ Afrique Noire, 57, 172-176.
[11] Lokrou, A., Memel, A.T. and Dago, K.P. (2013) Bacteriology of Diabetic Foot Lesions in Ivory Coast. Médecine des Maladies Métaboliques, 7, 477-481.
[12] Jeffcoate, W.J. and Harding, K.G. (2003) Diabetic Foot Ulcers. The Lancet, 361, 1545-1551.
http://dx.doi.org/10.1016/S0140-6736(03)13169-8
[13] Van Damme, H.L.R. (2005) Le pied diabétique. Revue médicale de Liège, 60, 516-525.
[14] Nathan, D. (1993) Long-Term Complications of Diabetic Mellitus. New England Journal of Medicine, 328, 1676-1785.
http://dx.doi.org/10.1056/NEJM199306103282306
[15] Van Damme, H., Paquet, P., Maertens De Noordhout, B. and Damas, P. (1994) Le pied diabétique, étiopathogénie, prévention et traitement. Revue Médicale de Liège, 49, 1-13.
[16] Dyck, P., Zimmerman, B., Vilen, T., et al. (1988) Nerve Glucose, Fructose, Sorbitol, Myoinositol and Fiber Degeneration and Regeneration in Diabetic Neuropathy. New England Journal of Medicine, 319, 542-548.
http://dx.doi.org/10.1056/NEJM198809013190904
[17] Lipsky, B.A., Baker, P.D., Landon, G.C. and Fernau, R. (1997) Antibiotic Therapy for Diabetic Foot Infections: Comparison of Two Parenteral-to-Oral Regimens. Clinical Infectious Diseases, 24, 643-648.
http://dx.doi.org/10.1093/clind/24.4.643
[18] Yoga, R., Khairul, A., Sunita, K. and Suresh, C. (2006) Bacteriology of Diabetic Foot Lesions. Medical Journal of Malaysia, 61, 14-16.
[19] Merad, A.S. (1993) Infection of Diabetic Foot Lesions: Bacterial Etiology, Place of Anaerobic Bacteria, Therapeutic Consequences. Archives de l'Institut Pasteur d'Algérie, 59, 127-140.
[20] Gadepalli, R., Dhawan, B., Sreenivas, V., Kapil, A., Ammini, A.C. and Chaudhry, R. (2006) A Clinico-Microbiological Study of Diabetic Foot Ulcers in an Indian Tertiary Care Hospital. Diabetes Care, 29, 1727-1732.
http://dx.doi.org/10.2337/dc06-0116
[21] Ge, Y., MacDonald, D., Hait, H., Lipsky, B., Zasloff, M. and Holroyd, K. (2002) Microbiological Profile of Infected Diabetic Foot Ulcers. Diabetic Medicine, 19, 1032-1034.
http://dx.doi.org/10.1046/j.1464-5491.2002.00696_1.x
[22] Van Damme, H., Rorive, M., Maertens De Noordhout, B.M., et al. (2001) Amputations in Diabetic Patients, a Plea for Footsparing Surgery. Acta Chirurgica Belgica, 101, 123-129.

  
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