scholarly journals Efektivitas Telemedicine terhadap perawatan pasien diabateic foot ulcers: Tinjauan sistemastis

2021 ◽  
Vol 7 (1) ◽  
pp. 61
Author(s):  
Muhammad Anis Taslim ◽  
Kusnanto Kusnanto ◽  
Yulia Setiya Dewi
Keyword(s):  
Diabetes Mellitus ◽  
Systematic Review ◽  
Mobile Phone ◽  
Diabetic Foot ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Boolean Operator ◽  
Randomized Control ◽  
Quasi Experiment

Pendahuluan:Ulkus kaki diabetik merupakan salah satu komplikasi yang sering terjadi pada penderita Diabetes Mellitus. Telemedicinemerupakan pennggunaan sarana teknologi komunikasi untuk mendapatkan dan mendesiminasi data dan pelayanan medis. Sistematik review ini bertujuan mengkaji efektivitas telemedicine untuk pengelolaan perawatan ulkus kaki diabetik.Metode:kata kunci yang digunakan adalah "telemedicine" "healing" dan "diabetic foot" dan "diabetic foot ulcers", yang dihubungankan dengan Boolean operator "AND".  Pencarian artikel dengan menggunakan kerangka PICOT pada database internasional; EBSCO, Science Direct, Scopus, ProQuest, selama lima tahun, 2017-2021. Hasil:Diperoleh 15 artikel yang sesuai dengan kriteria inklusi yaitu berfokus pada telemedicine pada pasien dengan perawatan ulkus kaki diabetic, penelitian jenis Randomized Control Trialdan quasi-experiment. Studi desain lainnya dimasukkan dalam kriteria eksklusi. Artikel yang didapatkan dianalisa dengan Preferred Reporting Items for Systematic Review and Meta-Analyzes(PRISMA). Simpulan:Telemedicine memiliki beberapa inovasi yang dapat digunakan dalam mengamati, mengantisipasi, dan mengobati penderita kaki diabetik. Inovasi dalam bentuk Telemedicine skin thermography, photo imaging, dan mobile phone onlinedapat memberikan hasil yang bagus dalam pemulihan kelangsungan hidup untuk pasien dengan perawatan ulkus kaki diabetik.

scholarly journals Prevalence and associated factors of foot ulcer among diabetic patients in Ethiopia: a systematic review and meta-analysis

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Tadesse Tolossa ◽  
Belayneh Mengist ◽  
Diriba Mulisa ◽  
Getahun Fetensa ◽  
Ebisa Turi ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Systematic Review ◽  
Diabetic Foot ◽  
Meta Analysis ◽  
Self Care ◽  
Foot Ulcer ◽  
Foot Ulcers ◽  
Care Practice ◽  
Diabetic Patients ◽  
Diabetic Foot Ulcers

Abstract Background Diabetes and its complications including foot ulcer constitute a global public health challenge attributing to a significant cause of morbidity and mortality. Foot ulcer is one of the long-term complication of diabetes mellitus which lead to infection and amputation of lower extremities. In Ethiopia, findings from few studies were inconsistent and there is a need to systematically pool existing data to determine the magnitude of foot ulcer in diabetics and factors contributing to it. Methods We identified articles through electronic databases such as Medline, Hinari, Pub Med, Cochrane library, the Web of Science and Google Scholar. Accordingly, we identified 95 published and one unpublished article. Finally, eleven studies which fullfilled eligibility criteria were included in final systematic review and meta-analysis. Data were extracted using a standardized data extraction checklist and the analyses were conducted using STATA version 14. The Cochrane Q test statistic and I2 tests were used to assess heterogeneity. Results The overall magnitude of foot ulcer was 12.98% (95%CI: 7.81–18.15) in diabetic patients in Ethiopia. Sub-group analyses revealed highest prevalence in Addis Ababa (19.31% (95%CI: 2.7. 41.37)). Foot ulcer was significantly associated with rural residence (OR = 2.72, 95%, CI: 1.84–4.01)), presence of callus on the feet ((OR = 12.67, 95%, CI: 6.47–24.79)), a body mass index of ≥24.5 ((OR = 2.68, 95%, CI: 1.58–4.56)), poor self- care practice ((OR = 1.47, 95%CI: 1.25–1.73)), type I diabetes mellitus ((OR = 0.42, 95%, CI: 0.22–0.79)), staying with DM for < 10 years ((OR = 0.23, 95%, CI: 0.11–0.50)), and age < 45 years ((OR = 0.44, 95%, CI: 0.21–0.92)). Conclusion The prevalence of diabetic foot ulcers in Ethiopia is relatively low, although its trend is increasing from time to time. Socio-demographic factors, body weight, and healthcare practice contribute to the development of diabetic foot ulcers. Appropriate interventions towards patient self-care practice, lifestyle modification and follow-up are wanted to prevent diabetic foot ulcers.

scholarly journals Therapeutic Effects of Medicinal Plants on Diabetic Foot Ulcers: A Systematic Review

2021 ◽  
Vol 7 (3) ◽  
pp. 167
Author(s):  
Efa Refiani ◽  
Rita Maliza ◽  
Husna Fitri ◽  
Putri Lestari
Keyword(s):  
Diabetes Mellitus ◽  
Systematic Review ◽  
Wound Healing ◽  
Medicinal Plants ◽  
Diabetic Foot ◽  
Healing Process ◽  
Foot Ulcers ◽  
Therapeutic Effects ◽  
Diabetic Foot Ulcers ◽  
Active Compounds

Diabetic Foot Pain and Ulcers is one of the complications diseases caused by Diabetes Mellitus (DM). Based on data from the Ministry of Health in 2014, diabetic foot ulcers in Indonesia 54%. Diabetic foot ulcer disease can cause infection and tissue death. Treatment of diabetic foot ulcers has been treated with ointments or gels containing antimicrobials, biomaterials, and active compounds, accelerating the wound healing process. The active compounds from medicinal plants that play a role in the treatment of diabetic foot ulcers have been widely reported. The purpose of writing this article is to look at the therapeutic effects of active compounds that play a role in wound healing. In this systematic review, we searched the PubMed, Science Direct, and Google Scholar databases to identify primer articles that were published from 2010 to 2020. Ten studies were selected and published between 2015-2020. Furthermore, the plant species used for the treatment of diabetic foot ulcers contain active phenolic, gallic acid, flavonoids, gallic acid, flavonoids, and tannins compounds that play a role in the acceleration of the healing process of diabetic foot ulcers. Keywords: Diabetes mellitus, diabetic foot ulcers, the active compound, medicinal plants

scholarly journals Staphylococcus aureus strains isolated from diabetic foot ulcers. Identification of the antibiotic resistant phenotypes

2013 ◽  
Vol 20 (4) ◽  
pp. 389-393 ◽  
Author(s):  
Teodora Chiţă ◽  
Delia Muntean ◽  
Luminiţa Badiţoiu ◽  
Bogdan Timar ◽  
Roxana Moldovan ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Staphylococcus Aureus ◽  
Diabetic Foot ◽  
Foot Ulcer ◽  
Foot Ulcers ◽  
Resistance Pattern ◽  
Diabetic Patients ◽  
Diabetic Foot Ulcers ◽  
Bacterial Strains ◽  
Diabetes Clinic

Abstract Background and aims: Infected foot ulcer is one of the most feared complications of diabetes mellitus. Staphylococcus aureus is the most frequently isolated pathogen in diabetic foot infections. The aim of this study was to evaluate the prevalence of S. aureus strains involved in producing foot infections in diabetic patients and the antibiotic resistance pattern of these strains. Material and methods: The study included 33 S. aureus strains isolated from 55 diabetic foot ulcers. The subjects were selected from the 2465 patients with diabetes mellitus hospitalized in the Timişoara Diabetes Clinic, between 2011 and 2013. Germs’ identification relied on cultural and biochemical characteristics. Final identification and antimicrobial testing were performed using the Vitek 2 (Bio Merieux France) automatic analyzer. Results: All the 55 samples collected from diabetic foot ulcers were positive. We isolated 64 bacterial strains (some samples were positive for 2 microorganisms). The most frequently isolated germ was S. aureus, in 33 samples (51.56%). All these S. aureus strains showed resistance to benzylpenicillin, while only 33.33% were methicillin-resistant (MRSA). Conclusions: The most frequently isolated germ in the wound secretions from diabetic foot ulcers was S. aureus. The highest percentage of antimicrobial resistance was recorded to benzylpenicillin and erythromycin.

The prevalence and incidence of diabetic foot ulcers among five countries in the Arab world: a systematic review

2017 ◽  
Vol 26 (Sup9) ◽  
pp. S27-S34 ◽  
Author(s):  
M. Mairghani ◽  
K. Elmusharaf ◽  
D. Patton ◽  
J. Burns ◽  
O. Eltahir ◽  
...  
Keyword(s):  
Systematic Review ◽  
Diabetic Foot ◽  
Arab World ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers

scholarly journals A systematic review and meta-analysis of débridement methods for chronic diabetic foot ulcers

2016 ◽  
Vol 63 (2) ◽  
pp. 37S-45S.e2 ◽  
Author(s):  
Tarig Elraiyah ◽  
Juan Pablo Domecq ◽  
Gabriela Prutsky ◽  
Apostolos Tsapas ◽  
Mohammed Nabhan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Diabetic Foot ◽  
Meta Analysis ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers

scholarly journals The Role of Recombinant Proteins and Growth Factors in the Management of Diabetic Foot Ulcers: A Systematic Review of Randomized Controlled Trials

2020 ◽  
Vol 2020 ◽  
pp. 1-18 ◽  
Author(s):  
Elahe Mahdipour ◽  
Amirhossein Sahebkar
Keyword(s):  
Systematic Review ◽  
Growth Factors ◽  
Growth Factor ◽  
Recombinant Proteins ◽  
Diabetic Foot ◽  
Foot Ulcers ◽  
Diabetic Patients ◽  
Controlled Trials ◽  
Diabetic Foot Ulcers ◽  
Randomized Controlled

Background. Recombinant proteins and growth factors are emerging therapies for diabetic foot ulcers. Despite several clinical reports, there has been no comprehensive and systematic assessment of the totality of clinical evidence on the efficacy and safety of recombinant proteins and growth factors in diabetic foot ulcers. We tried to address this gap through an updated systematic review of randomized controlled trials (RCTs). Methods. PubMed, the Cochrane Library, Scopus, Embase, and Google Scholar databases were searched, and RCTs on the efficacy of recombinant proteins and growth factors in the treatment of cutaneous wounds in diabetic patients were selected. The literature search and assessment were performed by two independent reviewers. Methodological quality of studies was appraised using the Jadad scale. Results. We identified 26 RCTs involving diabetic patients with ulcer that evaluated the effectiveness of platelet-derived growth factor, epidermal growth factor, fibroblast growth factor, granulocyte colony-stimulating factor, vascular endothelial growth factor, erythropoietin, transforming growth factor, talactoferrin, and rusalatide acetate. The main primary outcome was complete healing though different indices were employed to define this such as wound closure, granulation tissue formation, or complete reepithelialization. Few studies had a follow-up period to report any recurrence and amputation rate. No adverse effect was reported due to the intervention. Conclusion. Overall, there is a greater agreement on the effectiveness of EGF to enhance the healing of diabetic ulcers. Nevertheless, extant evidence is lacking for other agents since few trials have been conducted for most of the growth factors and available studies are heterogeneous in their methodologies.

scholarly journals Imaging for detection of osteomyelitis in people with diabetic foot ulcers: A systematic review and meta-analysis

2020 ◽  
Vol 131 ◽  
pp. 109215
Author(s):  
Alexis Llewellyn ◽  
Jeannette Kraft ◽  
Colin Holton ◽  
Melissa Harden ◽  
Mark Simmonds
Keyword(s):  
Systematic Review ◽  
Diabetic Foot ◽  
Meta Analysis ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers
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