Prevalence of DFU among diabetic patients and its management

: To study the prevalence of DFU among diabetic patients and the management of DFU among diabetic patients.: Prospective observational study. : The study was conducted in inpatients with diabetes of all departments and inpatients with diabetic foot ulcer (DFU) of surgical department of age 20 to 80 of both genders with sample size 150 were included from September 2019 to march 2020. The prevalence of DFU among diabetic patients was 16%. Among them more diabetic cases were seen in age group of 50-59 and DFU in 40-49 and More diabetic cases are observed in male compared to female. DFU observed equally and the most common causative organism for DFU was staphylococcus aureus followed by proteus species, klebsiella and pseudomonas aeruginosa and more cases of DFU were noticed in diabetic patients with duration of 6-10 years. As the main cause of DFU is infection the primary treatment is anti microbial therapy and the most prescribed class of antibiotics is cephalosporins followed by nitroimidazoles, penicillins, oxazolidinones, lincosamides etc. surgical procedures like debridement, amputation and sometimes both were done in 9,14,1 patients respectively. : Our study revealed the information regarding the prevalence of DFU among diabetic patients is due to lack of knowledge and uncontrolled diabetes may develop poor circulation which leads to wound that may heal slowly which leads to DFU.

3D bioprinted scaffolds for diabetic wound-healing applications

The treatment strategy required for the effective healing of diabetic foot ulcer (DFU) is a complex process that is requiring several combined therapeutic approaches. As a result, there is a significant clinical and economic burden associated in treating DFU. Furthermore, these treatments are often unsuccessful, commonly resulting in lower-limb amputation. The use of drug-loaded scaffolds to treat DFU has previously been investigated using electrospinning and fused deposition modelling (FDM) 3D printing techniques; however, the rapidly evolving field of bioprinting is creating new opportunities for innovation within this research area. In this study, 3D-bioprinted scaffolds with different designs have been fabricated for the delivery of an antibiotic (levoflocixin) to DFU. The scaffolds were fully characterised by a variety of techniques (e.g. SEM, DSC/TGA, FTIR, and mechanical characterisation), demonstrating excellent mechanical properties and providing sustained drug release for 4 weeks. This proof of concept study demonstrates the innovative potential of bioprinting technologies in fabrication of antibiotic scaffolds for the treatment of DFU. Graphical abstract

Modelling Outpatients Cost of Wound Dressing in Nigeria: A Prospective Study

Background: Estimating the direct cost of wound dressing poses a challenge to patients, nurse managers, hospital administrators, health maintenance organisations and other policy makers. This study therefore model the weekly cost of wound dressing in South West NigeriaMethods: A descriptive cross sectional research design was utilized to assess the cost of wound dressing among outpatients’ clinics attendees. An inventory of direct cost of wound dressing per week consisting of cost of materials, lotion and consumables were recorded. The data collection was for period of three months in three selected Teaching Hospitals South West Nigeria. Then modelling weekly cost of wound types was done by regression analysis. The effect of various independent variables such as age, occupation, family size, monthly income, aetiology, diagnosis, wound type, comorbidities, frequency of wound dressing and health insurance coverage on cost of wound dressing per week was considered. Ethical approval was obtained from each of the hospital and Covid-19 precautions were observed.1 USD equalled ₦570Results: The estimated cost of wound dressing per week with no contribution from other variables was found to be ₦36,922- Open wound, ₦6011-Leg ulcer, ₦3768- Cancer wound, ₦2785- Diabetic Foot Ulcer, ₦610-Surgical wound. Only frequency of wound dressing was found to contribute to weekly cost of leg ulcers (P value= 0.003)Conclusions: The estimated cost of various type of wound provides yardstick for determining the weekly cost of wound dressing in Nigeria. Also, frequency of wound dressing is a major determinant of the outpatient cost of dressing. Therefore, it is imperative for nurses to render high quality wound care to match up with the huge financial commitment from patients and families

Care Giver Competency in Prevention Risk of Diabetic Foot Ulcer in Diabetes Mellitus Patients

Increasing in the incidence of diabetic foot ulcer (DFU) among diabetes mellitus patients (DM), which then access to health services is so far, as well as the lack of knowledge of the local community in preventing and caring for DFU made researchers try to initiate training related to prevention and basic wound care for village health cadres, community leaders, and families family members with DM and at risk for UKD. The activity, which carried out in March 2021, involved the puskesmas in Sui District. Raya, Kab. Kubu Raya. After obtained a permit to carry out activities, the Team briefly contacted the community with the assistance of the Head of RT and RW. Participants who toke part in this activity were those who lived or have a family with diabetes mellitus. Participants were given training related to prevention and treatment of basic wounds, which in the end evaluation followed by publication.

Diabetic Foot Ulcer Infections and Pseudomonas aeruginosa Biofilm Production During the COVID-19 Pandemic

During the different waves of the coronavirus (COVID-19) pandemic, there has been an increased incidence of diabetes mellitus and diabetic foot infections. Among gram-negative bacteria, Pseudomonas aeruginosa is the predominant causative agent for diabetic foot ulcer infections in low-resource countries. P. aeruginosa possesses a variety of virulence factors, including biofilm formation. Biofilm formation is an important benchmark characteristic in the pathophysiology of diabetic foot ulceration. The main objective of the current study was to identify the most commonly isolated organisms and their antibiotic susceptibility patterns in diabetic foot patients during the COVID-19 pandemic. We also determined the genes associated with bacterial persistence and biofilm formation in the predominantly isolated organism. Accordingly, 100 wound swab samples were collected from diabetic foot patients from different hospitals in Alexandria, Egypt. Through phenotypic detection of biofilm formation, 93% (40) of the 43 P. aeruginosa isolates examined were categorized as biofilm producers. Molecular detection of the biofilm-encoding genes among the 43 P. aeruginosa isolates was as follows: algD (100%), pelF (88%) and pslD (49.7%), and this highlights a need for biofilm formation inhibitors to prevent the persistence of bacterial pathogens, and thus achieve better clinical outcomes in diabetic foot ulcer infections.

Development of a Health Education Application Smartphone-based FoCED to Increase Knowledge About Foot Care In Patients With Diabetes Mellitus

One such complication is a diabetic foot ulcer that can lead to amputation. Various strategies are taken to reduce the occurrence of injuries in diabetic mellitus patients. One of them is through foot care education packaged by using interesting media. Through the development of smartphone-based applications, it aims to help patients and families perform the right foot care anytime and anywhere. The purpose of this activity is to develop educational media while increasing the knowledge of patients and families about performing foot care. The method used is to develop educational media in the form of applications on smartphones and measure knowledge score before and after education. In addition, during the education of patients and families, they will be followed up 3 times in 1 week. The targets of this program are diabetic patients and families at PKU Muhammadiyah Pontianak Clinic. The results of this activity show that smartphone-based "FoCED" foot care education applications can increase patient and family knowledge.

Edukasi Penggunaan Monofilament dalam Deteksi Dini Neuropati Sensori Diabetes Mellitus Tipe 2 Pada Kader di Tengah Pandemi Covid-19 Kelurahan Kolo Kota Bima

ABSTRAKNeuropati atau sering disebut sebagai gangguan sensasi merupakan salah satu komplikasi yang sering ditemukan pada pasien diabetes Mellitus tipe 2. Kejadian neuropati sering tidak disadari oleh pasien sehingga mengakibatkan munculnya Diabetic Foot Ulcer. Deteksi dini neuropati diabetic sangat penting pada pasien dengan DM karena pencegahan bisa menurunkan morbiditas dan mortalitas.. Metode yang dilakukan meliputi tahap persiapan, tahap pelaksanaan, monitoring dan evaluasi. strategi pelaksanaan dengan melakukan pre test sebelum kegiatan dilaksanakan, kemudian membagikan modul dan video penggunaan alat pengecekan gula darahdan penggunaan monofilament test, setelah itu di evaluasi dengan post test. Hasil yang didapatkan 90% kader yang hadir mememahami dan bisa mempraktekan cara pengecekan gula darah secara mandiri dan menggunkan monofilament tes. Sedangkan kegaiatan dengan 50 penyandang diabetes 40% mengalami gangguan neuropati sensori, maka dapat disimpulakan adanya peningkatan pengetahuan dan keterampilan para kader tentang deteksi dini neuropati pada pasien diabetes mellitus tipe 2 yang meliputi, pengertian DM, tanda dan gejala, penatalaksanaan, komplikasi, tanda gangguan neuropati dan cara mendeteksinya, ditandai dengan kemampuan kader dan penyandang diabetes mampu menjawab dan mempraktikan pertanyaan dari pengabdi. Kata Kunci: Edukasi, Pelatihan, Monofilament tes, Neuropati. ABSTRACT Neuropathy or often referred to as impaired sensation is one of the complications that are often found in patients with type 2 diabetes mellitus. Early detection of diabetic neuropathy is very important in patients with DM because prevention can reduce morbidity and mortality. The methods used include the preparation stage, implementation stage, monitoring and evaluation. the implementation strategy was to do a pre test before the activity was carried out, then distribute modules and videos on the use of blood sugar checking tools and the use of monofilament tests, after which they were evaluated with a post test. The results obtained were 90% of the cadres who attended understood and could practice how to independently check blood sugar and use the monofilament test. While activities with 50 people with diabetes 40% experiencing sensory neuropathy disorders, it can be concluded that there is an increase in knowledge and skills of cadres about early detection of neuropathy in patients with type 2 diabetes mellitus which includes understanding of DM, signs and symptoms, management, complications, signs of neuropathic disorders. and how to detect it, is marked by the ability of cadres and people with diabetes to be able to answer and practice questions from the servants. Keywords: Education, Training, Monofilament test, Neuropathy