The Impact of Diabetes on the Development and Progression of Lower Leg Ulcers
<strong>Foundation:</strong> ulcers of the lower extremities are a significant medical, social and economic problem worldwide. The prevalence of these ulcers, their relationship with diabetes and the importance of a multidisciplinary approach in their treatment are discussed.<strong&g...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | Spanish |
| Published: |
Universidad de las Ciencias Médicas de Cienfuegos
2023-11-01
|
| Series: | Revista Finlay |
| Subjects: | |
| Online Access: | https://revfinlay.sld.cu/index.php/finlay/article/view/1302 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832577406477533184 |
|---|---|
| author | Ronelsys Martínez Martínez Jenny Olivia Caicedo Rodríguez Flor Betzabet Morocho Quinchuela |
| author_facet | Ronelsys Martínez Martínez Jenny Olivia Caicedo Rodríguez Flor Betzabet Morocho Quinchuela |
| author_sort | Ronelsys Martínez Martínez |
| collection | DOAJ |
| description | <strong>Foundation:</strong> ulcers of the lower extremities are a significant medical, social and economic problem worldwide. The prevalence of these ulcers, their relationship with diabetes and the importance of a multidisciplinary approach in their treatment are discussed.<strong> <br />Objective:</strong> to evaluate the impact of diabetes on the incidence and evolution of lower extremity ulcers, with special attention to bacterial and fungal infections.<br /> <strong>Methods:</strong> a descriptive and correlational study was conducted on 110 patients with lower leg ulcers from the Ulcer Research Center. The patients were divided into a study group and a control group. The study group consisted of 78 diabetic patients and the control group consisted of 32 non-diabetic patients. Information was collected through questionnaires and physical examinations, and complementary analyzes were performed, which included bacteriological and mycological tests of the ulcers. The results were statistically analyzed with the SPSS version 23 program. The student's t test was used for unpaired pairs and for the correlation analysis of the dependent variables, the non-parametric Pearson's Chi test was used. The statistical hypotheses were verified at a significance level of p < 0.05. The results were presented in quantities and percentages. <br /><strong>Results:</strong> in diabetic patients, the average age, the average number of ulcers and duration of ulceration were higher compared to the control group. A higher prevalence of pseudomonas aeruginosa and staphylococcus aureus was found in the study group. Multiple isolates were found in both groups, with a higher frequency in the female group. In relation to fungal infections, cases of candida albicans were identified in the study group, which was sensitive to several antifungals. <br /><strong>Conclusions:</strong> the study found a higher incidence of bacterial and fungal infections in the ulcers of diabetic patients compared to those without diabetes and in women compared to men. |
| format | Article |
| id | doaj-art-a37d1c565e2b4e55ab9db192170e08c8 |
| institution | Kabale University |
| issn | 2221-2434 |
| language | Spanish |
| publishDate | 2023-11-01 |
| publisher | Universidad de las Ciencias Médicas de Cienfuegos |
| record_format | Article |
| series | Revista Finlay |
| spelling | doaj-art-a37d1c565e2b4e55ab9db192170e08c82025-01-30T21:22:02ZspaUniversidad de las Ciencias Médicas de CienfuegosRevista Finlay2221-24342023-11-01133127136666The Impact of Diabetes on the Development and Progression of Lower Leg UlcersRonelsys Martínez Martínez0Jenny Olivia Caicedo Rodríguez1Flor Betzabet Morocho Quinchuela2Universidad Regional Autónoma de los Andes. Ambato. Ecuador.Universidad Regional Autónoma de los Andes. Santo Domingo. Ecuador.Universidad Regional Autónoma de los Andes. Ambato. Ecuador.<strong>Foundation:</strong> ulcers of the lower extremities are a significant medical, social and economic problem worldwide. The prevalence of these ulcers, their relationship with diabetes and the importance of a multidisciplinary approach in their treatment are discussed.<strong> <br />Objective:</strong> to evaluate the impact of diabetes on the incidence and evolution of lower extremity ulcers, with special attention to bacterial and fungal infections.<br /> <strong>Methods:</strong> a descriptive and correlational study was conducted on 110 patients with lower leg ulcers from the Ulcer Research Center. The patients were divided into a study group and a control group. The study group consisted of 78 diabetic patients and the control group consisted of 32 non-diabetic patients. Information was collected through questionnaires and physical examinations, and complementary analyzes were performed, which included bacteriological and mycological tests of the ulcers. The results were statistically analyzed with the SPSS version 23 program. The student's t test was used for unpaired pairs and for the correlation analysis of the dependent variables, the non-parametric Pearson's Chi test was used. The statistical hypotheses were verified at a significance level of p < 0.05. The results were presented in quantities and percentages. <br /><strong>Results:</strong> in diabetic patients, the average age, the average number of ulcers and duration of ulceration were higher compared to the control group. A higher prevalence of pseudomonas aeruginosa and staphylococcus aureus was found in the study group. Multiple isolates were found in both groups, with a higher frequency in the female group. In relation to fungal infections, cases of candida albicans were identified in the study group, which was sensitive to several antifungals. <br /><strong>Conclusions:</strong> the study found a higher incidence of bacterial and fungal infections in the ulcers of diabetic patients compared to those without diabetes and in women compared to men.https://revfinlay.sld.cu/index.php/finlay/article/view/1302úlcera de la piernacomplicaciones de la diabetesinfecciones bacterianas y micosis |
| spellingShingle | Ronelsys Martínez Martínez Jenny Olivia Caicedo Rodríguez Flor Betzabet Morocho Quinchuela The Impact of Diabetes on the Development and Progression of Lower Leg Ulcers Revista Finlay úlcera de la pierna complicaciones de la diabetes infecciones bacterianas y micosis |
| title | The Impact of Diabetes on the Development and Progression of Lower Leg Ulcers |
| title_full | The Impact of Diabetes on the Development and Progression of Lower Leg Ulcers |
| title_fullStr | The Impact of Diabetes on the Development and Progression of Lower Leg Ulcers |
| title_full_unstemmed | The Impact of Diabetes on the Development and Progression of Lower Leg Ulcers |
| title_short | The Impact of Diabetes on the Development and Progression of Lower Leg Ulcers |
| title_sort | impact of diabetes on the development and progression of lower leg ulcers |
| topic | úlcera de la pierna complicaciones de la diabetes infecciones bacterianas y micosis |
| url | https://revfinlay.sld.cu/index.php/finlay/article/view/1302 |
| work_keys_str_mv | AT ronelsysmartinezmartinez theimpactofdiabetesonthedevelopmentandprogressionoflowerlegulcers AT jennyoliviacaicedorodriguez theimpactofdiabetesonthedevelopmentandprogressionoflowerlegulcers AT florbetzabetmorochoquinchuela theimpactofdiabetesonthedevelopmentandprogressionoflowerlegulcers AT ronelsysmartinezmartinez impactofdiabetesonthedevelopmentandprogressionoflowerlegulcers AT jennyoliviacaicedorodriguez impactofdiabetesonthedevelopmentandprogressionoflowerlegulcers AT florbetzabetmorochoquinchuela impactofdiabetesonthedevelopmentandprogressionoflowerlegulcers |