Context of diabetic wound management in Antsiranana

The diabetic foot is the leading cause of non-traumatic amputation. The aim of this study was to report on the epidemio-clinical and therapeutic aspects of diabetic foot wounds managed in Antsiranana Madagascar. This retrospective descriptive study included patients with diabetic foot wounds over a 5-year period. Thirty-six cases of diabetic feet were studied. Hospital prevalence was 4% and mean age 57±9 years, with a 55% female predominance. Urban residents were the most represented at 67%. Diabetes was discovered during hospitalization in 55%. In 67% of patients, diabetes had been evolving for less than 5 years. Hypertension was the most common associated risk factor in 39%. The average consultation time was 31±11 days. Wounds occurred spontaneously in 64% of cases. Gangrene was the most common lesion in 45% of cases. Wagner grade 5 was the most common at 33%. Amputation was performed in 36% of patients. Progression was favorable in 67%, and death in 8%.The diabetic foot represents a heavy socio-economic burden. Prevention is the best option.

Autorentext

Ich komme aus Madagaskar und habe an der Universität von Antananarivo und der Universität Aix Marseille Allgemeinmedizin und anschließend Neurochirurgie studiert. Derzeit bin ich Neurochirurg und Leiter der Abteilung für Neurochirurgie und Traumatologie am CHU Tanambao I Antsiranana Madagaskar.