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INDICATIONS OF DIABETIC FOOT AMPUTATION IN AL MADINAH

Mohammed khalid zaki, Abdullah Faisal Essa, Abdullah Saeed omayr Alsaedi, Osama Abdullah Omar Bashrahil , Jebreel Mohammed Fallatah, Faisal Abdullah AL-Johany, Abdulaziz Yousef Aljazaeri

Abstract: Introduction Diabetes mellitus is a chronic disease affects most of the body organs. Foot is common organ that affected by diabetes. It is estimated that there are about 200 million diabetics worldwide. Methods This retrospective study involved 157 patients carried out in AL-Madinah leading centers; King Fahad hospital, and Miqat hospital. The information were extracted from patients’ files regarding the presence of ischemia, bacterial infection, and neuropathy. We included the patients who met the criteria within the period between 2015 to 2018, who underwent amputation in ALMadinah. Results We collected 157 patients underwent amputation due to diabetic foot from King Fahad Hospital (KFH) and Miqat hospital. 134 (85.4%) of them gathered from Miqat Hospital while 23 (14.6%) of them collected from KFH. In the indication of diabetic foot amputation, Ischemia (73.9%), bacterial infection (81.5%) are represented main indications as they signifies higher ratings. according to the culture and sensitivity, the most common organism in diabetic foot infection were as follows; streptococcus (84.63%) , staph aures (17.9%) , E-coli (15.4%) , Enterobacter (12.8%) and other type of organism (23.1%) Conclusion Indication of diabetic foot amputation had been identified as; Ischemia, bacterial infection, neuropathy. The study showed the main identifier of ischemia were clinical judgment and investigations like ankle-brachial pressure index and transcutaneous oxygen measurements were not used for evaluation of ischemia and predict the viability of the tissues, Attempts at revascularization which could preserve limbs from amputation were also not done. Keywords Diabetic foot, Amputation, Indication, Surveillance, Microorganisms, Infection.

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