Prevalence of diabetic foot ulcers and assessment of foot care knowledge and practice among patients attending diabetic clinic of a tertiary hospital of eastern India

Authors

  • Satabdi Mitra Department of Community Medicine, KPC Medical College and Hospital, West Bengal, India
  • Kunal Kanti Majumdar Department of Community Medicine, KPC Medical College and Hospital, West Bengal, India
  • Sushanta Bhanja Department of Pediatrics, Jagannath Gupta Institute of Medical Sciences and Hospital, West Bengal, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20232044

Keywords:

Diabetic foot ulcer, Foot habits, Non-communicable diseases, Quality of life

Abstract

Background: Diabetic foot ulcer (DFU) is a dreaded complication holding huge health and socio-economic impacts and negative impacts on quality of life of individual, community and society as a whole yet carrying scope of preventive potential. The objectives were to find out the prevalence of diabetic foot ulcers and to assess gap in knowledge, foot care practices and their determinants.

Methods: A cross-sectional study was conducted over three months among 310 diabetic outpatients of a medical college of an eastern Indian state. Data were collected with a validated questionnaire containing socio-demographics, clinical and behavioral factors, foot care knowledge and practice and SINBAD score was used for assessing diabetic ulcers.

Results: Out of 310 participants, 44 (14.2%) had diabetic foot ulcer and 1/5th of them had SINBAD score ≥3 indicating severity. Knowledge level was poor among 245 (79.0%) and healthy foot habits were among only 70 (22.6%). Addiction, diabetes for ≥5 years, any associated non-communicable diseases, irregular treatment and follow-up care, unhealthy foot condition, improper foot wear, poor knowledge of the disease and unhealthy foot habits had significant association with occurrence of foot ulcers.

Conclusions: Generation of awareness can bring about prevention of development of foot ulceration among diabetic patients and henceforth can avert risk of adverse consequences of it.

Metrics

Metrics Loading ...

References

Andrew J, Gunne R, Jan A. The global burden of diabetes foot disease. Lancet. 2005;366:1719-24.

IDF Diabetes Atlas. 7th Edn. 2015. Available from: https://www.idf.org/component/attachments/attachments.html. Accessed on 29 March 2023.

Schaper NC, Andros G, Apelqvist J, Bakker K, Lammer J, Lepantalo MJ, et al. Specific guidelines for the diagnosis and treatment of peripheral arterial disease in a patient with diabetes and ulceration of the foot 2011. Diabetes Metab Res Rev. 2012;28(1):236-7.

Thorud JC, Plemmons B, Buckley CJ, Shibuya N, Jupiter DC. Mortality after nontraumatic major amputation among patients with diabetes and peripheral vascular disease: A systematic review. J Foot Ankle Surg. 2016;55:591-9.

Anjana RM, Pradeepa R, Deepa M, Datta M, Sudha V, Unnikrishnan R, et al. Prevalence of diabetes and prediabetes (impaired fasting glucose and/or impaired glucose tolerance) in urban and rural India: Phase I results of the Indian Council of Medical Research. J Fam Med Prim Care. 2020;9(8):3022-7.

Abbas ZG, Archibald LK. Epidemiology of the diabetic foot in Africa. Med Sci. Monit. 2005;11:262-70.

Danmusa UM, Terhile I, Nasir IA, Ahmad AA, Muhammad HY. Prevalence and healthcare costs associated with the management of diabetic foot ulcer in patients attending Ahmadu Bello University Teaching Hospital, Nigeria. Int J Health Sci. 2016;10(2):219.

Morey-Vargas OL, Smith SA. BE SMART: strategies for foot care and prevention of foot complications in patients with diabetes. Prosthet Orthot Int. 2015;39:48-60.

Dorresteijn JA, Kriegsman DM, Assendelft WJ, Valk GD. Patient education for preventing diabetic foot ulceration. Cochrane Database Syst Rev. 2010;5.

Dorresteijn JA, Valk GD. Patient education for preventing diabetic foot ulceration. Diabetes Metab Res Rev. 2012;28 (1):101-6.

Tamilselvan T, Rani PP, Anandkumar S, Kumutha T, Stalin DJ. A study on prevalence of diabetic foot ulcer and quality of life of type 2 diabetes mellitus patients in a multi speciality hospital. World J Pharm Pharm Sci. 2017;6(7):1811-6.

Soares MM, David Russell D, Boyko EJ, Jeffcoate W, Mills JL, Morbach S, et al. IWGDF Guideline on the classification of diabetic foot ulcers. Diabetes Metab Res Rev. 2019.

Regas A, Tariku B, Agedew E, Seman B. Magnitude of diabetic foot ulcer and associated factors among diabetic patients who attended diabetic follow-up clinics in Gamo and Gofa Zones, Southern Ethiopia. Int J Diabetes Clin Res. 2021;8(2):1-9.

Deribe B, Woldemichael K, Nemera G. Prevalence and factors influencing diabetic foot ulcer among diabetic patients attending Arbaminch Hospital, South Ethiopia. J Diabetes Metab. 2014;5(1):1-7.

Singh AK, Yeola M, Singh N, Damke S. A study on diabetic foot ulcers in Central rural India to formulate empiric antimicrobial therapy. J Fam Med Prim Care. 2020;9:4216-22.

Mutonga DM, Mureithi MW, Ngugi NN, Otieno FC. Diabetic foot ulcers in a Kenyan referral and teaching hospital: risk factors, patient characteristics and clinical outcomes. Endo Diabetes Met. 2019;1(2):41-51.

Chiwanga FS, Njelekela MA. Diabetic foot: prevalence, knowledge, and foot self-care practices among diabetic patients in Da- Es-Salaam, Tanzania- a cross-sectional study. J Foot Ankle Res. 2015;8:20.

Mariam TG, Alemayehu A, Tesfaye E, Mequannt W, Temesgen K, Yetwale F, et al. Prevalence of diabetic foot ulcer and associated factors among adult diabetic patients who attend the diabetic follow-up clinic at the university of Gondar Referral Hospital, North West Ethiopia, 2016: Institutional-Based Cross-Sectional Study. J Diabetes Res. 2017;1-8.

Shahi SK, Kumar A, Kumar S, Gupta SK, Singh T. Prevalence of diabetic foot ulcer and associated risk factors in diabetic patients From North India. J Diabetic Foot Complicat. 2012;4(3):83-91.

AlAyed MY, Younes N, Al-Smady M, Khader YS, Robert AA. Prevalence of foot ulcers, foot at risk and associated risk factors among Jordanian Diabetics. Curr Diabetes Rev. 2017;13:182-91.

Assaad-Khalil SH, Zaki A, Rehim AA, Megallaa MH, Gaber N, Gamal H, et al. Prevalence of diabetic foot disorders and related risk factors among Egyptian subjects with diabetes. Prim Care Diabetes. 2015;9(4):297-303.

Yazdanpanah L, Shahbazian H, Nazari I, Arti HR, Ahmadi F. Prevalence and related risk factors of diabetic foot ulcer in Ahvaz, south west of Iran. Diabetes Metab Syndr. 2018;12:519-24.

O'Shea C, McClintock J, Lawrenson R. The prevalence of diabetic foot disease in the Waikato region. Diabetes Res Clin Pract. 2017;129:79-85.

Gadepalli R, Dhawan B, Sreenivas V, Kapil A, Ammini AC, Chaudhry R. A clinico-microbiological study of diabetic foot ulcers in an Indian tertiary care hospital. Diabetes Care. 2006;29:1727-32.

Atosona A. Prevalence, risk factors and predictors of diabetes-related complications: Foot ulcers, lower extremity amputations & sexual dysfunction in three selected hospitals in Ghana. Kwame Nkrumah Univ Sci Tech. 2018;1-12.

Nongmaithem M, Bawa APS, Pithwa AK, Bhatia SK, Singh G. A study of risk factors and foot care behavior among diabetics. J Fam Med Prim Care. 2016;5:399-403.

Kumhar M, Saini T, Dara N. Foot wear and footcare knowledge-an independent risk factor for diabetic foot in Indian diabetics. Indian Med Gazette. 2014;148:25-8.

Amogne W, Reja A, Amare A. Diabetic foot disease in Ethiopian patients: a hospital based study. Ethiopia J Health 2011;25:17-21.

Ogbera AO, Fasanmade O, Ohwovoriole AE, Adediran O. An assessment of the disease burden of foot ulcers in patients with diabetes mellitus attending a teaching hospital in Lagos, Nigeria. Int J Low Extrem Wounds 2006;5:244-9.

Bakri GF, Allan AH, Khader YS, Younes NA, Ajlouni KM. Prevalence of diabetic foot ulceration and associated risk factors among diabetic patients in Jordan. J Med J. 2012;46:118-25.

Downloads

Published

2023-06-29

How to Cite

Mitra, S., Majumdar, K. K., & Bhanja, S. (2023). Prevalence of diabetic foot ulcers and assessment of foot care knowledge and practice among patients attending diabetic clinic of a tertiary hospital of eastern India. International Journal Of Community Medicine And Public Health, 10(7), 2500–2505. https://doi.org/10.18203/2394-6040.ijcmph20232044

Issue

Section

Original Research Articles