PMID- 38287759
OWN - NLM
STAT- MEDLINE
DCOM- 20240131
LR  - 20240206
IS  - 0300-5283 (Print)
IS  - 0300-5283 (Linking)
VI  - 79
IP  - 1
DP  - 2024 Jan
TI  - The relationship between infection severity, wound categorization, and foot care 
      in type 2 diabetes mellitus patients with recurring diabetic foot ulcers.
PG  - 60-67
AB  - INTRODUCTION: Research on diabetic foot ulcers (DFU) infection is limited to the 
      first wound. Therefore, this study aimed to evaluate the relationship between 
      wound classification (Wagner and SHID), and foot care against severity infection 
      of DFU recurrent that may contribute to an increased susceptibility to infection 
      among individuals with recurrent DFUs. MATERIALS AND METHODS: A cross-sectional 
      design was used in this study involving 245 participants of type 2 diabetes 
      mellitus (T2DM) was conducted at a Kitamura Wound Care Clinic, PKU Muhammadiyah, 
      located in Pontianak, West Kalimantan, Indonesia, between September 2022 and 
      February 2023. The Kruskal-Wallis test was used to assess the relationship 
      between the foot care practices and infection status. A linear regression test to 
      examine the independent risk factors. RESULTS: Wounds' characteristics regarding 
      foot care practice group were significantly including more than 5 months wound 
      heal from previous wounds (p = 0.045), the percentage of wound site on dorsal was 
      higher in the foot care practice group (p < 0.001), the percentage had no 
      deformity feet was higher in the foot care practice group (p < 0.001), the 
      percentage had no previous amputation feet was higher in the foot care practice 
      group (p < 0.001). Also, the percentage had grade three was higher in the foot 
      care practice group (p < 0.001), the percentage had grade three was higher in the 
      foot care practice group (p < 0.001), and the percentage had mild infection 
      status was higher in the foot care practice group (p < 0.001). The predictors of 
      diabetic foot infection were Wagner and SHID classification and foot care (p < 
      0.001, p < 0.001, and p < 0.01) respectively. CONCLUSION: This study demonstrated 
      that foot-care behaviour in diabetic patients in Indonesia is poor. In addition, 
      this study also has shown Wagner grading, SHID grading, and foot-care are 
      predictors of infection in recurrent DFUs.
FAU - Haryanto
AU  - Haryanto
AD  - Institute Technology and Health Muhammadiyah West Kalimantan, Department of 
      Medical Nursing and Wound Management, Indonesia. haryanto@stikmuhptk.ac.id.
FAU - Amrullah, S
AU  - Amrullah S
AD  - Institute Technology and Health Muhammadiyah West Kalimantan, Department of 
      Medical Nursing and Wound Management, Indonesia.
FAU - Pratama, S F
AU  - Pratama SF
AD  - Institute Technology and Health Muhammadiyah West Kalimantan, Department of 
      Biotechnology, Indonesia.
FAU - Agustini, F
AU  - Agustini F
AD  - Institute Technology and Health Muhammadiyah West Kalimantan, Department of 
      Biotechnology, Indonesia.
FAU - Pasmawati
AU  - Pasmawati
AD  - Institute Technology and Health Muhammadiyah West Kalimantan, Department of 
      Biotechnology, Indonesia.
FAU - Khairillah, Y N
AU  - Khairillah YN
AD  - Institute Technology and Health Muhammadiyah West Kalimantan, Department of 
      Biotechnology, Indonesia.
FAU - Saun, A U
AU  - Saun AU
AD  - PKU Muhammadiyah Klinik Kitamura, Indonesia.
LA  - eng
PT  - Journal Article
PL  - Malaysia
TA  - Med J Malaysia
JT  - The Medical journal of Malaysia
JID - 0361547
SB  - IM
MH  - Humans
MH  - *Diabetic Foot/therapy
MH  - *Diabetes Mellitus, Type 2/complications
MH  - Cross-Sectional Studies
MH  - Risk Factors
MH  - Wound Healing
MH  - *Diabetes Mellitus
EDAT- 2024/01/30 06:42
MHDA- 2024/01/31 06:42
CRDT- 2024/01/30 02:33
PHST- 2024/01/31 06:42 [medline]
PHST- 2024/01/30 06:42 [pubmed]
PHST- 2024/01/30 02:33 [entrez]
PST - ppublish
SO  - Med J Malaysia. 2024 Jan;79(1):60-67.