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| The diabetic foot at the Mont-Amba Hospital Center (CHMA)
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Kadinekene JK, Muyer MC, Beya R, Mokassa BL.
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Abstract:
Diabetic foot is a chronic complication of diabetes mellitus. Like the latter, it is in constant progression in the world. It is disabling and frequently leads to amputation. This descriptive study was carried out at the Diabetic Clinic of the Center Hospitalier du Mont-Amba, General Reference hospital in the Lemba health zone, from January 1st to December 31, 2010. It set itself the overall objective determine its frequency and describe the epidemiological and clinical characteristics of patients. It concerned known diabetic patients who had consulted in 8 peripheral health centers as well as at the CHMA. Examination of the feet was carried out systematically with the following parameters: sex, age, level of education, body mass index, and duration of diabetes, type of lesion, capillary glycemia, and treatment. A total of 261 patients were seen including 112 men (42.9%) and 149 women (57.1%). The difference in the proportions between the two sexes was significant (p=0.001). The majority of patients (67.8%) were between 51 and 70 years old. The mean age was 58 ± 11.8 years. The level of education varied greatly, ranging from "no education" to higher level. 13.5% of patients were obese; among them, women significantly outnumbered men (p=0.001). A total of 64 patients (24.5%) presented with a foot lesion, of which 11 had an ulcer. 5 patients (25%) underwent amputation. Metabolic control was poor: mean capillary blood glucose level was 202 m/dl. Foot lesions in diabetics are very common in our community, affecting more women than men. The amputation rate is high, the lesions being diagnosed at a very advanced stage during the first consultation. Vigorous preventive and curative actions must be undertaken to reduce the rate of amputation.
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