Knowledge and Practice to Foot Care and Prevalence of Foot Infection Among Diabetes Patients in Bangladesh

Noni Bagchi,Shurjomukhi Das

doi:10.54536/ajmri.v1i1.141

Abstract

This study is a descriptive type of cross sectional as well as qualitative study, which is conducted among the diabetic patients of BIRDEM Hospital, Dhaka. The main objective was to assess knowledge and practice about foot care and prevalence of foot infection among the diabetic patients. 100 patients were purposively chosen, face to face interview through a questionnaire along with infected foot examination through an examination check list was done. A clear relationship was established among educational statuses, monthly income, foot care education and diabetic with foot infection. Higher education decreases in prevalence of foot infection; higher monthly income family experienced more prevalence than others did; foot care education earlier reduces the development of foot infection, increase of suffering from diabetic increase the development of foot infection. The development of foot infection increases with the walking bare foot; habit of seat near fire/heater and with the habit of ever have examined feet by doctor. This study emphasizes the need of provision of foot care education. Health care workers should attempt to give their diabetic patients necessary health education about foot care in order to reduce the burden of foot complications among diabetic patients.

Highlights

Foot infections in persons with diabetes are a common, complex, and costly problem
This study is a descriptive type of cross sectional as well as qualitative study, which is conducted among the diabetic patients of BIRDEM Hospital, Dhaka
A clear relationship was established among educational statuses, monthly income, foot care education and diabetic with foot infection

Summary

Introduction

Foot infections in persons with diabetes are a common, complex, and costly problem. Foot infections in patients with diabetes cause substantial morbidity and frequent visits to health care professionals and may lead to amputation of a lower extremity. Diabetic foot infections require attention to local (foot) and systemic (metabolic) issues and coordinated management, preferably by a multidisciplinary foot care team. The team managing these infections should include, or have ready access to, an infectious diseases specialist or a medical microbiologist The major predisposing factor to these infections is foot ulceration, which is usually related to peripheral neuropathy. People with diabetes should learn how to examine their own feet and how to recognize the early signs and symptoms of diabetic foot problems They should learn what is reasonable to manage routine at home foot care, how to recognize when to call the doctor, and how to recognize when a problem has become serious enough to seek emergency treatment. The complications or consequences of skin infection in the diabetic foot are the development of further ulceration or abscesses, the spread of infection to elsewhere in the foot and leg associated with cellulites and fasciitis, and the development of Osteomyelitis

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