DOI: 10.36347/gamj.2023.v04i01.005

Pages: 31-36

Introduction: The diabetic foot is a frequent and serious complication of diabetes. The aim of this study is to determine the epidemiological profile, clinics of the diabetic foot at the Internal Medicine Unit of the Fousseyni Daou Hospital in Kayes. Methods: Descriptive retrospective study carried out from January 1, 2019 to December 31, 2019 (12 months) at the Internal Medicine Unit of the Fousseyni Daou Hospital in Kayes. Were included in the study, all patients hospitalized during the study period for diabetic foot. Results: The prevalence of diabetic foot was 46.26%. The age group of 50 -59 was the most represented with 41.94%. The average age was 49 years with extremes of 30 years and 79 years. The female sex predominated with a sex ratio of 0.63. Type 2 diabetes was found in 96.77% of patients. The average duration of diabetes was 9 years with an extreme of 1 year and 25 years. The mechanism of occurrence of foot lesions was dominated by the pustule 25.96% followed by the trauma 19.65%, the bite 16.13%, the intertrigo 12.90%. The main microangiopathic complication was dominated by neuropathy 70.97%. The most common types of foot lesions were: necrosis 22.58%; abscess 19.35%; ulceration 16.13%. The wound was classified according to the classification of the University of Texas: Stage B Grade 2: 45.16% followed by Stage B Grade 3: 22.58% and Stage D Grade 3: 16.13%. Conclusion: Foot lesions are common in diabetic patients at Kayes Hospital. The fight against this scourge involves educating patients and training healthcare personnel (nurses and doctors) in the management of the diabetic foot.