Challenges for management of the diabetic foot in Africa: Doing more with less

International Wound Journal

Volumn 4, Issue 4, 2007, Pages 305-313

  Abbas, Zulfiqarali G ^a,b   Archibald, Lennox K ^c  

^a MUHIMBILI UNIVERSITY OF HEALTH AND ALLIED SCIENCES   (Tanzania)

^b Abbas Medical Centre   (Tanzania)

^c UNIVERSITY OF FLORIDA   (United States)

Author keywords

Africa; Amputation; Diabetes; Diabetic foot; Diabetic ulcers and infection; Peripheral neuropathy; Peripheral vascular disease

Indexed keywords

AFRICA; AWARENESS; DIABETES MELLITUS; DIABETIC FOOT; DISABILITY; FINANCIAL MANAGEMENT; FOOT CARE; GANGRENE; HEALTH CARE PERSONNEL; HEALTH PROGRAM; HEALTH SERVICE; HUMAN; INCIDENCE; INCOME; MEDICAL CARE; MEDICAL EDUCATION; NURSE; PERIPHERAL NEUROPATHY; PHYSICIAN; PODIATRY; PRIORITY JOURNAL; PROPHYLAXIS; REVIEW; RISK FACTOR; WORK ENVIRONMENT;

AFRICA; COMBINED MODALITY THERAPY; DEVELOPING COUNTRIES; DIABETIC FOOT; DISEASE MANAGEMENT; FEMALE; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HEALTH SERVICES ACCESSIBILITY; HUMANS; INCIDENCE; MALE; POVERTY; PROGNOSIS; RISK ASSESSMENT; SEVERITY OF ILLNESS INDEX; TREATMENT OUTCOME;

EID: 37249013015     PISSN: 17424801     EISSN: 1742481X     Source Type: Journal    
DOI: 10.1111/j.1742-481X.2007.00376.x     Document Type: Review

References (29)

1. Amos AF, McCarty DJ, Zimmet P. The rising global burden of diabetes and its complications: estimates and projections to the year 2010. Diabet Med 1997 14 Suppl 5 : S1 85.
2. McLarty DG, Pollitt C, Swai AB. Diabetes in Africa. Diabet Med 1990 7 : 670 84.
3. Haslam DW, James WP. Obesity. Lancet 2005 366 : 1197 209.
4. Hossain P, Kawar B, El Nahas M. Obesity and diabetes in the developing world - a growing challenge. N Engl J Med 2007 356 : 213 5.
5. Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care 2004 27 : 1047 53.
6. Abbas ZG, Archibald LK. Epidemiology of the diabetic foot in Africa. Med Sci Monit 2005 11 : RA262 70.
7. Abbas ZG, Gill GV, Archibald LK. The epidemiology of diabetic limb sepsis: an African perspective. Diabet Med 2002 19 : 895 9.
8. Gulam-Abbas Z, Lutale JK, Morbach S, Archibald LK. Clinical outcome of diabetes patients hospitalized with foot ulcers, Dar es Salaam, Tanzania. Diabet Med 2002 19 : 575 9.
9. Boulton AJ, Vileikyte L, Ragnarson-Tennvall G, Apelqvist J. The global burden of diabetic foot disease. Lancet 2005 366 : 1719 24.
10. Ragnarson TG, Apelqvist J. Health-economic consequences of diabetic foot lesions. Clin Infect Dis 2004 39 : Suppl 2 : S132 9.
11. Rolfe M, Tang CM, Walker RW, Bassey E, George M. Diabetes mellitus in The Gambia, West Africa. Diabet Med 1992 9 : 484 8.
12. Msambichaka LA. Economic adjustment policies and health care in Tanzania. Economic Research Bureau, University of Dar es Salaam, Tanzania, 1997.
13. International Working Group on the Diabetic Foot. International consensus on the diabetic foot. Amsterdam : 2007. Available on DVD at www.idf.org/bookshop.
14. Larsson J, Apelqvist J. Towards less amputations in diabetic patients. Incidence, causes, cost, treatment, and prevention - a review. Acta Orthop Scand 1995 66 : 181 92.
15. Larsson J, Apelqvist J, Agardh CD, Stenstrom A. Decreasing incidence of major amputation in diabetic patients: a consequence of a multidisciplinary foot care team approach? Diabet Med 1995 12 : 770 6.
16. Deerochanawong C, Home PD, Alberti KG. A survey of lower limb amputation in diabetic patients. Diabet Med 1992 9 : 942 6.
17. van Houtum WH. Barriers to the delivery of diabetic foot care. Lancet 2005 366 : 1678 9.
18. Ramachandran A. Specific problems of the diabetic foot in developing countries. Diabetes Metab Res Rev 2004 20 Suppl 1 : S19 22.
19. Akanji AO, Bella AF, Agbedana EO, Osotimehin BO, Adetuyibi A. Risk factors for the development of foot lesions in Nigerian patients with diabetes mellitus. East Afr Med J 1988 65 : 602 8.
20. Akanji AO, Famuyiwa OO, Adetuyibi A. Factors influencing the outcome of treatment of foot lesions in Nigerian patients with diabetes mellitus. Q J Med 1989 73 : 1005 14.
21. Akanji AO, Adetuyidi A. The pattern of presentation of foot lesions in Nigerian diabetic patients. West Afr J Med 1990 9 : 1 5.
22. Lipsky BA. A current approach to diabetic foot infections. Curr Infect Dis Rep 1999 1 : 253 60.
23. Lipsky BA, Berendt AR. Principles and practice of antibiotic therapy of diabetic foot infections. Diabetes Metab Res Rev 2000 16 Suppl 1 : S42 6.
24. Archibald LK, Lutale J, Abbas ZG. Utility of bacterial cultures in the management of foot ulcers in diabetic patients, Dar es Salaam, Tanzania. Abstract 528; 44th Annual Meeting of the Infectious Diseases Society of America; 2006 Oct 12-15; Toronto, Canada, p. 148.
25. Abbas Z, Archibald LK. Foot complications in diabetes patients with symptomatic peripheral neuropathy in Dar es Salaam, Tanzania. Diabet Int 2000 10 : 52 6.
26. Abbas ZG, Lutale J, Gill GV, Archibald LK. Tropical diabetic hand syndrome: risk factors in an adult diabetes population. Int J Infect Dis 2001 5 : 19 23.
27. Morbach S, Lutale JK, Viswanathan V, Mollenberg J, Ochs HR, Rajashekar S, Ramachandran A, Abbas ZG. Regional differences in risk factors and clinical presentation of diabetic foot lesions. Diabet Med 2004 21 : 91 5.
28. Abbas ZG, Lutale J, Archibald LK. Rodent bites on the feet of diabetes patients in Tanzania. Diabet Med 2005 22 : 631 3.
29. Bakker K, Abbas ZG, Pendsey S. Step by step, improving diabetic foot care in the developing world. Pract Diab Int 2006 23 : 365 9.