Evaluation of osteomyelitis in diabetic foot ulcers with bone

Basit Öğe Kaydı
dc.contributor.authorDerebasinlioglu, Handan
dc.contributor.authorAksoy, Onur
dc.date.accessioned2024-10-26T18:04:14Z
dc.date.available2024-10-26T18:04:14Z
dc.date.issued2023
dc.departmentSivas Cumhuriyet Üniversitesi
dc.description.abstractPurpose Exposed bone and periosteal damage promote the adherence of pathogens to bone matrix components. Damage to the periosteum adversely affects bone perfusion and creates a more suitable environment for pathogens. The purpose of this study was to determine the prevalence of osteomyelitis among patients with diabetic foot ulcers with bone exposure and to identify the role of simple serological markers in the diagnosis of osteomyelitis in this patient group.Methods Patients who underwent amputation and debridement due to diabetes-related foot wound were included in the study. The pathology results were evaluated according to presence of osteomyelitis. C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), complete blood count (CBC), platelet/lymphocyte ratio, neutrophil/lymphocyte ratio (NLR) and microbial growth were analysed.Results Patients with ESR of 79mm/h or lower had a 3.046-fold higher risk of osteomyelitis. The risk of osteomyelitis was 2.901-fold higher at lymphocyte percentages of 12.3% or higher. Patients with a neutrophil percentage of 78% or lower had a 3.010-fold higher risk of osteomyelitis. Patients with NLR of 6.02 or lower had a 2.901-fold risk of osteomyelitis. When ESR was evaluated with neutrophil percentage, lymphocyte percentage and NLR, the sensitivity was calculated as 86.76% for osteomyelitis.Conclusion We believe that the immune response caused by bone exposure to the environment is different than the immune response caused by soft tissue infection in the classical diabetic foot. The combined evaluation of multiple diagnostic parameters increases the sensitivity of osteomyelitis diagnosis.
dc.identifier.doi10.33235/wpr.31.1.28-39
dc.identifier.endpage39
dc.identifier.issn1837-6304
dc.identifier.issn2202-9729
dc.identifier.issue1
dc.identifier.scopus2-s2.0-85160040976
dc.identifier.scopusqualityN/A
dc.identifier.startpage28
dc.identifier.urihttps://doi.org/10.33235/wpr.31.1.28-39
dc.identifier.urihttps://hdl.handle.net/20.500.12418/28826
dc.identifier.volume31
dc.identifier.wosWOS:000976336900004
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherCambridge Media
dc.relation.ispartofWound Practice and Research
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectosteomyelitis
dc.subjectdiabetic foot ulcers
dc.titleEvaluation of osteomyelitis in diabetic foot ulcers with bone
dc.typeArticle

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu