Clinical features of type 1 and type 2 diabetes patients with suspected fungal foot infections: a single-center experience
Background/aim Fungal foot infections are common and increase the risk of diabetic foot ulcers (DFU) in patients with diabetes. We aimed to investigate the clinical features and related risk factors in type 1 and type 2 diabetes mellitus patients with suspected fungal feet infection (SFFI) in an out...
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| Veröffentlicht in: | International journal of diabetes in developing countries 2023-10, Vol.43 (5), p.654-660 |
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| container_title | International journal of diabetes in developing countries |
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| creator | Celik, Selda Bagdemir, Elif Purisa, Sevim Uzum, Ayse Kubat Satman, Ilhan Yenidunya Yalin, Gulsah |
| description | Background/aim
Fungal foot infections are common and increase the risk of diabetic foot ulcers (DFU) in patients with diabetes. We aimed to investigate the clinical features and related risk factors in type 1 and type 2 diabetes mellitus patients with suspected fungal feet infection (SFFI) in an outpatient setting.
Methods
This is a single center, cross-sectional study. A total of 816 patients with diabetes patients were included in this study. Patients were divided into two groups according to the presence of clinical SFFI (group 1; SFFI ( +);
n
= 487 and group 2; SFFI (-);
n
= 329). Groups were compared in terms of demographic characteristics, disease information (type and duration of diabetes, diabetes treatment, presence of retinopathy, nephropathy, neuropathy, DFU, and hypertension), HbA1c level, daily foot care activities (frequency of foot washing, keeping toes dry after washing, religious habits, etc.), and skin condition.
Results
Signs of SFFI were detected in 59.7% of the patients. Type 2 diabetes, insulin treatment, female sex, and skin dryness were significantly more common among patients with SFFI (
p
= 0. 000, 0.005,0.013, and 0.000, respectively). Religious habits and social lifestyle were not significantly different between groups (
p
= 0.109 and 0.703, respectively). Retinopathy, neuropathy, and hypertension were more prevalent in patients with SFFI (
p
= 0.006, 0.012, and 0.001, respectively). SFFI correlated with age and dryness of skin (OR:0.024, 95% CI: 0.959–0.993,
p
= 0.007; OR: 1.094, 95% CI: 2.484–3.589,
p
= 0.000 respectively).
Conclusion
Patients at risk of SFFI should be educated about regular nail and skin care, including prevention of dry skin conditions for early prevention of subsequent diabetic foot problems. |
| doi_str_mv | 10.1007/s13410-022-01147-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2868757114</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2868757114</sourcerecordid><originalsourceid>FETCH-LOGICAL-c319t-46261f6bff1db7ee89f7c2953dfb1b2371334dc59146bbec916fb7d1d83cc01a3</originalsourceid><addsrcrecordid>eNp9kM1u1TAQRi1EJS6lL9CVJdYGjyeJY3boij-pUjdlbTnO-NbVxQm2IyhPj0uQ2LEaa_ydb6TD2DXINyClflsAO5BCKiUkQKcFPmMHMGYUOKJ6zg7SaBRoUL5gL0t5kLLv1YAH9ut4jil6d-aBXN0yFb4EXh9X4sBdmven4nN0E9X2u7oaKdXCf8R6z8tWVvKVZh62dHpqWZbKYwptGZdU3nHHS0ynMwnfKMqcfq6UW4OnV-wiuHOhq7_zkn39-OHu-Fnc3H76cnx_IzyCqaIb1ABhmEKAedJEownaK9PjHCaYFGpA7GbfG-iGaSJvYAiTnmEe0XsJDi_Z6713zcv3jUq1D8uWUztp1TiMutfNWEupPeXzUkqmYNccv7n8aEHaJ8d2d2ybY_vHscUG4Q6VFk4nyv-q_0P9BlS5gK0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2868757114</pqid></control><display><type>article</type><title>Clinical features of type 1 and type 2 diabetes patients with suspected fungal foot infections: a single-center experience</title><source>SpringerNature Journals</source><creator>Celik, Selda ; Bagdemir, Elif ; Purisa, Sevim ; Uzum, Ayse Kubat ; Satman, Ilhan ; Yenidunya Yalin, Gulsah</creator><creatorcontrib>Celik, Selda ; Bagdemir, Elif ; Purisa, Sevim ; Uzum, Ayse Kubat ; Satman, Ilhan ; Yenidunya Yalin, Gulsah</creatorcontrib><description>Background/aim
Fungal foot infections are common and increase the risk of diabetic foot ulcers (DFU) in patients with diabetes. We aimed to investigate the clinical features and related risk factors in type 1 and type 2 diabetes mellitus patients with suspected fungal feet infection (SFFI) in an outpatient setting.
Methods
This is a single center, cross-sectional study. A total of 816 patients with diabetes patients were included in this study. Patients were divided into two groups according to the presence of clinical SFFI (group 1; SFFI ( +);
n
= 487 and group 2; SFFI (-);
n
= 329). Groups were compared in terms of demographic characteristics, disease information (type and duration of diabetes, diabetes treatment, presence of retinopathy, nephropathy, neuropathy, DFU, and hypertension), HbA1c level, daily foot care activities (frequency of foot washing, keeping toes dry after washing, religious habits, etc.), and skin condition.
Results
Signs of SFFI were detected in 59.7% of the patients. Type 2 diabetes, insulin treatment, female sex, and skin dryness were significantly more common among patients with SFFI (
p
= 0. 000, 0.005,0.013, and 0.000, respectively). Religious habits and social lifestyle were not significantly different between groups (
p
= 0.109 and 0.703, respectively). Retinopathy, neuropathy, and hypertension were more prevalent in patients with SFFI (
p
= 0.006, 0.012, and 0.001, respectively). SFFI correlated with age and dryness of skin (OR:0.024, 95% CI: 0.959–0.993,
p
= 0.007; OR: 1.094, 95% CI: 2.484–3.589,
p
= 0.000 respectively).
Conclusion
Patients at risk of SFFI should be educated about regular nail and skin care, including prevention of dry skin conditions for early prevention of subsequent diabetic foot problems.</description><identifier>ISSN: 0973-3930</identifier><identifier>EISSN: 1998-3832</identifier><identifier>DOI: 10.1007/s13410-022-01147-3</identifier><language>eng</language><publisher>New Delhi: Springer India</publisher><subject>Diabetes ; Diabetes mellitus (insulin dependent) ; Diabetes mellitus (non-insulin dependent) ; Diabetic neuropathy ; Family Medicine ; Feet ; Foot diseases ; General Practice ; Health Administration ; Hypertension ; Medicine ; Medicine & Public Health ; Nephropathy ; Original Article ; Patients ; Plantar ulcers ; Retinopathy ; Risk factors ; Skin</subject><ispartof>International journal of diabetes in developing countries, 2023-10, Vol.43 (5), p.654-660</ispartof><rights>The Author(s), under exclusive licence to Research Society for Study of Diabetes in India 2022. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c319t-46261f6bff1db7ee89f7c2953dfb1b2371334dc59146bbec916fb7d1d83cc01a3</citedby><cites>FETCH-LOGICAL-c319t-46261f6bff1db7ee89f7c2953dfb1b2371334dc59146bbec916fb7d1d83cc01a3</cites><orcidid>0000-0003-4328-3189 ; 0000-0001-8613-1797 ; 0000-0002-9013-5237 ; 0000-0002-0035-6360 ; 0000-0002-2585-485X ; 0000-0003-0478-1193</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s13410-022-01147-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s13410-022-01147-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27929,27930,41493,42562,51324</link.rule.ids></links><search><creatorcontrib>Celik, Selda</creatorcontrib><creatorcontrib>Bagdemir, Elif</creatorcontrib><creatorcontrib>Purisa, Sevim</creatorcontrib><creatorcontrib>Uzum, Ayse Kubat</creatorcontrib><creatorcontrib>Satman, Ilhan</creatorcontrib><creatorcontrib>Yenidunya Yalin, Gulsah</creatorcontrib><title>Clinical features of type 1 and type 2 diabetes patients with suspected fungal foot infections: a single-center experience</title><title>International journal of diabetes in developing countries</title><addtitle>Int J Diabetes Dev Ctries</addtitle><description>Background/aim
Fungal foot infections are common and increase the risk of diabetic foot ulcers (DFU) in patients with diabetes. We aimed to investigate the clinical features and related risk factors in type 1 and type 2 diabetes mellitus patients with suspected fungal feet infection (SFFI) in an outpatient setting.
Methods
This is a single center, cross-sectional study. A total of 816 patients with diabetes patients were included in this study. Patients were divided into two groups according to the presence of clinical SFFI (group 1; SFFI ( +);
n
= 487 and group 2; SFFI (-);
n
= 329). Groups were compared in terms of demographic characteristics, disease information (type and duration of diabetes, diabetes treatment, presence of retinopathy, nephropathy, neuropathy, DFU, and hypertension), HbA1c level, daily foot care activities (frequency of foot washing, keeping toes dry after washing, religious habits, etc.), and skin condition.
Results
Signs of SFFI were detected in 59.7% of the patients. Type 2 diabetes, insulin treatment, female sex, and skin dryness were significantly more common among patients with SFFI (
p
= 0. 000, 0.005,0.013, and 0.000, respectively). Religious habits and social lifestyle were not significantly different between groups (
p
= 0.109 and 0.703, respectively). Retinopathy, neuropathy, and hypertension were more prevalent in patients with SFFI (
p
= 0.006, 0.012, and 0.001, respectively). SFFI correlated with age and dryness of skin (OR:0.024, 95% CI: 0.959–0.993,
p
= 0.007; OR: 1.094, 95% CI: 2.484–3.589,
p
= 0.000 respectively).
Conclusion
Patients at risk of SFFI should be educated about regular nail and skin care, including prevention of dry skin conditions for early prevention of subsequent diabetic foot problems.</description><subject>Diabetes</subject><subject>Diabetes mellitus (insulin dependent)</subject><subject>Diabetes mellitus (non-insulin dependent)</subject><subject>Diabetic neuropathy</subject><subject>Family Medicine</subject><subject>Feet</subject><subject>Foot diseases</subject><subject>General Practice</subject><subject>Health Administration</subject><subject>Hypertension</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nephropathy</subject><subject>Original Article</subject><subject>Patients</subject><subject>Plantar ulcers</subject><subject>Retinopathy</subject><subject>Risk factors</subject><subject>Skin</subject><issn>0973-3930</issn><issn>1998-3832</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kM1u1TAQRi1EJS6lL9CVJdYGjyeJY3boij-pUjdlbTnO-NbVxQm2IyhPj0uQ2LEaa_ydb6TD2DXINyClflsAO5BCKiUkQKcFPmMHMGYUOKJ6zg7SaBRoUL5gL0t5kLLv1YAH9ut4jil6d-aBXN0yFb4EXh9X4sBdmven4nN0E9X2u7oaKdXCf8R6z8tWVvKVZh62dHpqWZbKYwptGZdU3nHHS0ynMwnfKMqcfq6UW4OnV-wiuHOhq7_zkn39-OHu-Fnc3H76cnx_IzyCqaIb1ABhmEKAedJEownaK9PjHCaYFGpA7GbfG-iGaSJvYAiTnmEe0XsJDi_Z6713zcv3jUq1D8uWUztp1TiMutfNWEupPeXzUkqmYNccv7n8aEHaJ8d2d2ybY_vHscUG4Q6VFk4nyv-q_0P9BlS5gK0</recordid><startdate>20231001</startdate><enddate>20231001</enddate><creator>Celik, Selda</creator><creator>Bagdemir, Elif</creator><creator>Purisa, Sevim</creator><creator>Uzum, Ayse Kubat</creator><creator>Satman, Ilhan</creator><creator>Yenidunya Yalin, Gulsah</creator><general>Springer India</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><orcidid>https://orcid.org/0000-0003-4328-3189</orcidid><orcidid>https://orcid.org/0000-0001-8613-1797</orcidid><orcidid>https://orcid.org/0000-0002-9013-5237</orcidid><orcidid>https://orcid.org/0000-0002-0035-6360</orcidid><orcidid>https://orcid.org/0000-0002-2585-485X</orcidid><orcidid>https://orcid.org/0000-0003-0478-1193</orcidid></search><sort><creationdate>20231001</creationdate><title>Clinical features of type 1 and type 2 diabetes patients with suspected fungal foot infections: a single-center experience</title><author>Celik, Selda ; Bagdemir, Elif ; Purisa, Sevim ; Uzum, Ayse Kubat ; Satman, Ilhan ; Yenidunya Yalin, Gulsah</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c319t-46261f6bff1db7ee89f7c2953dfb1b2371334dc59146bbec916fb7d1d83cc01a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Diabetes</topic><topic>Diabetes mellitus (insulin dependent)</topic><topic>Diabetes mellitus (non-insulin dependent)</topic><topic>Diabetic neuropathy</topic><topic>Family Medicine</topic><topic>Feet</topic><topic>Foot diseases</topic><topic>General Practice</topic><topic>Health Administration</topic><topic>Hypertension</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nephropathy</topic><topic>Original Article</topic><topic>Patients</topic><topic>Plantar ulcers</topic><topic>Retinopathy</topic><topic>Risk factors</topic><topic>Skin</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Celik, Selda</creatorcontrib><creatorcontrib>Bagdemir, Elif</creatorcontrib><creatorcontrib>Purisa, Sevim</creatorcontrib><creatorcontrib>Uzum, Ayse Kubat</creatorcontrib><creatorcontrib>Satman, Ilhan</creatorcontrib><creatorcontrib>Yenidunya Yalin, Gulsah</creatorcontrib><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>International journal of diabetes in developing countries</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Celik, Selda</au><au>Bagdemir, Elif</au><au>Purisa, Sevim</au><au>Uzum, Ayse Kubat</au><au>Satman, Ilhan</au><au>Yenidunya Yalin, Gulsah</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical features of type 1 and type 2 diabetes patients with suspected fungal foot infections: a single-center experience</atitle><jtitle>International journal of diabetes in developing countries</jtitle><stitle>Int J Diabetes Dev Ctries</stitle><date>2023-10-01</date><risdate>2023</risdate><volume>43</volume><issue>5</issue><spage>654</spage><epage>660</epage><pages>654-660</pages><issn>0973-3930</issn><eissn>1998-3832</eissn><abstract>Background/aim
Fungal foot infections are common and increase the risk of diabetic foot ulcers (DFU) in patients with diabetes. We aimed to investigate the clinical features and related risk factors in type 1 and type 2 diabetes mellitus patients with suspected fungal feet infection (SFFI) in an outpatient setting.
Methods
This is a single center, cross-sectional study. A total of 816 patients with diabetes patients were included in this study. Patients were divided into two groups according to the presence of clinical SFFI (group 1; SFFI ( +);
n
= 487 and group 2; SFFI (-);
n
= 329). Groups were compared in terms of demographic characteristics, disease information (type and duration of diabetes, diabetes treatment, presence of retinopathy, nephropathy, neuropathy, DFU, and hypertension), HbA1c level, daily foot care activities (frequency of foot washing, keeping toes dry after washing, religious habits, etc.), and skin condition.
Results
Signs of SFFI were detected in 59.7% of the patients. Type 2 diabetes, insulin treatment, female sex, and skin dryness were significantly more common among patients with SFFI (
p
= 0. 000, 0.005,0.013, and 0.000, respectively). Religious habits and social lifestyle were not significantly different between groups (
p
= 0.109 and 0.703, respectively). Retinopathy, neuropathy, and hypertension were more prevalent in patients with SFFI (
p
= 0.006, 0.012, and 0.001, respectively). SFFI correlated with age and dryness of skin (OR:0.024, 95% CI: 0.959–0.993,
p
= 0.007; OR: 1.094, 95% CI: 2.484–3.589,
p
= 0.000 respectively).
Conclusion
Patients at risk of SFFI should be educated about regular nail and skin care, including prevention of dry skin conditions for early prevention of subsequent diabetic foot problems.</abstract><cop>New Delhi</cop><pub>Springer India</pub><doi>10.1007/s13410-022-01147-3</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-4328-3189</orcidid><orcidid>https://orcid.org/0000-0001-8613-1797</orcidid><orcidid>https://orcid.org/0000-0002-9013-5237</orcidid><orcidid>https://orcid.org/0000-0002-0035-6360</orcidid><orcidid>https://orcid.org/0000-0002-2585-485X</orcidid><orcidid>https://orcid.org/0000-0003-0478-1193</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0973-3930 |
| ispartof | International journal of diabetes in developing countries, 2023-10, Vol.43 (5), p.654-660 |
| issn | 0973-3930 1998-3832 |
| language | eng |
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| source | SpringerNature Journals |
| subjects | Diabetes Diabetes mellitus (insulin dependent) Diabetes mellitus (non-insulin dependent) Diabetic neuropathy Family Medicine Feet Foot diseases General Practice Health Administration Hypertension Medicine Medicine & Public Health Nephropathy Original Article Patients Plantar ulcers Retinopathy Risk factors Skin |
| title | Clinical features of type 1 and type 2 diabetes patients with suspected fungal foot infections: a single-center experience |
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