DIABETIC HAND INFECTIONS TREATED WITH HYPERBARIC OXYGEN THERAPY

Inroduction: The hand problems cause significant morbidity and mortality in the diabetic population such as amputation.There is a limited data about diabetic hand infection incidence in the literature in contrast to the diabetic foot. Hyperbaric oxygen (HBO) treatment is effective in all stages of wound healing, increases tissue oxygenation and has anti-infective effects.The aim of this study was to evaluate the outcomes of patients received HBO treatment for diabetic hand infections. Material and Methods: We reviewed our patients who received HBO treatment, due to diabetic wound, between January 2013 and December 2014. Patients who had hand infections were included in this retrospective report. Results: We identified 7 of 209 patients with diabetic wound had diabetic hand infection (%3,3).Four patients recovered without amputation. Conclusion: HBO treatment may be beneficial in selected cases such as those with compromised arterial circulation of upper extremity or with necrotizing progressive infection.

HİPERBARİK OKSİJEN TEDAVİSİ İLE TEDAVİ EDİLEN DİYABETİK EL ENFEKSİYONLARI

Giriş: Diyabetik hastalardaki el problemleri ciddi morbidite ve mortalite kaybına neden olmaktadır. Diyabetik el enfeksiyonları ile ilgili literatürde sınırlı bilgi mevcuttur. Hiperbarik oksijen tedavisi yara iyileşmesinin her aşamasında etkilidir. Doku oksijenasyonunu artırır ve anti-infektif özelliklere sahiptir. Bu çalışmanın amacı diyabetik el enfeksiyonu nedeniyle hiperbarik oksijen tedavisi uygulanan hastaların sonuçlarını araştırmaktır. Gereç ve Yöntem: Ocak 2013- Aralık 2014 yılları arasında diyabetik yara nedeniyle tedavi gören hastaları inceledik. Diyabetik el enfeksiyonu olan hastaları retrospektif çalışmamıza dahil ettik. Bulgular: Diyabetik yara nedeniyle tedaviye aldığımız 209 hastanın 7’sinde diyabetik el bulguları saptadık (%3.3). Dört hasta amputasyon gerektirmeden iyileşti. Sonuç: Hiperbarik oksijen tedavisi;özellikle üst ekstremite arteriyel sirkülasyonun bozulduğu ve ilerleyici nekrozla seyreden vakalarda faydalı olacaktır

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