East African medical journal · 1999
In-patient management of leg ulcers.
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Ohanaka E C, Osarenkhoe O
Аннотация
OBJECTIVE: To review in-patient management of leg ulcers and to compare our experiences with those from other similar centres.
DESIGN: A retrospective study.
SETTING: University of Benin Teaching Hospital, Nigeria.
PATIENTS: Forty five patients hospitalised with leg ulcers.
RESULTS: There were 27 males and 18 females (MF 3:2). The age range was 8-90 years (mean 32.5 years). The commonest sites were around the ankle(55.6%) and the distal third of the leg (40%). Trauma, diabetes mellitus and sickle-cell disease accounted for the commonest aetiological factors(35.6%, 22.2% and 17.8% respectively). Coliforms and Staphylococcus aureus were the commonest organisms isolated on culture. All the patients had routine wound dressing and antibiotics but only 25 patients (56%) responded fully to this line of preliminary management. The other 20 patients had wound debridement in addition. Nineteen patients(42%) needed skin grafting while four patients (9%) had below-knee amputation.
CONCLUSION: Our experience shows that leg ulcers whose nature portend an increase in morbidity and mortality are best managed as in-patients. The underlying causes should be addressed while local wound care is administered. Skin grafting and amputation should be employed when necessary.
DESIGN: A retrospective study.
SETTING: University of Benin Teaching Hospital, Nigeria.
PATIENTS: Forty five patients hospitalised with leg ulcers.
RESULTS: There were 27 males and 18 females (MF 3:2). The age range was 8-90 years (mean 32.5 years). The commonest sites were around the ankle(55.6%) and the distal third of the leg (40%). Trauma, diabetes mellitus and sickle-cell disease accounted for the commonest aetiological factors(35.6%, 22.2% and 17.8% respectively). Coliforms and Staphylococcus aureus were the commonest organisms isolated on culture. All the patients had routine wound dressing and antibiotics but only 25 patients (56%) responded fully to this line of preliminary management. The other 20 patients had wound debridement in addition. Nineteen patients(42%) needed skin grafting while four patients (9%) had below-knee amputation.
CONCLUSION: Our experience shows that leg ulcers whose nature portend an increase in morbidity and mortality are best managed as in-patients. The underlying causes should be addressed while local wound care is administered. Skin grafting and amputation should be employed when necessary.