management

ABSTRACTThe aim of this study was to compare the outcomes of surgical versus non- surgical treatment in the management of Diabetic Foot Ulcer. A Prospective Observational Study which was carried out in the Department of Surgery of Rajah Muthiah Medical College Hospital a tertiary health care hospital in Chidambaram, Cuddalore District, Tamilnadu in the period of November 2016 to April, 2017 (6 months). The patient demographic, disease, ulcer size, drugs and treatment prescribed were collected in a specially designed data collection form which also included bacterial culture tests. Upon enrolment for the study 65% (39) of the patients diagnosed for diabetic foot were male and 35% (21) were female. The demographic classification suggests that diabetic foot incidence has increased upon ages of people ranging between the mean ages of 45+/- 5 years to 60+/-5 years. The bacterial distribution over the patients showed that, out of which Escherichia coli (28.3%) and Staphylococcus aureus (15%) are the most common bacteria. The outcomes mainly depend upon the grading of infection and ulcer size. The superficial ulcers can be treated more effectively with antibiotics and regular dressings, whereas the deep ulcers and gangrene should be intervened with surgical procedures. The assessed study reports that clinical pharmacist intervention by patient education and medication counselling creates a significant influence in medication adherence Keywords: Diabetic foot ulcer, surgical treatment, Non-surgical treatment, management

Incidents of anaphylaxis are on a rise globally, which calls for its immediate recognition and proper management. Till date, there have been a very few studies addressing the issue of etiology of anaphylaxis with varying age-groups in Saudi Arabia. This study aimed to collect data about common causes of anaphylaxis and categorize them according to their prevalence in different age groups at a hospital in Jeddah.  Data was collected from emergency department staff of King Abdulaziz University Hospital, in the form of a questionnaire including queries about anaphylaxis based on most common causes, age group, symptoms and frequency of its occurrence in each age group. A total of 112 cases of anaphylaxis were reported; adults were the most common representing 33% of the studied population. Food allergy was the most prevalent trigger for anaphylaxis (42.8%) overall. The most common cause of anaphylaxis was food and drug allergy (45.45% and 40.9 %) in children aged 6-12 years and food allergy in pre-school kids (59.25%). No significant cause of anaphylaxis could be observed among teenagers. In infants, food allergy and insect bite were the most significant triggers of anaphylaxis (43.4% and 52.1%). Anaphylaxis due to latex was the least prevalent cause among all age groups. In Saudi Arabia, anaphylaxis mostly occurred among adults, drug allergy being most common cause. Food allergy was a common general trigger of anaphylaxis which also remained the most common cause in children along-with drug allergy, preschool kids and infants along-with insect bite.