Assessment of Prevalence of Diabetic Foot Ulcer Andassociated Factors Among Diabetic Patient Attending Tikur Anbesa Specialized Hospital Diabetic Clinic, Addis Ababa, Ethiopia, 2017

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Addis Ababa University


Background Diabetesmellitus is one of the endocrine disorders worldwide. It is estimated that, at the time of diagnosis of type 2 diabetes mellitus, more than 10 % of patients have one or two risk factors for foot disease, such as peripheral neuropathy or peripheral vascular disease. The burden of diabetic foot disease is expected to increase given the increasing global prevalence of diabetic foot ulcer Worldwide, 3 %–10 % of people with diabetes have a foot ulcer; the lifetime risk for developing is 15 %. Rates of foot ulceration in Africa vary between regions and have been estimated to be between 4 % and 19 %.Associated factors apart from as peripheral neuropathy or peripheral vascular disease , barefoot walking, inappropriate footwear, poor foot hygiene and delay in seeking medical care . Objective: To assess prevalence of diabetic foot ulcer and associated factors at TikurAnbessa Specialized Hospital, Addis Ababa, Ethiopia, 2017. Methods and Analyses: - An institution based cross sectional quantitative study design was conducted from April 1st to May 1st 2017. TikurAnbessa Specialized Hospitalwas selected purposively. Sample size was calculated by using single population proportion sample formula and the final sample size was 203. Study subject were selected using simple random sampling method. Data was checked for completeness, cleaned, coded and entered into EPI data version 3.1and analyzed using SPSS version 22.0. Descriptive statistics, frequency, proportion, mean and SD was used to describe variables. Binary logistic regression and multivariate regression including odds ratio with 95%CI was used to identify association between dependent and independent variables. P-value less than 0.05 were considered as significance level for associations. Result: The prevalence ofdiabetic foot ulcer cases among diabetic patient was 26%. Of the 198 respondents, 106 (53%) were males with the remaining females. Occupation {(AOR=8.16; CI (1.2, 9.5)} and place of place residence {(AOR=5.97; CI(1.47, 24.3)} was significantly associated with diabetic foot ulcer. Conclusion and Recommendation: The study revealed that the prevalence of diabetic foot ulcer among diabetic patients in TikurAnbesa specialized Hospital was twenty six percent. Place of residence and occupation was associated with diabetic foot ulcer. There is a need to design and iintervention to reduce the incidence of diabetic foot ulcer. Keyword: diabetic foot ulcer, prevalence



Diabetic foot ulcer, Prevalence