Risk factors for development of nephropathy in patients with a diabetic Charcot foot
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Risk factors for development of nephropathy in patients with a diabetic Charcot foot. / Jansen, Rasmus Bo; Holstein, Per E.; Jørgensen, Bo; Møller, Klaus Kirketerp; Svendsen, Ole Lander.
In: BMC Research Notes, Vol. 14, No. 1, 403, 2021.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Risk factors for development of nephropathy in patients with a diabetic Charcot foot
AU - Jansen, Rasmus Bo
AU - Holstein, Per E.
AU - Jørgensen, Bo
AU - Møller, Klaus Kirketerp
AU - Svendsen, Ole Lander
N1 - Publisher Copyright: © 2021, The Author(s).
PY - 2021
Y1 - 2021
N2 - Objective: Charcot foot is a rare complication to neuropathy and can cause severe foot deformities and ulcerations, which often require prolonged antibiotical treatment. The objective of this retrospective study was to investigate whether this treatment is associated to impaired renal function. Results: In total, 163 patients were included, of whom 105 (64%) had received β-lactam antibiotics for a mean total duration of 13.0 months. There was a significant increase in the urine albumin/creatinine ratio in the group that received antibiotics (p = 0.017), and the use of antibiotics was associated to a subsequent diagnosis of nephropathy (p = 0.01). Patients treated with antibiotics had a 21.9% risk of developing subsequent nephropathy versus 5.2% for patients not treated with antibiotics. We suggest increased awareness on signs of nephropathy in patients with severe Charcot foot.
AB - Objective: Charcot foot is a rare complication to neuropathy and can cause severe foot deformities and ulcerations, which often require prolonged antibiotical treatment. The objective of this retrospective study was to investigate whether this treatment is associated to impaired renal function. Results: In total, 163 patients were included, of whom 105 (64%) had received β-lactam antibiotics for a mean total duration of 13.0 months. There was a significant increase in the urine albumin/creatinine ratio in the group that received antibiotics (p = 0.017), and the use of antibiotics was associated to a subsequent diagnosis of nephropathy (p = 0.01). Patients treated with antibiotics had a 21.9% risk of developing subsequent nephropathy versus 5.2% for patients not treated with antibiotics. We suggest increased awareness on signs of nephropathy in patients with severe Charcot foot.
KW - Charcot foot
KW - Diabetes mellitus
KW - Foot ulcer treatment
KW - Nephropathy
KW - Prolonged antibiotics
KW - Risk factor
U2 - 10.1186/s13104-021-05811-5
DO - 10.1186/s13104-021-05811-5
M3 - Journal article
C2 - 34717731
AN - SCOPUS:85118435854
VL - 14
JO - BMC Research Notes
JF - BMC Research Notes
SN - 1756-0500
IS - 1
M1 - 403
ER -
ID: 303717406