{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T20:18:58Z","timestamp":1783023538069,"version":"3.54.6"},"reference-count":42,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T00:00:00Z","timestamp":1775865600000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Diabetic foot complications, encompassing ulcers, abscesses, and tissue necrosis, are common and serious complications of diabetes mellitus that can significantly impact quality of life and potentially lead to amputation, particularly in the presence of risk factors and inadequate care. This prospective clinical audit evaluated the management and outcomes of diabetic foot complications at a first\u2010level hospital in Hilaliya, Sudan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective clinical audit of 15 patients requiring surgical intervention was conducted from August to November 2023. Data on demographics, ulcer characteristics, timeliness of care, hygiene in surgical procedures, antibiotic use, and patient education were collected and analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Patients had a median age of 54 years and interquartile range (IQR) of 40\u201365 years. Ulcers were reported in 46.7% of cases and abscesses in 20%. Multidisciplinary team assessments within 24\u2009h were provided to 53.3% of patients. Timely surgical intervention was performed in 93.3% of patients. Hygiene in surgical procedures measures were documented in all cases and sterile field usage was recorded in 20%. Empirical antibiotics were prescribed to 93.3% of patients. Complete healing without complications occurred in 86.7% of cases and 13.3% underwent amputation. Regarding patient education, 46.7% of patients had limited awareness of foot care and 53.3% received no counseling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There are significant gaps in hygiene in surgical procedures (particularly sterile protocols) and patient education. Urgent institutional focus on interdisciplinary coordination, sterile technique enforcement, and structured education programs is needed to improve outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.72278","type":"journal-article","created":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T11:45:20Z","timestamp":1775907920000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Management and Outcomes of Diabetic Foot Complications Requiring Surgical Intervention at a Sudanese First\u2010Level Hospital: A Prospective Clinical Audit"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7673-7197","authenticated-orcid":false,"given":"Ibrahim Abusufian Elkabashi","family":"Dafallah","sequence":"first","affiliation":[{"name":"Faculty of Medicine Alzaiem Alazhari University Khartoum North Sudan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Duha Elfatih Elamin","family":"Awadalla","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Omdurman Islamic University Omdurman Sudan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed Fathalrahman","family":"Zainalabdin","sequence":"additional","affiliation":[{"name":"General Surgery, Faculty of Medicine University of Bahri Khartoum North Sudan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hammam Mohamed Awadelkareem","family":"Badawi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Science and Technology Khartoum Sudan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed Elfatih Elamin","family":"Awadalla","sequence":"additional","affiliation":[{"name":"Faculty of Medicine Neelain University Khartoum Sudan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nazik Mahmoud Abdelaal","family":"Abeldaifa","sequence":"additional","affiliation":[{"name":"Department of Medicine Omdurman Military Hospital Omdurman Sudan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed Mohamed Awadelkareem","family":"Badawi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Khartoum Khartoum Sudan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,11]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.10578"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc05-2425"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2008.02445.x"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v11.i8.1684"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.4314\/sjms.v4i2.44898"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3280"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2018.05.016"},{"issue":"4","key":"e_1_2_13_9_1","first-page":"259","article-title":"Prevalence and Healthcare Costs Associated With the Management of Diabetic Foot Ulcer in Patients Attending Ahmadu Bello University Teaching Hospital, Nigeria","volume":"34","author":"Umar Z.","year":"2016","journal-title":"West African Journal of Medicine"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.18231\/j.ijpp.2021.046"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.21608\/ejhm.2018.13965"},{"key":"e_1_2_13_12_1","first-page":"1","article-title":"Prevalence of Diabetic Foot Ulcer and Associated Factors Among Adult Diabetic Patients on Follow\u2010Up Clinic at Jimma Medical Center, Southwest Ethiopia, 2019: An Institutional\u2010Based Cross\u2010Sectional Study","volume":"2020","author":"Abdissa D.","year":"2020","journal-title":"Journal of Diabetes Research"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0124446"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-023-17610-7"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0284054"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9061780"},{"key":"e_1_2_13_17_1","unstructured":"International Diabetes Federation IDF Diabetes Atlas 9th ed. 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