DIABETIC FOOT CARE IN BRAZIL: ACHIEVEMENTS AND CHALLENGES Dr Hermelinda Pedrosa Director Department of the Diabetic Foot Brazilian Diabetes Society. Diabetic Foot: Where we were ?. Diabetes National Programme Implementation - 1988. Targets: Set up basic diabetes teams:
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DIABETIC FOOT CARE IN BRAZIL: ACHIEVEMENTS AND CHALLENGES
Dr Hermelinda Pedrosa
Department of the Diabetic Foot
Brazilian Diabetes Society
Diabetic Foot: Where we were ?
primary /secondary care
tertiary care - public hospitals
Manual de Diabetes. Ministério da Saúde, 1990. ISBN 85-334-0031-4
What about diabetic foot care ?
Pedrosa HC et al. É possível salvar o pé diabético ? Arq Bras Endoc Metab, 1991.
Spiechler E, Spiechler D, Forti AC, et al. OPAS Bulletin, 2001
(average) 30 - 40 days
IWGDF, 1999; Miziara MDY, Dias MSO, Farias L, Pedrosa HC, 1991
Strategies:Save the Diabetic FootProjectimplementation
Ulcer and amputations (US $):
2005 : R$ 16.000,00
Setting up a foot team:Without a podiatrist – a remarkable barrier ?
* Practical Guidelines – International Consensus, 1999. IWGDF – International Working Group on the Diabetic Foot
Berry BL, Black JA. What is chiropody / podiatry ?
The Foot. 1992; 2: 59-60
Specialist interdisciplinary team
Family health programme
Sala Professor Andrew Boulton
(new structure inauguration – 1999)
Trends towards reduction = 77%
Note: Data - LEAS protocol and guidelines - data collection restricted to the reference hospital (Pedrosa HC et al. Diabetes Monitor, 2004)
according to level of procedure
Note: Data - LEAS protocol and guidelines on data collection restricted to the reference hospital (Pedrosa HC et al. Diabetes Monitor, 2004)
Total = 5.141 Increase = 687.7%
National Congress, Regional Seminars attendees**
mean attendance: workshop = 100; meetings = 200
total attendance estimated : 9.000
Ministry of Health, Brazíl; Brazilian Diabetes Society,
Foot Department, 2005
XIII Brazilian Congress of Diabetes
Rio de Janeiro,
* 4.000 issues
Brazilian Diabetes Society Journal
Diabetic Foot Forum*
The good news, the bad news: What are the challenges ?
Official Plans for 2005 - 2006
**Family Health Programme
Logo – Ministry of Health