Brunei Diabetic Foot Registry established

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MORE than 400 visitors to the Podiatry Unit at RIPAS Hospital were treated for diabetic foot ulcers from June to November last year.

To better record and deal with such cases in Brunei Darussalam, the Brunei Diabetic Foot Registry was established, said Dr Norafizah Hj Zaine, a podiatrist specialising in diabetic foot problems.

Dr Norafizah said registry was fully optimised as of June 2015.

The registry was created when the Bru-HIMS eRecord was initiated in the Podiatry Unit at Raja Isteri Pengiran Anak Saleha (RIPAS) Hospital in August 2013, she said.

“The goal of the registry is to accurately record foot ulcer characteristics and determine longitudinally the incidence and treatment outcomes of diabetic foot ulcers in the Brunei population,” she said.

Around 40 to 70 per cent of lower limb amputations were diabetes-related in 2012 and 85 per cent were preceded by a foot ulcer, according to a study by an international working group.

“The use of the registry has only been fully optimised by podiatrists in the Podiatry Unit, RIPAS Hospital starting June 2015 with the initiation of our diabetic foot ulcer clinic,” Dr Norafizah Hj Zaine said an interview with The Brunei Times.

She added that all four districts can also access the registry through the Bru-HIMS system which has yet to be fully optimised outside of RIPAS due to the current lack of manpower and resources.

“The registry will be optimised once there are permanent or more frequent services in the other district hospitals. Expanding services will require more manpower and budget but hopefully (the services will be provided) in the near future,” said Norafizah.

There is an increasing demand for more podiatrists in Brunei as there are currently only eight podiatrists to cater for the whole country, a ratio of one to 54,000.

Citing the International Diabetes Federation, she said the national diabetes prevalence estimate in Brunei was 10.7 per cent of the population in 2010 and expected to rise to 13.4 per cent by 2030.

The Brunei Times