We have located links that may give you full text access.
JOURNAL ARTICLE
REVIEW
Anti-infective therapy for foot ulcers in patients with diabetes.
Clinical Orthopaedics and related Research 2005 October
Foot infection is a huge economic and social burden for patients with diabetes. The etiology is multifactorial, necessitating a multidisciplinary team for successful treatment and prevention. Infection usually is a consequence rather than the cause of foot ulcers in patients with diabetes. Infection is a clinical diagnosis and can be categorized as mild cellulitis, moderate to severe cellulitis, and osteomyelitis. No single imaging technique is 100% sensitive or specific for the diagnosis of osteomyelitis. Infected foot ulcers require appropriate tissue and bone cultures to guide antibiotic therapy whereas uninfected ulcers, which may be colonized with bacteria, do not require antibiotics. Gram-positive organisms account for a substantial proportion of infections with increasing prevalence of methicillin-resistant Staphylococcus aureus in recent years. Osteomyelitis in patients with diabetes requires aggressive surgical intervention in addition to antibiotics. Duration of treatment varies from 2 to 6 weeks based on the severity of infection, along with surgical debridement. Prevention of foot ulcer and infection requires patient education, detection of neuropathy, glycemic control, and proper foot care with foot hygiene and appropriate footwear. The patient is an important member of the team and should be taught the importance of self examination and early reporting of foot problems.
Full text links
Related Resources
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app