Symposium 20: Acute attack of diabetic foot
DOI:
https://doi.org/10.47196/diab.v54i3Sup.354Keywords:
diabetic foot, classificationAbstract
Symposium 20: Diabetic foot: What have we learned?
Acute attack of diabetic foot
20% of hospitalizations in people with diabetes mellitus (DM) are due to diabetic foot. The term diabetic foot attack is a concept of urgency; It is that extremity that, without intervention, can progress in hours to the threat of the lower limb and amputation, requiring urgent on-call evaluation, if possible, before 24 hours. Once the diagnosis is made, referral with clear routes and protocols, and early intervention, three clinical presentations stand out.
The attack of infected diabetic foot is one that presents with inflammation, rapidly progressive tissue necrosis and requires debridement of the necrotic tissue, drainage of collections from the affected anatomical compartments, taking samples for cultures, empiric broad-spectrum antibiotics, followed by rapid correction of ischemia when present.
References
-1- Carro GV, Saurral R, Sagüez FS, Witman E. Pie diabético en pacientes internados en hospitales de Latinoamérica. Diabetic foot among hospitalized patients in Latin America. Medicina (B Aires) 2018;78(4):243-251.
-2- Vas PRJ, Edmonds M, Kavarthapu V, et al. The Diabetic Foot Attack: "'Tis Too Late to Retreat!". Int J Low Extrem Wounds. 2018;17(1):7-13. doi:10.1177/1534734618755582.
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