Symposium 5: HbA1c: Infection management
DOI:
https://doi.org/10.47196/diab.v56i3Sup.501Keywords:
diabetic footAbstract
Diabetic foot infections (DFIs) are associated with different morbidities, requiring frequent medical visits, daily wound care, antimicrobial therapy, surgery or other procedures, with high health care costs. The predisposing factors are: neuropathy, vasculopathy, immunopathies and biomechanics of the foot.
About 20% of mild IPDs and up to 60% of severe cases are associated with bone involvement. The International Working Group on the Diabetic Foot (IWGDF) developed a system to classify diabetic foot wounds using the acronym PEDIS: perfusion, extent, depth, infection, and sensation (neuropathy) to assess the severity of infection.
References
I. Lipsky BA, Berendt AR, Cornia PB, Pile JC, Peters EJG, Armstrong DG, et al. Infectious diseases Society of America clinical practice guideline for the diagnosis and treatment of diabetic foot infections. Clin Infect Dis2012;54(12):e132-73. doi: 10.1093/cid/cis346
II. Rubio JA, Jiménez S, Lázaro-Martínez JL. Mortality in patients with diabetic foot ulcers: causes, risk factors, and their association with evolution and severity of ulcer. J Clin Med 2020 Sep 18;9(9):3009.
III. Lipsky BA, Senneville É, Abbas ZG, Aragón-Sánchez J, Diggle M, Embil JM, et al. IWGDF Guideline on the diagnosis and treatment of foot infection in persons with diabetes 2019. Disponible en: https://iwgdfguidelines.org/wp-content/uploads/2019/05/05-IWGDF-infection-guideline-2019.pdf.
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