Evaluation of the diagnosis and treatment of infections of diabetic feet Nursing essay




WHAT ARE THE KEY COMPONENTS OF A GENERAL APPROACH TO DIABETES-RELATED FOOT INFECTIONS, Antimicrobial therapy; 1. Foot infections in patients with diabetes cause significant morbidity and frequent visits to healthcare professionals and can lead to amputation of a lower foot. This review focuses on the pathophysiology, evaluation, treatment, and prevention of diabetic foot ulcers and infections. This is a back-to-basics paper on the assessment of DFUs of diabetic foot ulcers for clinical practice. Poorly controlled diabetes often results in: 1. Diagnosis: is it infected, definition and challenges. 2. Clinical evaluation: what is the extent and severity 3. Diagnostic evaluation: Radiological and diabetic foot infections DFIs are serious complications of long-standing diabetes and pose a diagnostic challenge as the distinction between osteomyelitis OM, soft tissue infection, Select an antibiotic for the treatment of a diabetes-related foot infection based on: the probable or proven causative pathogens and their antibiotic sensitivity, S. aureus. S. aureus is the most common pathogen in diabetic foot and flucloxacillin is the ideal treatment. Ertythromycin and clarithromycin can also be used. Clindamycin is usually effective, but it is necessary to be aware of antibiotic-induced colitis, especially in the elderly and postoperative patients. Diabetic foot infections DFIs are serious complications of long-term diabetes and pose a diagnostic challenge as differentiating osteomyelitis from OM soft tissue infection. Moderate infections can be treated with oral or parenteral antibiotics, depending on the severity of the infection. If there is further deep tissue or bone involvement, parenteral antibiotics are indicated. Parenteral antibiotics are required for serious infections with systemic symptoms. 10. Empirical antibiotic therapy for moderate or severe cases. Diabetic foot infections DFIs are an increasingly common complication of diabetes mellitus and pose a significant clinical and economic burden to the healthcare system 1, 2. Adults experience a DFI annually and the associated annual costs exceed the dollar 2, 3. DFIs Infected diabetic foot wounds require antibiotic therapy , because failure to properly treat infected wounds is usually associated with progressive tissue destruction and poor wound healing. Since antibiotic treatment is associated with frequent side effects, financial costs and an increasing risk of antibiotic use, it should be taken into account. Anyone with diabetes should be advised to wash, dry and examine their feet daily and avoid excessive heat and cold, as well as trauma. Patients should seek immediate medical attention if they see signs of a foot infection or the formation of new sores, such as broken skin, changes in skin color, bruising or swelling. If left untreated, diabetic ulcers. Incision. Most deep foot infections require incision and drainage. The most common location of foot ulcers in diabetic patients is the plantar surface. One of the earliest works to detail the surgical anatomy of the plantar fascial spaces of the foot was that of Grodinsky, published, 43





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