Pitfalls in diagnosing diabetic foot infections

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منابع مشابه

Diagnosing and treating diabetic foot infections.

Foot infections are a common, complex and costly complication of diabetes. We have made considerable progress in establishing consensus definitions for defining infection. Similarly, we have learned much about the appropriate ways to diagnose both soft tissue and bone infections. Accompanying these advances have been improvements in our knowledge of the proper approaches to antibiotic (and surg...

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Diabetic foot infections.

Diabetic foot infection, defined as soft tissue or bone infection below the malleoli, is the most common complication of diabetes mellitus leading to hospitalization and the most frequent cause of nontraumatic lower extremity amputation. Diabetic foot infections are diagnosed clinically based on the presence of at least two classic findings of inflammation or purulence. Infections are classifie...

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Management of diabetic foot infections

Organization committee members Jean-Pierre Chambon, CHRU, Hôpital Claude-Huriez, Lille, Vascular Surgery David Elkharrat, Hôpital Ambroise-Paré, Boulogne, Emergency Room Georges Ha Van, Clinique les Trois Soleils, Boissise le Roi, Physical Medicine and Rehabilitation Agnès Heurtier-Hartemann, Hôpital de la Pitié-Salpêtrière, Paris, Endocrinology and Diabetology Fabien Koskas, Hôpital de la Piti...

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[Pearls and pitfalls on diagnosing infections in the elderly].

頻度の差こそあれ,高齢者以外に起きやすい感染症は, 高齢者にも起きやすい.例えば,風邪症候群(common cold)やインフルエンザは年齢を問わず,コモンな疾患 である.細菌感染症であれば,市中であれば尿路感染症, 肺炎が多い.原因微生物についても肺炎であれば肺炎球 菌やインフルエンザ菌が原因となりやすいし,尿路感染 であれば大腸菌が原因となることが多い. 感染症診断の要諦は高齢者であってもなくても変わり はない.それは, 1.感染臓器の特定 2.感染微生物の同定(あるいは推定) 3.患者の重症度の見積もり の 3点である.この 3つの点をチェックすれば感染症の 診断はほぼできあがる.治療戦略についても,この 3点 さえ抑えておけば,おおよその治療方針を示すことがで きる(あとは併用薬のチェックや腎機能の確認,腸管か らの吸収能など細かなところを詰めていく). 感染臓器の特定は,問...

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Diagnosis and treatment of diabetic foot infections: adopted IWGDF guidline

Background: Diabetic foot infection is the most common complication of diabetic foot ulcer (DFU) leading to amputation. The treatment requires special attention to disease conditions, proper diagnosis, appropriate sampling for cultures, careful selection of antibiotics, rapid determination of the patient’s need for surgical intervention, and wound care. Clearly a systematic approach or, if poss...

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ژورنال

عنوان ژورنال: Diabetes/Metabolism Research and Reviews

سال: 2016

ISSN: 1520-7552

DOI: 10.1002/dmrr.2736