THE MANAGEMENT OF DIABETIC FOOT IN THE EMERGENCY

Background:Diabetic foot ulcers infected mainly increase the risk of amputation. The aim our study was to define predictors amputation diabetic foot, draw clinical, bacteriological and therapeutic profile patients presenting emergency Aims: To Patients/methods: This is a prospective observational spread over twelve months in medical surgical emergencies including 108 patients. We investigated socio-demographic, clinical data treatment hospitalized for foot. Results: mean age 63.7ans, 92.6% were type2. 57.4% lesions acute (ulcers (37%), wet gangrene (33.3%), dry (13%),cellulitis (24.1%) Charcot (9.3%)), 63% following trauma 33.2% due unsuitable footwear. 81.5% had signs angiopathy 64.5% neuropathy. classified: uninfected (9.3%), low moderate (38.8%) severe (42.6%) according IDSA / IWGDF 0D (46.3%) 3D (18.5%) 3B (7.4%) University Texas. Staphylococcus aureus most germ solved. Antibiotics administered if osteitis Amoxicillin-clavulanate (57.5%) Ertapenem (31.5%) his absence. 14.8% received debridement, 1.9% revascularization 83.3% In study, increases with average socioeconomic level, severity infection presence /osteomyelitis while drying feet after ablution protective factor. 9.3% recurrence 5.6% deaths recorded. Conclusions: multidisciplinary management paramount. surgery common immediately but rarely necessary, first-line therapy avoiding abusive amputations. Prevention requires establishment specialized units. Summary:Diabetic emergency.