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Comprehensive care for diabetic patients with diabetic foot syndrome


Authors: J. Olšovský
Authors place of work: Diabetologické centrum II. interní kliniky Lékařské fakulty MU a FN u sv. Anny Brno, přednosta prof. MU Dr. Miroslav Souček, CSc.
Published in the journal: Vnitř Lék 2010; 56(4): 347-350
Category: 11th National Diabetes Symposium "Diabetes and Angiology", Hradec Kralove, 5 to 6 June 2009

Summary

The author presents a definition of diabetic foot syndrome and its various classifications. Presented are its epidemiology and the risk factors of its development. Management of this condition is demanding with respect to medical as well as economic resources and thus prevention is at the forefront. However, should this condition develop in a patient, specialised care becomes equally important. Care for a patient with diabetic foot syndrome is as complex as are the underlying causes of this condition. Management requires attention of a specialized team of experts, led and coordinated by a diabetologist‑ podiatrist. Therapy includes diabetes control, weight reduction, infection therapy, revascularisation and, alternatively, conservative treatment of lower limb ischemia, surgery, wound healing and local therapy as well as nutritional care. The author only discusses the areas of management that are not a subject to separate papers.

Key words:
diabetic foot syndrome –  classification –  prevention –  comprehensive care


Zdroje

1. Mezinárodní pracovní skupina pro syndrom diabetické nohy. Syndrom diabetické nohy. Mezinárodní konsenzus. Amsterdam 1999. České vydání: Jirkovská A. (ed). Praha: Galén 2000.

2. Wagner F. Classification and treatment program for diabetic, neuropathic and dysvascular foot problems. The American Academy of Orthopaedic Surgeons Instructional Course Lecture. Mosby, St Louis MO 1979; 28: 143– 165.

3. Macfarlane RM, Jeffcoate WJ. Classification of diabetic foot ulcers: The S (AD) SAD system. Diabetic Foot 1999; 2: 123– 131.

4. Edmunds ME, Foster AV. Managing the diabetic foot. Oxford: Blackwell Science 2000.

5. Jirkovská A et al. Syndrom diabetické nohy. Praha: Maxdorf 2006.

6. Záhumenský E, Hlaváček P. Profylaktická a terapeutická obuv. In: Tošenovský P, Edmonds ME et al (eds). Moderní léčba syndromu diabetické nohy. Praha: Galén 2004.

7. International Consensus Working Group on Antimicrobial Therapy of Diabetic Foot. Practical guidelines on antimicrobial therapy of the infected diabetic foot, EASD 2003.

8. Dang CN, Prasad YD, Boulton AJ et al. Methicilin‑resistant Staphylococcus aureus in the diabetic foot clinic: a worsening problem. Diabet Med 2003; 20: 159– 161.

9. Zadák Z. Umělá výživa v intenzivní péči při diabetes mellitus. In: Zadák Z (ed). Výživa v intenzivní péči. Praha: Grada Publish­ing 2002: 413– 417.

Štítky
Diabetology Endocrinology Internal medicine

Článok vyšiel v časopise

Internal Medicine

Číslo 4

2010 Číslo 4
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