Diabetic foot attack

Česká verzia

Authors: Milan Flekač
Published in the journal: Čas. Lék. čes. 2024; 163: 194-196
Category: Review Articles

Summary

Diabetic foot attack is an acute manifestation of diabetic foot syndrome that requires rapid diagnosis and early initiation of complex therapy based on multidisciplinary team cooperation to save the affected limb. The term "attack" evokes the need for a rapid reaction as for "heart attack". Patients with diabetes mellitus and acute manifestations of diabetic foot syndrome have high risk for amputation of the lower limb, which is associated with higher morbidity and mortality. Complex therapy includes systemic antibiotic therapy, surgical debridement of ulceration, revascularization in the case of proven lower limb ischemia and an individualized offloading. Without the subsequent outpatient podiatric follow-up, the risk of recurrence increases significantly.

Keywords:

diabetic foot syndrome, diabetic foot attack, diabetic foot infection, active Charcot foot

Zdroje

Crawford F, Cezard G, Chappell FM et al. A systematic review and individual patient data meta-analysis of prognostic factors for foot ulceration in people with diabetes: the international research collaboration for the prediction of diabetic foot ulcerations (PODUS). Health Technol Assess 2015; 19: 1–210.
Armstrong DG, Boulton AJM, Bus SA. Diabetic foot ulcers and their recurrence. N Engl J Med 2017; 376: 2367–2375.
Armstrong LTD, Magnusson MR, Guppy MPB. Risk factors for recurrence of facial basal cell carcinoma after surgical excision: a follow-up analysis. J Plast Reconstr Aesthet Surg 2017; 70: 1738-1745.
Margolis DJ, Malay DS, Hoffstad OJ et al. Prevalence of diabetes, diabetic foot ulcer, and lower extremity amputation among Medicare beneficiaries, 2006 to 2008. Agency for Healthcare Research and Quality, 2011.
Jupiter DC, Thorud JC, Buckley CJ, Shibuya N. The impact of foot ulceration and amputation on mortality in diabetic patients. I: From ulceration to death, a systematic review. Int Wound J 2016; 13: 892–903.
Putting feet first. Fast track for a foot attack: reducing amputations. Diabetes UK, 2013. Dostupné na: www.diabetes.org.uk/professionals/position-statements-reports/specialist-care-for-children-and-adults-and-complications/fast-track-for-a-foot-attack-reducing-amputations
Vig S, Alchikhal T, Turner B. The foot attack: where are the defense mechanisms? Br J Diabetes 2014; 14: 72–74.
Schiro A, Pherwani AD. The role of the multidisciplinary team in the management of diabetic foot complications and organisation of regional networks and data collection. In: Shearman PC, Chong P (eds.). Management of Diabetic Foot Complications. Springer-Verlag, London, 2015: 201–213.
Vas PRJ, Edmonds M, Kavarthapu V et al. The diabetic foot attack: "’Tis too late to retreat!". Int J Low Extrem Wounds 2018; 17: 7–13.
Lipsky BA, Aragón-Sánchez J, Diggle M et al. IWGDF guidance on the diagnosis and management of foot infections in persons with diabetes. Diabetes Metab Res Rev 2016; 32: 45–74.
Uzun G, Solmazgul E, Curuksulu H et al. Procalcitonin as a diagnostic aid in diabetic foot infections. Tohoku J Exp Med 2007; 213: 305–312.
Lipsky BA, Sheehan P, Armstrong DG et al. Clinical predictors of treatment failure for diabetic foot infections: data from a prospective trial. Int Wound J 2007; 4: 30–38.
Blakytny R, Jude EB. Altered molecular mechanisms of diabetic foot ulcers. Int J Low Extrem Wounds 2009; 8: 95–104.
Lavery LA, Armstrong DG, Murdoch DP et al. Validation of the Infectious Diseases Society of America’s diabetic foot infection classification system. Clin Infect Dis 2017; 44: 562–565.
Hinchliffe RJ, Brownrigg JR, Apelqvist J et al. IWGDF guidance on the diagnosis, prognosis and management of peripheral artery disease in patients with foot ulcers in diabetes. Diabetes Metab Res Rev 2016;32: 37–44.
Rebelos E, Siafarikas C, Tentolouris N, Jude EB. Charcot foot: an update on diagnosis, treatment, and areas of uncertainty. Int J Low Extrem Wounds 2024: 15347346241253451.

Štítky

Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental Hygienist

Článek Úvodem

Článek Glucose variability and diabetic microvascular complications

Článek Glycation in diabetes: is it the same in all patients?

Článek Automated insulin delivery systems – settings in specific situations

Článek Culturally sensitive health care – cultural specifics of Roma patients

Článek Roma people in the Czech Republic and cultural differences in health and health care

Článek Window to the soul: the eye in medical discourse

Článek A thousand years of diseases and wars from the ossuaries of Bohemia and Moravia

Článek Disease and healing in the Indus civilisation

Článek Profesor Jan Škrha slaví významné životní jubileum

Článek Zemřel profesor Pavel Klener

Článek Vzpomínka na PhDr. Hanu Janečkovou, Ph.D.