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The Diabetic Foot Attack: "'Tis Too Late to Retreat!"
Vas, Prashanth R J; Edmonds, Michael; Kavarthapu, Venu; Rashid, Hisham; Ahluwalia, Raju; Pankhurst, Christian; Papanas, Nikolaos.
Afiliación
  • Vas PRJ; 1 King's College Hospital, London, UK.
  • Edmonds M; 1 King's College Hospital, London, UK.
  • Kavarthapu V; 1 King's College Hospital, London, UK.
  • Rashid H; 1 King's College Hospital, London, UK.
  • Ahluwalia R; 1 King's College Hospital, London, UK.
  • Pankhurst C; 2 Guys and St. Thomas' NHS Foundation Trust, London, UK.
  • Papanas N; 3 Democritus University of Thrace, Alexandroupolis, Greece.
Int J Low Extrem Wounds ; 17(1): 7-13, 2018 Mar.
Article en En | MEDLINE | ID: mdl-29430981
The "diabetic foot attack" is one of the most devastating presentations of diabetic foot disease, typically presenting as an acutely inflamed foot with rapidly progressive skin and tissue necrosis, at times associated with significant systemic symptoms. Without intervention, it may escalate over hours to limb-threatening proportions and poses a high amputation risk. There are only best practice approaches but no international protocols to guide management. Immediate recognition of a typical infected diabetic foot attack, predominated by severe infection, with prompt surgical intervention to debride all infected tissue alongside broad-spectrum antibiotic therapy is vital to ensure both limb and patient survival. Postoperative access to multidisciplinary and advanced wound care therapies is also necessary. More subtle forms exist: these include the ischemic diabetic foot attack and, possibly, in a contemporary categorization, acute Charcot neuroarthropathy. To emphasize the importance of timely action especially in the infected and ischemic diabetic foot attack, we revisit the concept of "time is tissue" and draw parallels with advances in acute myocardial infarction and stroke care. At the moment, international protocols to guide management of severe diabetic foot presentations do not specifically use the term. However, we believe that it may help increase awareness of the urgent actions required in some situations.
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Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Pie Diabético / Manejo de la Enfermedad Tipo de estudio: Diagnostic_studies / Guideline / Systematic_reviews Límite: Humans Idioma: En Revista: Int J Low Extrem Wounds Asunto de la revista: TRAUMATOLOGIA Año: 2018 Tipo del documento: Article

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Pie Diabético / Manejo de la Enfermedad Tipo de estudio: Diagnostic_studies / Guideline / Systematic_reviews Límite: Humans Idioma: En Revista: Int J Low Extrem Wounds Asunto de la revista: TRAUMATOLOGIA Año: 2018 Tipo del documento: Article