Diabetic Foot Infections in the Emergency Department.
Emerg Med Clin North Am
; 42(2): 267-285, 2024 May.
Article
en En
| MEDLINE
| ID: mdl-38641391
ABSTRACT
Diabetic foot infection (DFI) is among the most common diabetic complications requiring hospitalization. Prompt emergency department diagnosis and evidence-based management can prevent eventual amputation and associated disability and mortality. Underlying neuropathy, arterial occlusion, immune dysfunction, and hyperglycemia-associated dehydration and ketoacidosis can all contribute to severity and conspire to make DFI diagnosis and management difficult. Serious complications include osteomyelitis, necrotizing infection, and sepsis. Practice guidelines are designed to assist frontline providers with correct diagnosis, categorization, and treatment decisions. Management generally includes a careful lower extremity examination and plain x-ray, obtaining appropriate tissue cultures, and evidence-based antibiotic selection tailored to severity.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Osteomielitis
/
Enfermedades Transmisibles
/
Pie Diabético
/
Diabetes Mellitus
Límite:
Humans
Idioma:
En
Revista:
Emerg Med Clin North Am
Año:
2024
Tipo del documento:
Article
Pais de publicación:
Estados Unidos