Diabetic foot ulcers

  • a complications of diabetes mellitus due to poor circulation, neuropathy and delayed wound healing.
  • 10-15% of diabetics develop foot ulcers at some point in their lives

 

Prevention:

  • good foot hygiene and care
  • injury prevention
  • comfortable supportive footwear

Etiology:

  • peripheral diabetic neuropathy
  • peripheral diabetic related ischemia

Treatment:

Foot ulcers in diabetes require multidisciplinary assessment, usually by foot and wound care teams, diabetes specialists and surgeons.

Treatment consists of :

  1. appropriate dressings
  2. antibiotics (against staphylococcus, streptococcus, and anaerobic mocrobial strains)
  3. wound debridement 
  4. arterial revascularisation.
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