Australian Diabetes Foot Network: management of diabetes-related foot ulceration - a clinical update

被引：30

作者：

Bergin, Shan M. ^{[1
]}

Gurr, Joel M. ^{[1
]}

Allard, Bernard P. ^{[1
]}

Holland, Emma L. ^{[1
]}

Horsley, Mark W. ^{[1
]}

Kamp, Maarten C. ^{[1
]}

Lazzarini, Peter A. ^{[1
]}

Nube, Vanessa L. ^{[1
]}

Sinha, Ashim K. ^{[1
]}

Warnock, Jason T. ^{[1
]}

Alford, Jan B. ^{[1
]}

Wraight, Paul R. ^{[1
]}

机构：

[1] Australian Diabet Soc, Australian Diabet Foot Network, Sydney, NSW, Australia

来源：

MEDICAL JOURNAL OF AUSTRALIA | 2012年 / 197卷 / 04期

关键词：

INTERNATIONAL-CONSENSUS; ULCERS; AMPUTATION; PREVENTION; INFECTION; DIAGNOSIS; PRESSURE; THERAPY; DISEASE; CARE;

D O I：

10.5694/mja11.10347

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Appropriate assessment and management of diabetes-related foot ulcers (DRFUs) is essential to reduce amputation risk. Management requires debridement, wound dressing, pressure off-loading, good glycaemic control and potentially antibiotic therapy and vascular intervention. As a minimum, all DRFUs should be managed by a doctor and a podiatrist and/or wound care nurse. Health professionals unable to provide appropriate care for people with DRFUs should promptly refer individuals to professionals with the requisite knowledge and skills. Indicators for immediate referral to an emergency department or multidisciplinary foot care team (MFCT) include gangrene, limb-threatening ischaemia, deep ulcers (bone, joint or tendon in the wound base), ascending cellulitis, systemic symptoms of infection and abscesses. Referral to an MFCT should occur if there is lack of wound progress after 4 weeks of appropriate treatment.

引用

页码：226 / 229

页数：4

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