Topical and Biologic Therapies for Diabetic Foot Ulcers

被引:21
作者
Richmond, Nicholas A. [1 ]
Vivas, Alejandra C. [1 ]
Kirsner, Robert S. [1 ,2 ]
机构
[1] Univ Miami, Miller Sch Med, Dept Dermatol & Cutaneous Surg, Miami, FL 33136 USA
[2] Univ Miami, Miller Sch Med, Dept Dermatol & Cutaneous Surg, Stiefel Labs, Miami, FL 33136 USA
关键词
Diabetic foot ulcers; Wound care; Topical antiseptics; Biologic therapies; PLATELET-RICH PLASMA; VENOUS LEG ULCERS; PROSPECTIVE RANDOMIZED-TRIAL; CADEXOMER IODINE; CLINICAL-TRIAL; GROWTH-FACTOR; STANDARD TREATMENT; WOUND MANAGEMENT; BECAPLERMIN; MATRIX;
D O I
10.1016/j.mcna.2013.03.014
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Achieving healing in diabetic foot ulcers (DFUs) can be difficult, and despite the implementation of standard of care measures, healing rates remain unsatisfactory. The best management strategy to achieve more successful outcomes and avoid amputations is to perform a systematic approach. This includes offloading of the affected foot, infection control, correction of arterial disease and good wound care. Here the different topical and biologic therapies used in the management of DFUs to achieve a balanced, healthy, and pro-healing state, prevent limb loss, and improve quality of life for patients are reviewed.
引用
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页码:883 / +
页数:17
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