Protocolo de tratamiento de úlceras cutáneas y pie diabético

  1. Ruiz Blasco, E.
  2. Martín Peral, P.
  3. Rodríguez Leal, M. C.
  4. de los Santos Moreno, A.
Revista:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Ano de publicación: 2014

Título do exemplar: Enfermedades infecciosas (VII): Infecciones por anaerobios y enterobacterias

Serie: 11

Número: 55

Páxinas: 3296-3299

Tipo: Artigo

DOI: 10.1016/S0304-5412(14)70771-1 DIALNET GOOGLE SCHOLAR

Outras publicacións en: Medicine: Programa de Formación Médica Continuada Acreditado

Resumo

Skin ulcers etiology is varied and often even unknown. There is usually a circulatory pathology, venous or arterial. They stand out for their impact, the vascular and diabetic lower extremity wounds as well as pressure ulcers. Infection is the most common skin ulcer complication, and is characterized by the presence of both local and systemic clinical signs. Treatment of diabetic foot ulcer requires a multidisciplinary management, including local treatments with appropriate culture samples, antibiotic therapy according to the stratification of the severity and patient history, and a surgical evaluation. After obtaining the culture results, antimicrobial therapy should be directed, with narrower spectrum agents.

Referencias bibliográficas

  • Defloor T, Schoonhoven L, Vanderwee K, Weststrate, Myny JD. Reliability of the EuropeanPressure Ulcer Advisory Panel classification system. J Adv Nurs. 2006;54:189-98.
  • Hinchliffe RJ, Valk GD, Apelqvist J, Armstrong DG, Bakker K, Game FL. A systematic review of the effectiveness of interventions to enhance the healing of chronic ulcers of the foot in diabetes. Diabetes Metab Res Rev. 2008;24Suppl1:S119-44.
  • Lipsky BA, Berendt AR, Cornia PB, Berendt AR, Cornia PB, Pile JC. 2012 Infectious Diseases Society of America clinical practice guideline for the diagnosis and treatment of diabetic foot infections. Clin Infect Dis. 2012;54:e132-73.
  • Peters EJ, Lipsky BA. Diagnosis and management of infection in the diabetic foot. Med Clin N Am. 2013;97:911-46.
  • Peters EJ, Lavery LA, Urbancic V, Embil JM, Lavery LA, Senneville E. A systematic review of the effectiveness of interventions in the management of infection in the diabetic foot. Diabetes Metab Res Rev. 2012;28Suppl1:142-62.
  • Tan JS, Friedman NM, Hazelton-Miller C, Flanagan JP, File TM Jr. Can aggressive treatment of diabetic foot infections reduce the need for above ankle amputation? Clin Infect Dis. 1996;23:286-91.
Fonte de datos: Dialnet