Vol 8, No 1 (2007): Practical Diabetology
Review article
Submitted: 2012-01-02
Published online: 2007-02-12
Diabetic food syndrome. Chronic nonhealing wounds - an important clinical problem
Teresa Koblik
DOI: 10.5603/cd.8530
·
Diabetologia Praktyczna 2007;8(1):22-27.
Vol 8, No 1 (2007): Practical Diabetology
Review articles (submitted)
Submitted: 2012-01-02
Published online: 2007-02-12
Abstract
The European Wound Association, European Working Group on the Diabetic Foot and Polish Diabetology Society established the guidelines for the diagnosis and treatment of diabetic foot. Despite the growth of our knowledge of wounds and new ways
of treatment some wounds remain unhealed fulfilling the criteria of a chronic wound. Wound infection is the most important factor delaying healing
process and placing the patient at increased risk of lower limb amputation. The present paper reviews
factors leading to wound infection, mechanisms of the pathogenicity of bacterial strains and types of bacteria-host interactions, clinical manifestations of the infected diabetic foot and clinical signs to
assess the severity of infection. The reliability of wound culture results and use of topical antibiotic treatment
are still controversial issues. In contrast, silver salts and iodine containing antiseptic dressings
appear to be of unquestionable value. The paper provides also general principles of antibacterial
treatment.
Abstract
The European Wound Association, European Working Group on the Diabetic Foot and Polish Diabetology Society established the guidelines for the diagnosis and treatment of diabetic foot. Despite the growth of our knowledge of wounds and new ways
of treatment some wounds remain unhealed fulfilling the criteria of a chronic wound. Wound infection is the most important factor delaying healing
process and placing the patient at increased risk of lower limb amputation. The present paper reviews
factors leading to wound infection, mechanisms of the pathogenicity of bacterial strains and types of bacteria-host interactions, clinical manifestations of the infected diabetic foot and clinical signs to
assess the severity of infection. The reliability of wound culture results and use of topical antibiotic treatment
are still controversial issues. In contrast, silver salts and iodine containing antiseptic dressings
appear to be of unquestionable value. The paper provides also general principles of antibacterial
treatment.
Keywords
diabetic foot; chronic wound; infection
Title
Diabetic food syndrome. Chronic nonhealing wounds - an important clinical problem
Journal
Clinical Diabetology
Issue
Vol 8, No 1 (2007): Practical Diabetology
Article type
Review article
Pages
22-27
Published online
2007-02-12
Page views
1568
Article views/downloads
11721
DOI
10.5603/cd.8530
Bibliographic record
Diabetologia Praktyczna 2007;8(1):22-27.
Keywords
diabetic foot
chronic wound
infection
About this article