Author/Editor		Urbančič, Vilma
Title		Okužbe diabetične noge
Translated title		Diabetic foot infections
Type		članek
Source		In: Kersnik J, editor. Kronična bolečina, sladkorna bolezen, depresija in preventivni program. Zbornik predavanj 4. Fajdigovi dnevi; 2002 okt 11-12; Kranjska Gora. Ljubljana: Združenje zdravnikov družinske medicine SZD,
Publication year		2003
Volume		str. 63-7
Language		slo
Abstract		Gangrene and limb loss are among the most dreaded complications of diabetes mellitus. Almost 50 % of all nontraumatic amputations are performed on diabetic patients. The diabetic foot is a result of neuropathy and peripheral vascular disease. The ulcers are classified according to the depth and extent of tissue involvement. Meggitt-Wagner classification with 5 grades is most widely used. Foot ulcers are frequently complicated by infection. In superficial ulcers, the predominant pathogens are Gram positive cocci, while in deeper wounds, anaerobes can be found. Wound swab remains by far the most frequently adopted method, although the results are not reliable due to contamination from the surrounding skin. Tissue samples are more reliable, but are not always available. Imaging techniques for the diagnosis of osteomyelitis include plain radiography, bone scan and magnetic resonance imaging. The decision for antibiotic therapy is based upon clinical picture and laboratory results. Oral administration is preferred with superficial wounds and parenteral in deeper wounds. The suggested duration of antibiotic therapy is 14 days in the absence of osteomyelitis and longer, weeks to months, with osteomyelitis.
Descriptors		DIABETIC FOOT INFECTION LEG ULCER OSTEOMYELITIS GANGRENE ANTIBIOTICS