Australian Diabetes Foot Network, Australian Diabetes Society, Sydney, NSW, Australia.
Med J Aust. 2012 Aug 20;197(4):226-9. doi: 10.5694/mja11.10347.
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.
适当评估和管理糖尿病相关足部溃疡（DRFUs）对于降低截肢风险至关重要。管理需要清创、伤口敷料、减压、良好的血糖控制，以及潜在的抗生素治疗和血管介入。最低限度，所有 DRFUs 都应由医生、足病医生和/或伤口护理护士进行管理。无法为 DRFUs 患者提供适当护理的卫生专业人员应立即将患者转介给具有必要知识和技能的专业人员。需要立即转至急诊科或多学科足部护理团队（MFCT）的指标包括坏疽、肢体威胁性缺血、深部溃疡（伤口底部的骨骼、关节或肌腱）、上行蜂窝织炎、感染的全身症状和脓肿。如果经过 4 周的适当治疗后伤口没有进展，应转至 MFCT。
