Sagray Bryan A, Malhotra Sabina, Steinberg John S
The Permanente Medical Group, Department of Orthopaedics, Modesto/Stockton, California, USA.
Clin Podiatr Med Surg. 2014 Jan;31(1):57-70. doi: 10.1016/j.cpm.2013.09.003.
Treatment of the patient with a diabetic foot infection and underlying osteomyelitis is currently an evolving process, often complicated by neuropathy, peripheral vascular disease, and renal insufficiency. Understanding which patients require hospitalization, intravenous antibiotic therapy, and urgent operative intervention may ultimately prevent the spread of infection or major limb amputation. The treating surgeon should focus on accurate and early diagnosis, proper antibiosis, and appropriate surgical debridement to eradicate infection while preserving function with a plantar-grade foot.
糖尿病足感染合并潜在骨髓炎患者的治疗目前仍在不断发展，常因神经病变、外周血管疾病和肾功能不全而变得复杂。了解哪些患者需要住院、静脉抗生素治疗以及紧急手术干预，最终可能预防感染扩散或大肢体截肢。主治外科医生应专注于准确早期诊断、恰当的抗菌治疗以及适当的手术清创，以根除感染，同时保留足底功能正常的足部功能。
