Oliver Tony I., Mutluoglu Mesut
University Of South Dakota
Saglik Bilimleri Universitesi
Diabetic foot ulcers are among the most common complications of patients who have diabetes mellitus which is not well controlled. It is usually the result of poor glycemic control, underlying neuropathy, peripheral vascular disease, or poor foot care. It is also one of the common cause for osteomyelitis of the foot and amputation of lower extremities. These ulcers are usually in the areas of the foot which encounters repetitive trauma and pressure sensations. Staphylococcus is the common infective organism. The disease is typically chronic, and an interprofessional approach will have the best outcome. The combined involvement of podiatrist, endocrinologist, primary care physician, vascular surgeon, and an infectious disease specialist is extremely beneficial. It is a commonly encountered scenario in both outpatient settings and inpatients. Diabetic foot ulcers are responsible for more admissions than any other diabetic complication. Today, diabetes is the leading cause of non-traumatic amputations in the US. Overall, about 5% of patients with diabetes mellitus develop foot ulcers and 1% end up with an amputation. Educating the patient about the complication and the need for proper medical care will reduce the risk of complications and good compliance.
糖尿病足溃疡是未得到良好控制的糖尿病患者最常见的并发症之一。它通常是血糖控制不佳、潜在神经病变、外周血管疾病或足部护理不当的结果。它也是足部骨髓炎和下肢截肢的常见原因之一。这些溃疡通常出现在足部反复受到创伤和压力的部位。金黄色葡萄球菌是常见的感染病原体。这种疾病通常是慢性的，多学科协作的方法会取得最佳治疗效果。足病医生、内分泌科医生、初级保健医生、血管外科医生和传染病专家的联合参与极其有益。这在门诊和住院环境中都是常见的情况。糖尿病足溃疡导致的住院比任何其他糖尿病并发症都多。如今，糖尿病是美国非创伤性截肢的主要原因。总体而言，约5%的糖尿病患者会发生足部溃疡，1%最终会截肢。对患者进行有关该并发症以及适当医疗护理必要性的教育，将降低并发症风险并提高依从性。
