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我们能否通过糖尿病足感染的伤口状况来预测血管状态和培养结果?

Can we predict vascular status and culture result based through wound status in diabetic foot infection?

作者信息

Shin Jin Yong, Roh Si-Gyun, Chang Suk Choo, Lee Nae-Ho

机构信息

Department of Plastic and Reconstructive Surgery, Medical School of Chonbuk National University.

Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Republic of Korea.

出版信息

Medicine (Baltimore). 2019 Mar;98(12):e14892. doi: 10.1097/MD.0000000000014892.

Abstract

Diabetic foot infection (DFI) should be treated by a multidisciplinary team to prevent amputation and morbid status. As physicians encountering DFI in outpatient clinic, a proper selection of antibiotic treatment and diagnostic approach for a vascular status is essential. We retrospectively investigated the patients with DFI from 2016 to 2017. All patients were examined for vascular status, wound status, and pathologic culture preceding the treatment. No statistical significance was observed between PEDIS grade 1 and 2 and 3 and 4 in culture status and culture results. Association analysis between vascular status and other variables, such as wound score and culture results, has no significant difference. Through these results, the helpful epidemiologic result of microbiology and necessity of examination for peripheral arterial disease were verified.

摘要

糖尿病足感染(DFI)应由多学科团队进行治疗,以防止截肢和病情恶化。作为在门诊遇到DFI的医生,正确选择抗生素治疗和评估血管状况的诊断方法至关重要。我们回顾性调查了2016年至2017年期间的DFI患者。所有患者在治疗前均接受了血管状况、伤口状况和病理培养检查。在培养状况和培养结果方面,PEDIS 1级和2级与3级和4级之间未观察到统计学差异。血管状况与其他变量(如伤口评分和培养结果)之间的关联分析无显著差异。通过这些结果,验证了微生物学有益的流行病学结果以及检查外周动脉疾病的必要性。

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