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糖尿病足溃疡及其相关问题概述,特别强调抗菌药物治疗

An Overview of Diabetic Foot Ulcers and Associated Problems with Special Emphasis on Treatments with Antimicrobials.

作者信息

Baig Mirza Shahed, Banu Ahmadi, Zehravi Mehrukh, Rana Ritesh, Burle Sushil S, Khan Sharuk L, Islam Fahadul, Siddiqui Falak A, Massoud Ehab El Sayed, Rahman Md Habibur, Cavalu Simona

机构信息

Department of Pharmaceutical Chemistry, Y. B. Chavan College of Pharmacy, Aurangabad 431001, India.

Department of Pharmacology, Vishnu Institute of Pharmaceutical Education & Research, Narsapur 502313, India.

出版信息

Life (Basel). 2022 Jul 14;12(7):1054. doi: 10.3390/life12071054.

Abstract

One of the most significant challenges of diabetes health care is diabetic foot ulcers (DFU). DFUs are more challenging to cure, and this is particularly true for people who already have a compromised immune system. Pathogenic bacteria and fungi are becoming more resistant to antibiotics, so they may be unable to fight microbial infections at the wound site with the antibiotics we have now. This article discusses the dressings, topical antibacterial treatment, medications and debridement techniques used for DFU and provides a deep discussion of DFU and its associated problems. English-language publications on DFU were gathered from many different databases, such as Scopus, Web of Science, Science Direct, Springer Nature, and Google Scholar. For the treatment of DFU, a multidisciplinary approach involving the use of diagnostic equipment, skills, and experience is required. Preventing amputations starts with patient education and the implementation of new categorization systems. The microbiota involved in DFU can be better understood using novel diagnostic techniques, such as the 16S-ribosomal DNA sequence in bacteria. This could be achieved by using new biological and molecular treatments that have been shown to help prevent infections, to control local inflammation, and to improve the healing process.

摘要

糖尿病医疗保健面临的最重大挑战之一是糖尿病足溃疡(DFU)。DFU更难治愈,对于免疫系统已经受损的人来说尤其如此。致病细菌和真菌对抗生素的耐药性越来越强,因此现有的抗生素可能无法对抗伤口部位的微生物感染。本文讨论了用于DFU的敷料、局部抗菌治疗、药物和清创技术,并对DFU及其相关问题进行了深入探讨。从许多不同的数据库收集了关于DFU的英文出版物,如Scopus、科学网、科学Direct、施普林格自然和谷歌学术。对于DFU的治疗,需要一种涉及使用诊断设备、技能和经验的多学科方法。预防截肢始于患者教育和新分类系统的实施。使用新型诊断技术,如细菌中的16S核糖体DNA序列,可以更好地了解参与DFU的微生物群。这可以通过使用新的生物和分子治疗来实现,这些治疗已被证明有助于预防感染、控制局部炎症和改善愈合过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68d6/9316721/c8b61670e0d1/life-12-01054-g001.jpg

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