Mancini L, Ruotolo V
Istituto di Medicina Interna e Geriatria, Università Cattolica del S. Cuore, Policlinico A. Gemelli, Roma, Italy.
Rays. 1997 Oct-Dec;22(4):544-9.
Infection may be the first manifestation of the diabetic foot or may complicate a preexisting lesion. The increased susceptibility to infections of diabetics and the particular anatomy of the foot make infections particularly severe and rapidly progressive. The etiology is generally polymicrobial and a swab for culture of microorganisms is immediately required to plan correct and adequate antibiotic therapy based on the antibiotic sensitivity test. Infections can be treated in specialized outpatient services, while hospitalization is reserved to most severe cases with systemic manifestations. These specialized centers have been shown to be the only structures able to decrease the frequency, severity and recurrence of foot infections as well as their prevention.
感染可能是糖尿病足的首发表现，也可能使先前存在的病变复杂化。糖尿病患者对感染的易感性增加以及足部特殊的解剖结构，使得感染特别严重且进展迅速。病因通常是多微生物的，因此需要立即进行微生物培养拭子检查，以便根据抗生素敏感性试验制定正确且充分的抗生素治疗方案。感染可在专门的门诊进行治疗，而大多数有全身表现的严重病例则需住院治疗。这些专门的中心已被证明是唯一能够降低足部感染的发生率、严重程度和复发率以及预防感染的机构。
