This article focuses on the end-stage of diabetic foot disease: Diabetic foot sepsis. The aetio-pathogenesis and clinical diagnosis of diabetic foot disease is discussed. The article explores the management of limb- and non-limb-threatening diabetic foot infections, and in particular, the importance of utilising the diabetic foot clinic and the specialist multi-disciplinary team to prevent high-risk patients from further foot deterioration. The importance of preventing the development of diabetic foot disease through screening and primary and secondary prevention strategies is also discussed.
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References
1.
DellingerR. P.LevyM. M.RhodesA.AnnaneD.GerlachH.OpalS. M.MorenoR. (2013) Surviving sepsis campaign: International guidelines for management of severe sepsis and septic shock: 2012. Critical Care Medicine41(2): 580–637. doi: 10.1097/CCM.0b013e31827e83af.
2.
Frykberg, R. G., Zgonis, T., Armstrong, D. G., Driver, V. R., Giurini, J. M., Kravitz, S. R., … Vanore, J. V. (2000). Diabetic foot disorders. A clinical practice guideline (2006 revision). Journal of Foot & Ankle Surgery, 45(5 suppl), 1–66. Retrieved from www.jfas.org/article/S1067-2516(07)60001-5/pdf.
3.
HexN.BartlettC.WrightD.TaylorM.VarleyD. (2012) Estimating the current and future costs of type 1 and type 2 diabetes in the UK, including direct health costs and indirect societal and productivity costs. Diabetic Medicine29(7): 855–862. doi: 10.1111/j.1464-5491.2012. 03698.x.
4.
HobizalK. B.WukichD. K. (2012) Diabetic foot infections: Current concept review. Diabetic Foot & Ankle3: 1–8. doi: 10.3402/dfa.v3i0.18409.
Schneider, U. V., Ekenberg, C., Sode, N., & Knudsen, J. D. (2015). A case of diabetic foot ulcers complicated by severe infection and sepsis with Trueperella bernardiae. JMM Case Reports, 2(1), 1–3. doi: 10.1099/jmmcr.0.000006.
14.
SinghS.PaiD. R.YuhhuiC. (2013) Diabetic foot ulcer – diagnosis and management. Clinical Research on Foot & Ankle1(3): 1–9. doi: 10.4172/2329-910X.1000120.
15.
WatkinsP. J. (2003) ABC of diabetes: The diabetic foot. British Medical Journal326: 977–979. doi: 10.1136/bmj.326.7396.977.
