Diabetic Foot Ulcer: A Review
American Journal of Internal Medicine
Volume 3, Issue 2, March 2015, Pages: 28-49
Received: Dec. 18, 2014; Accepted: Dec. 30, 2014; Published: Feb. 26, 2015
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Mohammad Zubair, Rajiv Gandhi Centre for Diabetes and Endocrinology, Faculty of Medicine, Aligarh Muslim University, Aligarh 202002, India
Abida Malik, Department of Microbiology, Faculty of Medicine, Aligarh Muslim University, Aligarh, India
Jamal Ahmad, Rajiv Gandhi Centre for Diabetes and Endocrinology, Faculty of Medicine, Aligarh Muslim University, Aligarh 202002, India
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Diabetic foot problems are common throughout the world, resulting in major medical, social and economic consequences for the patients, their families, and society. Foot ulcers are more likely to be of neuropathic origin, and therefore eminently preventable. People at greatest risk of ulceration can easily be identified by careful clinical examination of the feet: education and frequent follow-up. Infection when complicates a foot ulcer, combination can be limb or life-threatening, and infection is defined clinically, but wound cultures assist in identifying the causative pathogens. Tissue specimens are strongly preferred to wound swabs for wound cultures. Antimicrobial therapy should be guided by culture results, and although such therapy may cure the infection, it does not heal the wound. Alleviation of the mechanical load on ulcers (offloading) should always be a part of treatment. Plantar neuropathic ulcers typically heal in 6 weeks with irremovable casting, because pressure at the ulcer site is mitigated and compliance is enforced. The success of other approaches to offloading similarly depends on the patients’ adherence to the effectiveness of pressure relief.
Diabetic Foot, India
To cite this article
Mohammad Zubair, Abida Malik, Jamal Ahmad, Diabetic Foot Ulcer: A Review, American Journal of Internal Medicine. Vol. 3, No. 2, 2015, pp. 28-49. doi: 10.11648/j.ajim.20150302.11
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