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Diabetic foot ulcers

2013; Elsevier BV; Volume: 70; Issue: 1 Linguagem: Inglês

10.1016/j.jaad.2013.07.048

1097-6787

Afsáneh Alavi, R. Gary Sibbald, Dieter Mayer, Laurie Goodman, Mariam Botros, David G. Armstrong, Kevin Woo, Thomas Boeni, Elizabeth A. Ayello, Robert S. Kirsner,

Pressure Ulcer Prevention and Management

The management of diabetic foot ulcers can be optimized by using an interdisciplinary team approach addressing the correctable risk factors (ie, poor vascular supply, infection control and treatment, and plantar pressure redistribution) along with optimizing local wound care. Dermatologists can initiate diabetic foot care. The first step is recognizing that a loss of skin integrity (ie, a callus, blister, or ulcer) considerably increases the risk of preventable amputations. A holistic approach to wound assessment is required. Early detection and effective management of these ulcers can reduce complications, including preventable amputations and possible mortality.