Popis: |
One of the most common reasons for hospitalization in a diabetic patient is foot infection. A superficial foot infection occurs commonly after repeated trauma; it frequently provides a nidus for a deep foot infection. Staphylococci and streptococci are commonly found in these infections, and antimicrobial therapy directed toward these organisms combined with the removal of the irritating focus is sufficient to eradicate these infections. A deep foot infection may result from direct penetrating injury but commonly from untreated superficial foot infection. In general, deep foot infections are limbthreatening or even life-threatening. The causative organisms are usually due to a mixture of aerobes and anaerobes. Treatment consists surgical debridement and the use of antimicrobial agents that have activities against both aerobes and anaerobes. When deep infection is suspected, prompt surgical intervention plus appropriate antimicrobial therapy should be instituted. Early timely intervention has been shown to reduce limb loss. |