Diabetic foot ulcers: Part II. Management

J Am Acad Dermatol. 2014 Jan;70(1):21.e1-24; quiz 45-6. doi: 10.1016/j.jaad.2013.07.048.

Abstract

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.

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Anti-Infective Agents, Local / therapeutic use*
  • Bandages
  • Debridement*
  • Diabetic Foot / diagnostic imaging
  • Diabetic Foot / etiology
  • Diabetic Foot / pathology
  • Diabetic Foot / therapy*
  • Foot / blood supply
  • Foot / innervation
  • Humans
  • Hyperbaric Oxygenation
  • Intercellular Signaling Peptides and Proteins / therapeutic use
  • Magnetic Resonance Imaging
  • Negative-Pressure Wound Therapy
  • Osteomyelitis / microbiology
  • Patient Care Team
  • Quality of Life
  • Radiography

Substances

  • Anti-Bacterial Agents
  • Anti-Infective Agents, Local
  • Intercellular Signaling Peptides and Proteins