For the prevention of diabetic foot ulcers is important that patients be informed about the routine must be considered. Should certain things become routine rules for people to keep in mind.
Suggestions to do
- Check your feet every day, especially in between the toes.
- Wash feet with soap and warm water.
- Use cream for dry feet.
- Use soft shoes.
- Visit routine foot clinic if any.
- Do not barefoot.
- Do not soak the feet before knowing warm or hot water.
- Do not smoke.
- Do not use tight shoes.
Considering patients with diabetic foot, which went to the doctor, the medical management of diabetic foot discussion will be restricted to the diabetic foot infection.
Here are of the nature of diabetic foot infections and their necessary action.
Diabetic foot ulcers with a mild infection
The nature of the infection:
- the location of the surface,
- with no bone abnormalities,
- with no signs of toxicity.
The state of patients:
- can cooperate,
- obey the treatment,
- the maximum available treatment.
Action:
- Feet should be rested, should not be worn tread.
- Antibiotics broadspektrum.
- Culture and sensitivity test germs.
- Debridement.
- Local bandages, preferably twice a day dressing.
- Other drugs - Pentoxifylline, cilostazol
Diabetic foot ulcers with severe infections
The nature of the infection:
- ulcers in the infection.
- usually accompanied by osteomyelitis,
- lymphangitis
- systemic toxic
Circumstances of the patient:
- No gangrene,
- septicemia
- Immediate hospitalization, bed rest.
- Photos foot.
- Glycemic control.
- Antibiotics broadspektrum i.v.
- Culture and sensitivity test germs.
- Change antibiotics as bacteria culture results.
- Debridement, drainage of pus.
- Arteriography if necessary.
