Protocolo diagnóstico y terapéutico del pie diabético

Abstract

All diabetic patients have to be screened in order to assess their risk of diabetic foot ulcers. Early identification and management of risk factors for foot amputations is required, easily identifiable by clinical history. Yearly comprehensive physical examination, including foot inspection, foot pulse palpation and foot sensitivity assessment, is also necessary. Therapeutic approach requires prior risk assessment and staging, assessing the extent and depth of the injury, as well as the presence of ischemia or infection. Antibiotic therapy may be reduced by the culture of ulcer samples. Comprehensive management of diabetic foot includes strict glycemic control, local measures and systemic antibiotic therapy.