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ISSN: 2165-7548

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Review Article

Emergency in Diabetic Foot

Uccioli L*, Meloni M, Giurato L, Ruotolo V, Izzo V, Vainieri E, Gandini R and Pampana E

Department of Internal Medicine, University of Tor Vergata, Rome, Italy

*Corresponding Author:
Ucciolo L
Department of Internal Medicine
University of Tor Vergata
Rome, Italy
E-mail: [email protected]

Received Date: May 31, 2013; Accepted Date: October 30, 2013; Published Date: November 01, 2013

Citation: Uccioli L, Meloni M, Giurato L, Ruotolo V, Izzo V, et al. (2013) Emergency in Diabetic Foot. Emergency Med 3:160. doi:10.4172/2165-7548.1000160

Copyright: © 2013 Uccioli L, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Diabetic foot is the main cause of hospitalization in diabetic patients and the most common cause of lower extremity amputation. The risk of a diabetic subjects to develop a foot ulceration during his life is 15%. When infection and ischemia are present the risk of major amputation increases dramatically. Therefore it is crucial a correct diagnosis and approach. Unfortunately a specific protocol treatment for emergency in diabetic foot lesion is not completely defined. In this paper we try to identify the state of emergency in diabetic foot and we suggest a proper treatment. We define this condition as critical diabetic foot that represents a risk of limb or life threatening. It requires an immediate multidisciplinary approach to treat the infection and also the peripheral ischemia if necessary. We propose an operative strategy that can be divided in four consecutive phases or frequently simultaneous: surgical approach to remove infected tissues, aggressive antibiotic therapy, revascularization by angioplasty first approach or by-pass and finally the management of general conditions. Each stage is adequately analyzed. The aim is to emphasize the necessity of a careful evaluation in the emergency of the diabetic foot and to define a useful treatment strategy.

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