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An Update on Diabetic Foot Ulcer and Its Management Modalities.
- Source :
-
Indian journal of microbiology [Indian J Microbiol] 2024 Dec; Vol. 64 (4), pp. 1401-1415. Date of Electronic Publication: 2023 Dec 29. - Publication Year :
- 2024
-
Abstract
- One of the most prominent challenges related to the management of diabetes is a diabetic foot ulcer (DFU). It has been noted that > 50% of ulcers become clinically infected in diabetic patients, and up to 15-25% of diabetic patients may acquire DFU in their lifetime. DFU treatment is complicated for immune-compromised individuals and has a low success rate. Therefore, diabetic foot care must begin as soon as possible to avoid negative outcomes such as significant social, psychological, and economic consequences, lower limb amputation, morbidity, and mortality. The information provided in this piece is crucial for assisting clinicians and patients regarding novel and cutting-edge treatments for DFU. Due to irrational recourse to antibiotics, etiological agents like bacteria and fungi are exhibiting multidrug resistance (MDR), making topical antibiotic treatments for wounds ineffective with the drugs we currently have. This review article aims to compile the various strategies presently in use for managing and treating DFUs. The piece covers topics like biofilm, diagnosis, drug resistance, multidisciplinary teamwork, debridement, dressings, offloading, negative pressure therapy, topical antibiotics, surgery, cell and gene therapy, and other cutting-edge therapies.<br />Competing Interests: Conflict of interestThe authors declare that they have no conflict of interest.<br /> (© Association of Microbiologists of India 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.)
Details
- Language :
- English
- ISSN :
- 0046-8991
- Volume :
- 64
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Indian journal of microbiology
- Publication Type :
- Academic Journal
- Accession number :
- 39678959
- Full Text :
- https://doi.org/10.1007/s12088-023-01180-8