- 期刊
糖尿病足感染的最新診斷與治療建議
Diagnosis and Treatment of Diabetic Foot Infections
摘要
糖尿病足感染是與日俱增的問題，也是糖尿病患住院的主要原因之一。不僅如此，糖尿病足更是非創傷性截肢最常見的原因，而且近五成的病人會在截肢後五年內死亡，其死亡率高於許多惡性腫瘤。適當的治療可以減低病人截肢與死亡的機會，一半以上糖尿病足的截肢是可以經由適當的治療加以避免。美國感染症醫學會在2004年發表了糖尿病足感染的診斷與治療指引後，在2012年6月再度公佈了新版診療指引。該診療指引強調診斷與完整評估的重要，未感染的糖尿病足潰瘍不應使用抗生素，也無須進行傷口培養。然而一旦發生糖尿病足感染，必須積極的診斷與治療。除了給予抗生素以外，即時的外科清創，傷口照護與確保患部的血液灌流都是成功治療糖尿病足感染不可或缺的關鍵。也因此，跨專業領域的團隊合作可以有效的整合各專科，確保病患能得到妥善的照護。
並列摘要
Diabetic foot infection is a common, costly and serious problem. Improper treatment of diabetic foot infections can result in amputation and as high as 50 percent of patients who have foot amputations die within five years. Because diabetic patients often have impaired protective sensation and peripheral arterial ischemia, diabetic foot ulcer is common and can become infected. New guidelines released by the Infectious Diseases Society of America in 2012 emphasize the importance of rapid and appropriate therapy for diabetic foot infections, typically including surgical intervention, optimal antibiotics, wound care and treat peripheral arterial occlusive disease. Also, the implementation of a multidisciplinary team to patient management is the best approach.