A stepwise approach for surgical management of diabetic foot infections

Timothy K. Fisher, Christy L. Scimeca, Manish Bharara, Joseph L Mills, David G Armstrong

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Diabetic foot disease frequently leads to substantial long-term complications, imposing a huge socioeconomic burden on available resources and health-care systems. Peripheral neuropathy, repetitive trauma, and peripheral vascular disease are common underlying pathways that lead to skin breakdown, often setting the stage for limb-threatening infection. Individuals with diabetes presenting with foot infection warrant optimal surgical management to affect limb salvage and prevent amputation; aggressive short-term and meticulous long-term care plans are required. In addition, the initial surgical intervention or series of interventions must be coupled with appropriate systemic metabolic management as part of an integrated, multidisciplinary team. Such teams typically include multiple medical, surgical, and nursing specialties across a variety of public and private health-care systems. This article presents a stepwise approach to the diagnosis and treatment of diabetic foot infections with emphasis on the appropriate use of surgical interventions and includes the following key elements: incision, wound investigation, debridement, wound irrigation and lavage, and definitive wound closure.

Original languageEnglish (US)
Pages (from-to)401-405
Number of pages5
JournalJournal of the American Podiatric Medical Association
Volume100
Issue number5
StatePublished - Sep 2010

Fingerprint

Diabetic Foot
Wounds and Injuries
Infection
Nursing Specialties
Foot Diseases
Surgical Specialties
Delivery of Health Care
Limb Salvage
Peripheral Vascular Diseases
Therapeutic Irrigation
Long-Term Care
Peripheral Nervous System Diseases
Debridement
Amputation
Foot
Extremities
Public Health
Medicine
Skin
Therapeutics

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Podiatry

Cite this

A stepwise approach for surgical management of diabetic foot infections. / Fisher, Timothy K.; Scimeca, Christy L.; Bharara, Manish; Mills, Joseph L; Armstrong, David G.

In: Journal of the American Podiatric Medical Association, Vol. 100, No. 5, 09.2010, p. 401-405.

Research output: Contribution to journalArticle

@article{af9034ce0e864ccc83ab8a873949c203,
title = "A stepwise approach for surgical management of diabetic foot infections",
abstract = "Diabetic foot disease frequently leads to substantial long-term complications, imposing a huge socioeconomic burden on available resources and health-care systems. Peripheral neuropathy, repetitive trauma, and peripheral vascular disease are common underlying pathways that lead to skin breakdown, often setting the stage for limb-threatening infection. Individuals with diabetes presenting with foot infection warrant optimal surgical management to affect limb salvage and prevent amputation; aggressive short-term and meticulous long-term care plans are required. In addition, the initial surgical intervention or series of interventions must be coupled with appropriate systemic metabolic management as part of an integrated, multidisciplinary team. Such teams typically include multiple medical, surgical, and nursing specialties across a variety of public and private health-care systems. This article presents a stepwise approach to the diagnosis and treatment of diabetic foot infections with emphasis on the appropriate use of surgical interventions and includes the following key elements: incision, wound investigation, debridement, wound irrigation and lavage, and definitive wound closure.",
author = "Fisher, {Timothy K.} and Scimeca, {Christy L.} and Manish Bharara and Mills, {Joseph L} and Armstrong, {David G}",
year = "2010",
month = "9",
language = "English (US)",
volume = "100",
pages = "401--405",
journal = "Journal of the American Podiatric Medical Association",
issn = "8750-7315",
publisher = "American Podiatric Medical Association",
number = "5",

}

TY - JOUR

T1 - A stepwise approach for surgical management of diabetic foot infections

AU - Fisher, Timothy K.

AU - Scimeca, Christy L.

AU - Bharara, Manish

AU - Mills, Joseph L

AU - Armstrong, David G

PY - 2010/9

Y1 - 2010/9

N2 - Diabetic foot disease frequently leads to substantial long-term complications, imposing a huge socioeconomic burden on available resources and health-care systems. Peripheral neuropathy, repetitive trauma, and peripheral vascular disease are common underlying pathways that lead to skin breakdown, often setting the stage for limb-threatening infection. Individuals with diabetes presenting with foot infection warrant optimal surgical management to affect limb salvage and prevent amputation; aggressive short-term and meticulous long-term care plans are required. In addition, the initial surgical intervention or series of interventions must be coupled with appropriate systemic metabolic management as part of an integrated, multidisciplinary team. Such teams typically include multiple medical, surgical, and nursing specialties across a variety of public and private health-care systems. This article presents a stepwise approach to the diagnosis and treatment of diabetic foot infections with emphasis on the appropriate use of surgical interventions and includes the following key elements: incision, wound investigation, debridement, wound irrigation and lavage, and definitive wound closure.

AB - Diabetic foot disease frequently leads to substantial long-term complications, imposing a huge socioeconomic burden on available resources and health-care systems. Peripheral neuropathy, repetitive trauma, and peripheral vascular disease are common underlying pathways that lead to skin breakdown, often setting the stage for limb-threatening infection. Individuals with diabetes presenting with foot infection warrant optimal surgical management to affect limb salvage and prevent amputation; aggressive short-term and meticulous long-term care plans are required. In addition, the initial surgical intervention or series of interventions must be coupled with appropriate systemic metabolic management as part of an integrated, multidisciplinary team. Such teams typically include multiple medical, surgical, and nursing specialties across a variety of public and private health-care systems. This article presents a stepwise approach to the diagnosis and treatment of diabetic foot infections with emphasis on the appropriate use of surgical interventions and includes the following key elements: incision, wound investigation, debridement, wound irrigation and lavage, and definitive wound closure.

UR - http://www.scopus.com/inward/record.url?scp=78650290868&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=78650290868&partnerID=8YFLogxK

M3 - Article

VL - 100

SP - 401

EP - 405

JO - Journal of the American Podiatric Medical Association

JF - Journal of the American Podiatric Medical Association

SN - 8750-7315

IS - 5

ER -