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Surgical Management of Diabetic Foot Infections and Amputations
Author(s) -
Zgonis Thomas,
Stapleton John J.,
GirardPowell Valerie A.,
Hagino Ryan T.
Publication year - 2008
Publication title -
aorn journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.222
H-Index - 43
eISSN - 1878-0369
pISSN - 0001-2092
DOI - 10.1016/j.aorn.2008.02.014
Subject(s) - medicine , amputation , gangrene , cellulitis , fasciitis , diabetes mellitus , foot (prosody) , diabetic foot , surgery , incidence (geometry) , critical limb ischemia , vascular disease , linguistics , philosophy , physics , arterial disease , optics , endocrinology
THE INCIDENCE OF DIABETES with severe foot infections (eg, necrotizing fasciitis, gas gangrene, ascending cellulitis, infection with systemic toxicity or metabolic instability) has risen significantly during the past decade. FOOT INFECTIONS are a major cause of hospitalization and subsequent lower extremity amputation among patients with diabetes mellitus who have a history of a preexisting ulceration. SURGICAL MANAGEMENT often is required to address severe diabetic foot infections because they can be limb‐ or life‐threatening. Critical limb ischemia, neuropathy, and an immunocompromised host, which often are associated with diabetic foot infections, complicate treatment and are associated with a poorer prognosis. AORN J 87 (May 2008) 935–946. © AORN, Inc, 2008.