CAJ | 학술논문

糖尿病足溃疡感染的诊断依据是临床炎性表现,其感染严重程度分1～4级,常为多重需氧菌感染,厌氧菌可单独或联合作用.创面所处的环境、感染的类型和严重程度不同,其细菌学特点亦不同.糖尿病足溃疡感染需多学科综合治疗,包括外科治疗(清创、血管重建等)、使用抗生素或其他辅助治疗(如粒细胞集落刺激因子).有效治疗多能控制感染、降低截肢率.所以,糖尿病足溃疡感染需要明确诊断、有效治疗,从而改善预后.
당뇨병족궤양감염적진단의거시림상염성표현,기감염엄중정도분1～4급,상위다중수양균감염,염양균가단독혹연합작용.창면소처적배경、감염적류형화엄중정도불동,기세균학특점역불동.당뇨병족궤양감염수다학과종합치료,포괄외과치료(청창、혈관중건등)、사용항생소혹기타보조치료(여립세포집락자격인자).유효치료다능공제감염、강저절지솔.소이,당뇨병족궤양감염수요명학진단、유효치료,종이개선예후.
Evidence of diabetic foot infections includes classic signs of Inflammation.The gradation for the severity of infection is ranging from 1 to 4.Most diabetic foot infections are polymicrobial,anerobic bacteria alone or in combination,the discrepancies could be due to geographical variations,or the types and severity of infection.Diabetic foot infections need multidisciplinary treatment,including surgical intervention (debridement,revascularization,etc),antibiotic therapy and adjunctive therapy( such as granulocyte colonystimulation factors).The proper diagnositic and therapeutic approaches could control the infection,and decrease amputation rate.Thus,clinicians should diagnose and manage diabetic foot infections properly,and thereby improve the outcome.