Australian Diabetes Foot Network: management of diabetes-related foot ulceration - a clinical update

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Authors: Bergin,S. M.;Gurr,J. M.;Allard,B. P.;Holland,E. L.;Horsley,M. W.;Kamp,M. C.;Lazzarini,P. A.;Nube,V. L.;Sinha,A. K.;Warnock,J. T.;Alford,J. B.;Wraight,P. R.;Australian Diabetes Foot Network

Publication: The Medical journal of Australia

Year: 2012

Volume: 197

Issue: 4

Start Page: 226

ABSTRACT:

Appropriate assessment and management of diabetes-related foot ulcers (DRFUs) is essential to reduce amputation risk. Management requires debridement, wound dressing, pressure off-loading, good glycaemic control and potentially antibiotic therapy and vascular intervention. As a minimum, all DRFUs should be managed by a doctor and a podiatrist and/or wound care nurse. Health professionals unable to provide appropriate care for people with DRFUs should promptly refer individuals to professionals with the requisite knowledge and skills. Indicators for immediate referral to an emergency department or multidisciplinary foot care team (MFCT) include gangrene, limb-threatening ischaemia, deep ulcers (bone, joint or tendon in the wound base), ascending cellulitis, systemic symptoms of infection and abscesses. Referral to an MFCT should occur if there is lack of wound progress after 4 weeks of appropriate treatment.

  • Author/s: Bergin,S. M.;Gurr,J. M.;Allard,B. P.;Holland,E. L.;Horsley,M. W.;Kamp,M. C.;Lazzarini,P. A.;Nube,V. L.;Sinha,A. K.;Warnock,J. T.;Alford,J. B.;Wraight,P. R.;Australian Diabetes Foot Network
  • Publication: The Medical journal of Australia
  • Year: 2012
  • Volume: 197
  • Issue: 4
  • Start Page: 226
  • Article Keywords: Anti-Bacterial Agents/therapeutic use;Australia;Bandages;Debridement;Diabetic Foot/diagnosis/etiology/therapy;Humans;Negative-Pressure Wound Therapy;Osteomyelitis/complications/diagnosis/therapy;Peripheral Arterial Disease/complications/diagnosis/surgery;Soft Tissue Infections/complications/diagnosis/drug therapy