DFUs strike 1.6 million a year in the United States; half develop infections, which can lead to amputation and death. New treatments, new drug trial guidance, and team approach to care may help.
The photo of the patient's foot, sent from his campsite, included a cheeky note:"I remember you telling me that getting in trouble doing something was better than getting in trouble doing nothing.The"this" was the patient's"foot selfie," an approach that allows patients at a risk for diabetic foot ulcers to snap a picture and send it to their healthcare providers for evaluation.
Armstrong is one of the researchers evaluating the concept of foot selfies. It's a welcome advance, he and others said, and has been shownand reverse pre-ulcer lesions. Research on foot selfies continues, but much more is needed to solve the issue of DFUs, diabetic foot infections , and the high rates of reinfection, experts know.in the United States. About 50%-60% of ulcers become infected, with 20% of moderate to severe infections requiring amputation of the limb.
According to an FDA spokesperson,"The agency is working to finalize the guidance. However, a timeline for its release has not yet been established." Boulton, like Armstrong, a long-time expert in the field, contended that pharma has not understood this concept and has wasted millions over the last three decades doing studies that were poorly designed and controlled.Currently, DFIs are treated with antimicrobial therapy, without or without debridement, along with a clinical assessment for ischemia. If ischemia is found, care progresses to wound care and off-loading devices, such as healing sandals.
"Diabetic foot ulcers might require prolonged periods of specialized care, including meticulous wound management and off-loading, overseen by surgical podiatrists and wound care experts," he said."In cases where infection is present, particularly with multidrug resistant organisms or when standard antibiotics are contraindicated, the insight of an infectious disease specialist is invaluable.
Wound Management Wound Care Foot Feet Diabetic Foot Ulcer Diabetic Ulcer Ulcer Of The Diabetic Foot Skin And Soft Tissue Infection Wound Foot Infection Microvascular Complications Of Diabetes Diabetic Foot Infection Wound Healing Wound Repair Diabetes Mellitus Type 2 Diabetes Mellitus Type Ii Type 2 Diabetes Type 2 DM T2DM T2D Amputation Limbs Peripheral Vascular Disease
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