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publicado em 29/04/2013 às 17h26:00
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Portuguese physician publishes new guidelines for the treatment of "Diabetic Foot"

Patients with diabetes are at increased risk of amputation 15 to 30 times compared to non-diabetics

 
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Between 12-25% of patients with diabetes develop foot sores known as Diabetic Foot. The alert is Armando Mansilha, professor at the Faculty of Medicine of the University of Porto (FMUP) and Secretary-General of the Department of Vascular Surgery of the European Union. He is the author of the new guidelines for the treatment of '"Diabetic Foot!, Published in The Journal of Cardiovascular Surgery. Diabetic foot ulcers and its consequences represent a tragedy for patients and their families and a significant cost to health systems and society in general says.

Even smaller amputations can be dramatic: affect patients with recurrent ulcers often associated with infection and who are repeatedly subjected to minor surgery that will deform the foot, with all the implications that this has on the health and quality of life the patient.

"It is absolutely necessary to adopt a multidisciplinary approach to treat this problem and avoid amputation," said the expert, adding that the treatment must be adapted to each case.

The first concern of clinicians should be prevention. Educate the patient and family, especially in high-risk cases for the measures to adopt hygiene, hydration, regular inspection of the feet and the use of proper footwear. "

In terms of treatment, is the careful prescription of antibiotics, careful with the application and change dressings and tissue recovery through the creation of new blood vessels (revascularization) that dictate the therapeutic success. So he warned healthcare professionals to "not remove infected necrotic tissue that can not be rehabilitated by revascularization."

The hospitalized patient should be performed when there is severe infections, deep wounds, signs of severe ischemia or the perception that home care will not be adequate. Diabetes is a chronic disease with serious implications and is associated with increased cardiovascular risk, increased susceptibility to infections, risk of blindness and amputations. In 2012, approximately 400 million people suffer from this disease worldwide. It is estimated that diabetes affects one million Portuguese.

Source: Isaude.net
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