The Role of Early Surgical Debridement and Revascularization in Patients With Diabetes and Deep Foot Space Abscess: Retrospective Review of 106 Patients With Diabetes

Journal of Foot and Ankle Surgery

Volumn 45, Issue 4, 2006, Pages 220-226

  Faglia, Ezio ^a   Clerici, Giacomo ^a   Caminiti, Maurizio ^a   Quarantiello, Antonella ^a   Gino, Michela ^a   Morabito, Alberto ^a  

^a NONE

Author keywords

deep space abscess; diabetic foot; peripheral arterial occlusive disease; revascularization; surgical debridement

Indexed keywords

ADULT; AGED; AMPUTATION; ARTICLE; CLINICAL FEATURE; CONFIDENCE INTERVAL; CONTROLLED STUDY; DEBRIDEMENT; DEMOGRAPHY; DIABETES MELLITUS; DIABETIC FOOT; FEMALE; GLUCOSE BLOOD LEVEL; HOSPITAL ADMISSION; HUMAN; MAJOR CLINICAL STUDY; MALE; OUTPATIENT; REGRESSION ANALYSIS;

ABSCESS; AMPUTATION; ANTI-INFECTIVE AGENTS; COMBINED MODALITY THERAPY; DEBRIDEMENT; DIABETIC FOOT; FEMALE; HUMANS; MALE; MIDDLE AGED; RETROSPECTIVE STUDIES; TIME FACTORS; TREATMENT OUTCOME; VASCULAR SURGICAL PROCEDURES;

EID: 33745487884     PISSN: 10672516     EISSN: None     Source Type: Journal    
DOI: 10.1053/j.jfas.2006.04.002     Document Type: Article

References (47)

1. Frykberg R.G., and Veves A. Diabetic foot infections. Diabetes Metab Rev 12 (1996) 255-270
2. Reiber G.E., Boyko E.J., and Smith D.G. Lower extremity foot ulcers and amputations in diabetes. In: Harris M.I., Cowie C., and Stern M.P. (Eds). Diabetes in America. ed 2 (1995), National Institutes of Health Publication, National Institutes of Health, Bethesda, Maryland 95-1468
3. Eneroth M., Larsson J., and Apelqvist J. Deep foot infections in patients with diabetes and foot ulcer. an entity with different characteristics, treatments, and prognosis. J Diabetes Complications 13 (1999) 254-263
4. Sapico F.L., and Bessman A.N. Diabetic foot infections. In: Frykberg R.G. (Ed). High Risk Foot in Diabetes Mellitus (1991), Churchill Livingstone Inc, New York 197-211
5. American Diabetes Association. Consensus Development Conference on Diabetic Foot Wound Care. Diabetes Care 22 (1999) 1354-1360
6. Lipsky B.A., Berendt A.R., Deery H.G., Embil J.M., Joseph W.S., Karchmer A.W., LeFrock J.L., Lew D.P., Mader J.T., Norden C., and Tan J.S. Diagnosis and treatment of diabetic foot infections. Clin Infect Dis 39 (2004) 885-910
7. Frykberg R.G., Armstrong D.G., Giurini J., Edwards A., Kravette M., Kravitz S., Ross C., Stavosky J., Stuck R., and Vanore J. American College of Foot and Ankle Surgeons. Diabetic foot disorders. a clinical practice guideline. J Foot Ankle Surg 39 (2000) S31-S33
8. Epstein D.A., and Corson J.D. Surgical perspective in treatment of diabetic foot ulcers. Wounds 13 (2001) 59-65
9. Caballero E., and Frykberg R.G. Diabetic foot infections. J Foot Ankle Surg 37 (1998) 248-255
10. Edelson G.W., Armstrong D.G., Lavery L.A., and Caicco G. The acutely infected diabetic foot is not adequately evaluated in an inpatient setting. Arch Intern Med 156 (1996) 2873-2878
11. Van Baal J.G. Surgical treatment of the infected diabetic foot. Clin Infect Dis 39 (2004) S123-S128
12. Campbell W.B., Ponette D., and Sugiono M. Long-term results following operation for diabetic foot problems. arterial disease confers a poor prognosis. Eur J Vasc Endovasc Surg 19 (2000) 174-177
13. Moulik P.K., Mtonga R., and Gill G.V. Amputation and mortality in new-onset diabetic foot ulcers stratified by etiology. Diabetes Care 26 (2003) 491-494
14. TASC TransAtlantic Inter-Society Consensus (TASC). Management of peripheral arterial disease (PAD). Eur J Vasc Endovasc Surg 19 suppl (2000) A208-A290
15. World Health Organization. Definition, Diagnosis and Classification of Diabetes Mellitus and Its Complications. World Health Organization, Geneva, 52, 1999.
16. Armstrong D.G., and Lipsky B.A. Diabetic foot infections. stepwise medical and surgical management. Int Wound J 1 (2004) 123-132
17. Faglia E., Dalla Paola L., Clerissi J., Graziani L., Fusaro M., Clerici G., Gabrielli L., Losa S., Stella A., Gargiulo M., Mantero M., Caminiti M., Ninkovic S., Curci V., and Morabito A. Peripheral angioplasty as the first-choice revascularization procedure in diabetic patients with critical limb ischemia. prospective study of 993 consecutive patients hospitalised and followed between 1999 and 2003. Eur J Vasc Endovasc Surg 29 (2005) 620-627
18. Rosenblum B.I., Pomposelli Jr. F.B., Giurini J.M., Gibbons G.W., Freeman D.V., Chrzan J.S., Campbell D.R., Habershaw G.M., and LoGerfo F.W. Maximizing foot salvage by a combined approach to foot ischemia and neuropathic ulceration in patients with diabetes. A 5-year experience. Diabetes Care 17 (1994) 983-987
19. Stonebridge P.A., Prescott R.J., Ruckley C.V., and The Joint Vascular Research Group. Randomized trial comparing infrainguinal polytetrafluoroethylene bypass grafting with and without vein interposition cuff at the distal anastomosis. J Vasc Surg 26 (1997) 543-550
20. Caravaggi C., Faglia E., De Giglio R., Mantero M., Quarantiello A., Sommariva E., Gino M., Pritelli C., and Morabito A. Effectiveness and safety of a nonremovable fiberglass off-bearing cast versus a therapeutic shoe in the treatment of neuropathic foot ulcers. Diabetes Care 23 (2000) 1746-1751
21. Faglia E., Favales F., and Morabito A. New ulceration, new major amputations and survival rates in diabetic subjects hospitalized for foot ulceration from 1990 to 1993. a 6.5-year follow-up. Diabetes Care 24 (2001) 78-83
22. Frykberg R.G. Diabetic foot ulcers. current concepts. J Foot Ankle Surg 37 (1998) 440-446
23. Lipsky B.A. A current approach to diabetic foot infections. Curr Infect Dis Rep 1 (1999) 253-260
24. Yeager R.A., Moneta G.L., Edwards J.M., Williamson W.K., Taylor Jr. L.M., and Porter J.M. Predictors of outcome of forefoot surgery for ulceration and gangrene. Am J Surg 175 (1998) 388-390
25. Armstrong D.G., Lavery L.A., and Harkless L.B. Validation of a diabetic wound classification system. The contribution of depth, infection, and ischemia to risk of amputation. Diabetes Care 21 (1998) 855-859
26. Armstrong D.G., and Lipsky B.A. Advances in the treatment of diabetic foot infections. Diabetes Technol Ther 6 (2004) 167-177
27. Gibbons GW, Eliopoulos GM. Infection of the diabetic foot. In Management of Diabetic Foot Problems, pp 121-129, edited by GP Kozak, DR Campbell, RG Frykberg, GM Habershaw, WB Saunders, Philadelphia, 1995.
28. Pecoraro E., Reiber E., and Burges M. Pathways to diabetic limb amputation. Diabetes Care 3 (1990) 513-515
29. Kaufman J., Breeding L., and Rosenberg N. Anatomic location of acute diabetic foot infection. its influence on the outcome of treatment. Am Surg 53 (1987) 109-112
30. Kerstein M.D. Heel ulceration in the diabetic patient. Wounds 14 (2002) 212-216
31. Apelqvist J., Castenfors J., Larsson J., Stenstrom A., and Agardh C.D. Wound classification is more important than site of ulceration in the outcome of diabetic foot ulcers. Diabet Med 6 (1989) 526-530
32. Gibbons G.W. The diabetic foot. amputations and drainage of infection. J Vasc Surg 5 (1987) 791-793
33. Berendt A.R., and Lipsky B.A. Bone and joint infections in the diabetic foot. Curr Treat Options Infect Dis 5 (2003) 345-360
34. Jude E.B., and Unsworth P.F. Optimal treatment of infected diabetic foot ulcers. Drugs Aging 21 (2004) 833-850
35. Brem H., Sheehan P., and Boulton A.J. Protocol for treatment of diabetic foot ulcer. Am J Surg 187 (2004) 1S-10S
36. Sanders L.J. Surgical approach to the diabetic foot. In: Edmonds M.E., Foster A.V.M., and Sanders L. (Eds). A Practical Manual of Diabetic Footcare (2004), Blackwell Publishing, Oxford, UK 183-219
37. Tan S.J., Friedman N.M., Hazelton Miller C., Flanagan J.P., and File Jr. T.M. Can aggressive treatment of diabetic foot infections reduce the need for above-ankle amputation?. Clin Infect Dis 23 (1996) 286-291
38. Garbalosa J.C., Cavanagh P.R., Wu G., Ulbrecht J.S., Becker M.B., Alexander I.J., and Campbell J.H. Foot function in diabetic patients after partial amputation. Foot Ankle Int 17 (1996) 43-48
39. Caputo G.M., Cavanagh P.R., Ulbrecht J.A., Gibbons G.W., and Karchamer A.W. Assessment and management of foot disease in patients with diabetes. N Engl J Med 331 (1994) 854-860
40. Levin M.E. Preventing amputation in the patient with diabetes. Diabetes Care 18 (1995) 1383-1394
41. Mayfield J.A., Reiber G.F., Sanders L.J., Janisse D., and Pogach L.M. Preventive foot care in people with diabetes. Diabetes Care 21 (1998) 2161-2179
42. Armstrong D.G., Lavery L.A., Harkless L.B., and Van Hounton W.H. Amputation and reamputation of the diabetic foot. J Am Podiatr Med Assoc 87 (1997) 255-259
43. LoGerfo F.W., Gibbons G.W., Pomposelli F.B., Campbell D.R., Miller A., Freeman D.V., and Quist W.C. Trends in the care of the diabetic foot. expanded role of arterial reconstruction. Arch Surg 127 (1992) 617-621
44. Treiman G.S., Oderich Gustavo S.C., Ashrafi A., and Schneider P.A. Management of ischemic heel ulceration and gangrene. an evaluation of factors associated with successful healing. J Vasc Surg 31 (2000) 1110-1118
45. La Fontaine J., Reyzelman A., Rothenberg G., Husain K., and Harkless L.B. The role of revascularization in transmetatarsal amputations. J Am Podiatr Med Assoc 91 (2001) 533-535
46. Taylor Jr. L.M., and Porter G.M. The clinical course of diabetics who require emergent foot surgery because of infection or ischemia. J Vasc Surg 6 (1987) 454-459
47. Sumpio B.E., and Blume P.A. Vascular examination and arterial reconstruction of the diabetic foot. Clin Podiatr Med Surg 20 (2003) 689-708