Guidelines for the management of diabetic foot in telemedicine

2020 ◽  
Vol 23 (4) ◽  
pp. 293
Author(s):  
Da Ros, R.
Keyword(s):  
Informed Consent ◽  
Key Words ◽  
Injury Prevention ◽  
Diabetic Foot ◽  
Wound Management ◽  
Focused Attention ◽  
Study Group ◽  
Foot Injuries ◽  
Italian Study ◽  
Telemedicine Application

The first wave of the SARS Covid-19 pandemic, characterized by the need to keep the frail patient away from hospitals often Covid Hospital, created the need to follow the patient at distance to prevent progression of foot injuries without control. The SID-AMD Inter-Associative Italian Study Group “Diabetic Foot” has focused attention on the use of Telemedicine, as an integration tool to the usual visit. Televisit needs to be of an official visit. To obtain official value it must respect specific rules: method of execution, adequate software, informed consent, guarantees for patients. These rules start from the state-regions conference about telemedicine. Application to the diabetic foot area is characterized by some specificities that need to be analyzed in detail: injury prevention, wound management, infection, ischemia, offloading. Each topic must be addressed according to defined steps, facilitated by practical indications in the document. These recommendations provide complete support for the execution of the remote visit for the problem of diabetic foot, providing a flow chart of use that makes the televisit reproducible and complete. KEY WORDS diabetic foot; telemedicine; diabetes.

scholarly journals The Effects of Silver-Releasing Foam Dressings on Diabetic Foot Ulcer Healing

2021 ◽  
Vol 10 (7) ◽  
pp. 1495
Author(s):  
Yu-Chi Wang ◽  
Hsiao-Chen Lee ◽  
Chien-Lin Chen ◽  
Ming-Chun Kuo ◽  
Savitha Ramachandran ◽  
...  
Keyword(s):  
Wound Healing ◽  
Diabetic Foot ◽  
Healing Rate ◽  
Early Period ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Wound Management ◽  
Control Group ◽  
Diabetic Patients ◽  
High Morbidity

Diabetic foot ulcers (DFUs) are a serious complication in diabetic patients and lead to high morbidity and mortality. Numerous dressings have been developed to facilitate wound healing of DFUs. This study investigated the wound healing efficacy of silver-releasing foam dressings versus silver-containing cream in managing outpatients with DFUs. Sixty patients with Wagner Grade 1 to 2 DFUs were recruited. The treatment group received silver-releasing foam dressing (Biatain® Ag Non-Adhesive Foam dressing; Coloplast, Humlebaek, Denmark). The control group received 1% silver sulfadiazine (SSD) cream. The ulcer area in the silver foam group was significantly reduced compared with that in the SSD group after four weeks of treatment (silver foam group: 76.43 ± 7.41%, SSD group: 27.00 ± 4.95%, p < 0.001). The weekly wound healing rate in the silver foam group was superior to the SSD group during the first three weeks of treatment (p < 0.05). The silver-releasing foam dressing is more effective than SSD in promoting wound healing of DFUs. The effect is more pronounced in the initial three weeks of the treatment. Thus, silver-releasing foam could be an effective wound dressing for DFUs, mainly in the early period of wound management.

scholarly journals Interdisciplinary joint clinical activity between Diabetologist and Orthopedic for the treatment of diabetic foot in the North West Tuscany

2021 ◽  
Vol 24 (3) ◽  
pp. 192
Author(s):  
Casadidio, I.
Keyword(s):  
Key Words ◽  
Multidisciplinary Team ◽  
Diabetic Foot ◽  
Professional Growth ◽  
Clinical Case ◽  
Integrated Management ◽  
Clinical Activity ◽  
North West ◽  
Know How ◽  
The North

The diabetic foot can be treated only if you know how to work as a team and the diabetologist, the natural referent of the clinical case, has to create a multiprofessional/multidisciplinary team that can manage the patient to prevent injuries and treat them if they show up. The creation of structured diagnostic-therapeutic paths guarantees a better coordination of the professional figures involved, optimizes the management of the direct and indirect resources required to manage such a clinically challenging complication. After many years of activity we have built a solid integration between diabetologist and orthopedic, between hospital and territory and we have simplified a complex path. The fulcrum of this activity is the joint orthopaedic clinic that guarantees the correct care of the patient and allows the professional growth of the whole team. KEY WORDS diabetic foot; integrated management; PDTA; team.

Application of a collagen matrix dressing on a neuropathic diabetic foot ulcer: a randomised control trial

2020 ◽  
Vol 29 (Sup3) ◽  
pp. S13-S18 ◽  
Author(s):  
Gholamreza Esmaeeli Djavid ◽  
Seyed Mehdi Tabaie ◽  
Siamak Bashardoust Tajali ◽  
Mehrangiz Totounchi ◽  
Amirreza Farhoud ◽  
...  
Keyword(s):  
Diabetic Foot ◽  
Wound Care ◽  
Healing Process ◽  
Collagen Matrix ◽  
Complete Healing ◽  
Randomised Control Trial ◽  
Control Group ◽  
Study Group ◽  
Number Of Patients

Objective: Diabetic foot ulcers (DFU) are often hard-to-heal, despite standard care. With such a complicated healing process, any advanced wound care to aid healing is recommended. Chitosan/collagen composite hydrogel materials have the potential to promote the regenerative process. In this study, the efficacy of a new collagen matrix dressing including chitosan/collagen hydrogel was compared with a standard dressing of saline-moistened gauze for wound healing in patients with a hard-to-heal neuropathic DFU. Method: This is an open labelled, randomised clinical trial. After conventional therapy consisting of debridement, infection control and offloading, patients were randomly allocated to receive either a collagen matrix dressing (the study group, receiving Tebaderm manufacturer) or a saline-moistened gauze dressing (control group) for wound care. The reduction in DFU size and the number of patients with complete healing were measured throughout the treatment and in follow-up. Results: A total of 61 patients with a neuropathic DFU were recruited. Average percentage reduction in DFU size at four weeks was greater in the study group compared with the control group (54.5% versus 38.8%, respectively). Rate of complete healing rate at 20-weeks' follow-up was significantly better in the study group than the control group (60% versus 35.5%, respectively). Conclusion: The collagen matrix dressing used in this study accelerated the healing process of patients with a hard-to-heal DFU. Further research may suggest the used of this dressing to shorten the length of time to achieve complete healing.

scholarly journals Reconsidering the GAVeCeLT Consensus on catheter-related thrombosis, 13 years later

2020 ◽  
pp. 112972982094759
Author(s):  
Fulvio Pinelli ◽  
Paolo Balsorano ◽  
Benedetta Mura ◽  
Mauro Pittiruti
Keyword(s):  
Central Venous Access ◽  
Venous Access ◽  
Study Group ◽  
Natural Evolution ◽  
Central Venous ◽  
Italian Study ◽  
Insertion Techniques ◽  
Key Aspects ◽  
Catheter Related Thrombosis

Catheter-related thrombosis represents one of the most common complications following central venous access insertion. Despite the amount of available studies, many aspects surrounding catheter-related thrombosis remain controversial. Thirteen years ago, the Italian Study Group for Long Term Central Venous Access (GAVeCeLT) developed a nationwide Consensus in order to clarify some key aspects on this topic. Despite most of them still remain valid, however, knowledge around catheter-related thrombosis has greatly evolved over the last decade, with a natural evolution in terms of catheter technologies, insertion techniques, and management bundles. Aims of this editorial are to readdress conclusions of the 2007 GAVeCeLT Consensus in the light of the new relevant evidences that have been added in the last 13 years and to analyze some unsolved issues that still remain debated.

Antimicrobial therapy in infectious complications of diabetic foot

2014 ◽  
Vol 21 (1) ◽  
pp. 55-62
Author(s):  
Ioan Marin ◽  
Roxana Zaharia ◽  
Leonard Lupu ◽  
Emilia Rusu ◽  
Gabriela Radulian
Keyword(s):  
Antimicrobial Therapy ◽  
Diabetic Foot ◽  
Arterial Disease ◽  
Infectious Complications ◽  
Wound Management ◽  
Successful Outcome ◽  
Surgical Interventions ◽  
Diabetic Foot Infections ◽  
Definitive Therapy ◽  
Peripheral Arterial

Abstract Background and aims: The treatment of diabetic foot complications is combined, surgical and medical. The aim of our study was to assess the results of antimicrobial therapy in diabetic foot infections. Material and methods: 100 patients with diabetic foot infections admitted in the Surgery Clinic “I. Juvara” between December 2010 and February 2011 were analyzed. Results: Mean age at presentation was 58.4±9.74 years for women and 63.2±10.53 years for men. Mean diabetes duration was 12.3 years in men and 15.7 years in women. Patients with peripheral arterial disease represented 45% of cases, patients with neuropathy represented 16% of cases and patients with both conditions 39% of the cases. 41 patients suffered minor surgical interventions, 36 patients experienced minor amputations and 23 major amputations (below or above the knee). Antibiotic treatment included cephalosporins, fluoroquinolones and combinations with Metronidazole. After treatment, 74% of patients had a good postoperative evolution. For 26 patients a change of the antibiotic was necessary but only in 10 cases this was made according to antibiogram. Conclusions: Surgical debridement and wound management, carefully chosen antimicrobial therapy and treatment of comorbidities are very important for a successful outcome. Initial empirical antibiotic selection should be followed by culture-guided definitive therapy.

The role of the audiologist–phoniatrician in performing the dynamic endoscopic study of swallowing. Position statement of the Italian study group on dysphagia (GISD)*

2018 ◽  
Vol 16 (4) ◽  
pp. 280-283 ◽  
Author(s):  
Daniele Farneti ◽  
Antonio Schindler ◽  
Bruno Fattori ◽  
Giovanni Ruoppolo ◽  
Marilia Simonelli ◽  
...  
Keyword(s):  
Position Statement ◽  
Study Group ◽  
Italian Study ◽  
Endoscopic Study

Treatment of neuroblastoma with131I-metaiodobenzylguanidine: The experience of an Italian study group

1987 ◽  
Vol 15 (4) ◽  
pp. 203-204 ◽  
Author(s):  
M. Bestagno ◽  
P. Guerra ◽  
G. P. Puricelli ◽  
L. Colombo ◽  
G. Calculli
Keyword(s):  
Study Group ◽  
Italian Study
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