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

Bergin, Shan M, Gurr, Joel M, Allard, Bernard P, Holland, Emma L, Horsley, Mark W, Kamp, Maarten C, Lazzarini, Peter A, Nube, Vanessa L, Sinha, Ashim, Warnock, Jason T, Alford, Jan B, & Wraight, Paul R (2012) Australian Diabetes Foot Network : management of diabetes-related foot ulceration — a clinical update. The Medical Journal of Australia, 197(4), pp. 226-229.

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Summary 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.

Impact and interest:

13 citations in Scopus
11 citations in Web of Science®
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ID Code: 54506
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: Diabetes, Foot, Ulcer, Management
DOI: 10.5694/mja11.10347
ISSN: 1326-5377 (online) 0025-729X (print)
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > CLINICAL SCIENCES (110300) > Endocrinology (110306)
Divisions: Current > Schools > School of Clinical Sciences
Current > QUT Faculties and Divisions > Faculty of Health
Copyright Owner: Copyright 2012
Deposited On: 02 Nov 2012 02:41
Last Modified: 20 Jan 2013 04:59

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