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.
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.
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|Item Type:||Journal Article|
|Keywords:||Diabetes, Foot, Ulcer, Management|
|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 12:41|
|Last Modified:||20 Jan 2013 14:59|
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