Tratamiento antibiótico del pie diabético: ventajas de la vía regional intravenosa como alternativa a la vía sistémica / Antibiotic treatment for diabetic foot. Advantages of intravenous regional route as alternative for systemic route
Rev. méd. Chile
;
118(8): 881-8, ago. 1990. tab
Article
in Spanish
| LILACS
| ID: lil-96557
ABSTRACT
Diabetic angiopathy prevents adequate access of antibiotic agents to septic areas of the diabetic foot. We treated 22 such patients with antibiotics infused through a superficial vein associated to tourniquette occlusion of the limb (Group A). a control group of 47 patients, similar in age, sex and severity of diabetes received conventional systemic therapy (Group B). 45% of the patients exhibited occlusive arterial disease. Surgery was performed by the same team in both groups. Group A received regional anesthesia at the same time of the first antibiotic infusion. Group B received general or spinal anesthesia. Amputation was required in 5% of patients in Group A compared to 30% of patients in Group B (p < 0,02). Hospital stay was also significantly shorter in patients from Group A. No complications of this form of therapy were obseved. Thus, regional antibiotic therapy may improve prognosis and facilitate management in patients with septic diabetic foot
Search on Google
Index:
LILACS (Americas)
Main subject:
Bacterial Infections
/
Diabetes Mellitus
/
Foot Diseases
/
Anti-Bacterial Agents
Type of study:
Etiology study
/
Observational study
/
Risk factors
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
1990
Type:
Article
Similar
MEDLINE
...
LILACS
LIS