عدوى القدم السكرية العميقة أو الواسعة الانتشار: ما يجب فعله عندما تكون القرحة مهددة للطرف

References

• Infections should be classified using the IDSA/IWGDF scheme as mild (superficial with minimal cellulitis), moderate (deeper or more extensive) or severe (accompanied by systemic signs of sepsis), as well as whether or not they are accompanied by osteomyelitis.
• Urgently evaluate for need for surgical intervention to remove necrotic tissue, including infected bone, release compartment pressure or drain abscesses.
• Assess for PAD; if present consider urgent treatment, including revascularisation.
• Initiate empiric, parenteral, broad-spectrum antibiotic therapy, aimed at common gram-positive and gram-negative bacteria, including obligate anaerobes.
• Adjust (constrain and target, if possible) the antibiotic regimen based on both the clinical response to empirical therapy and culture and sensitivity results.