Most of my friends know that in patients with diabetic foot patient's own will bring tremendous harm. Therefore, some diabetic foot ulceration, once found himself immediately thought may be infected, so do not indiscriminately use of high doses of antibiotics, does not know that the abuse of antibiotics may lead to diabetic foot amputation is the most direct cause.
Guo uncle, 69-year-old has been suffering from diabetes for some years. A month ago, when he accidentally hit a walk over sharp stones, broken thumb right foot skin was also out of something blood. At first, Guo uncle and did not make something "small" heart. But did not wanted a few days after the start where the Tang Shui purulent become a lifelong affliction, and so Zhexia Ke Guo uncle family became alarmed, hastened to the nearest clinic on the anti-inflammatory drugs, and intravenous antibiotics pioneer. Over the past one week later, Guo uncle wounds not only failed to heal the wounds but growing, and the surrounding muscles have completely decomposed and emit a strong foul smell.
A large number of clinical admissions among patients with severe diabetic foot, there are a large part of patients were the same as Guo uncle had been treated in other medical institutions, the use of antibiotics from a few days to several months. When people with diabetes due to trim nails, repair floor mats, heat blisters washing, insect bites, trauma and other causes of skin ulceration of the foot occurs, the first thought is to use antibiotics for treatment. In actual fact, due to their special circumstances with diabetes will be mixed with many other moment can not determine the pathogenic factors (peripheral neuropathy, ischemic ulcers, etc.), then must not be treated as ordinary superficial infection to deal with. Because of ulceration in patients with diabetes, it is a danger signal, not be underestimated.
For diabetic patients, in the event of foot ulceration, based on the extent of infection in the use of antibiotics is permitted, but not abused. Because simply relying on large doses of antibiotics to anti-inflammatory therapy and other specialized treatments failed to timely intervention, the condition is not only can not be controlled, but may be further accentuated. In order to avoid diabetic foot ulceration governed by a superficial infection gradually developed into a deep infection, decay and even gangrene, become ill and die, in the use of anti-inflammatory drugs must pay attention to the following areas:
First, the choice of antibiotic varieties, must balance the safety and effectiveness of two aspects, in particular the relatively long duration of diabetes, often have different degrees of kidney damage, drug selection should be cautious. In addition, it is best to the hospital by a doctor to take a small amount of secretion in the ulcerated Department for bacteriological culture and drug susceptibility test, according to susceptibility results of selecting the appropriate antibiotics, their effectiveness is guaranteed.
Second, ulceration and other factors, such as ischemia, neurotrophic disorders, choose the appropriate medication and physical therapy, including traditional Chinese medicine.
Third, ulceration Office to carry out disinfection, dressing, debridement, drainage and other surgical treatment of local and foreign drug use is the key to the importance of these surgical instruments treated with antibiotics alone can not be substituted.
