Complex treatment of patients with complicated syndrome of diabetic foot and sepsis

  • Sergey Dmitrievych Shapoval Institute of sepsis SI «Zaporizhian Medical Academy of Postgraduate Education of the Ministry of Healthcare of Ukraine», Zaporizhzhia, Ukraine
  • Oleg Volodimirovych Tribushniy Institute of sepsis SI «Zaporizhian Medical Academy of Postgraduate Education of the Ministry of Healthcare of Ukraine», Zaporizhzhia, Ukraine
  • Igor Leonidovych Savon Institute of sepsis SI «Zaporizhian Medical Academy of Postgraduate Education of the Ministry of Healthcare of Ukraine», Zaporizhzhia, Ukraine
  • Mihail Mihailovych Sophylkanych Institute of sepsis SI «Zaporizhian Medical Academy of Postgraduate Education of the Ministry of Healthcare of Ukraine», Zaporizhzhia, Ukraine
  • Viktor Oleksandrovich Shidlovskyi Horbachevskyi Ternopol National Medical University, Ternopil, Ukraine
  • Larisa Anatolievna Vasilevska Institute of sepsis SI «Zaporizhian Medical Academy of Postgraduate Education of the Ministry of Healthcare of Ukraine», Zaporizhzhia, Ukraine
  • Michael Ivanovich Sheremet Surgery Department №1, Bukovinian State Medical University, Chernivtsi, Ukraine
Keywords: sepsis, diabetic foot syndrome, amputation, antibiotic therapy.

Abstract

Introduction. Efforts to improve survival in sepsis are based on a series of urgent medical interventions. The article presents the data obtained in the process of complex treatment of patients, in which sepsis was caused by complicated diabetic foot syndrome.

            Materials and methods. The article presents materials on the retrospective study of treatment results of 1678 patients with complicated diabetic foot syndrome. In 146 patients (8,7%) the disease was burdened with sepsis.

            Results. A common feature of the treatment strategy for patients in both groups was surgical intervention, the administration of antibiotic therapy (ABT) and infusion-transfusion therapy. Thanks to the developed algorithms of help it was managed to improve the results of septic patients’ treatment.

            Conclusions. The applied tactics of treating patients with sepsis has allowed to reduce the frequency of execution of high amputations and postoperative complications, increase the number of "small" amputations, which led to a reduction in mortality, shortening the length of patients’ stay in the hospital.

Key words: sepsis, diabetic foot syndrome, amputation, antibiotic therapy.

Published
2021-06-30
How to Cite
Shapoval, Sergey, Oleg Tribushniy, Igor Savon, Mihail Sophylkanych, Viktor Shidlovskyi, Larisa Vasilevska, and Michael Sheremet. 2021. “Complex Treatment of Patients With Complicated Syndrome of Diabetic Foot and Sepsis”. Romanian Journal of Diabetes Nutrition and Metabolic Diseases 28 (2), 131-36. http://rjdnmd.org/index.php/RJDNMD/article/view/917.