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