Describe about the Diabetic foot infections with osteomyelitis?
As the lady is 60 years old and she is suffering diabetes type 2 from last 15 years, general treatment of osteomyelitis is not favorable, as generally its treatment includes use of antibiotics and in some severe cases it need surgery.
As surgery for diabetic patient has a great risk for infection and takes a lot of time to heal, even it can be detrimental to her health. Therefore, surgery will not be the best treatment for her. Her treatment process must start with medication such as antibiotics through injection in the beginning to get quick relief and take a record of the symptom and sign of recovery. Keeping in mind of her age, surgery may not be an ideal choice for her treatment, if medication cannot heal her, the last way out will be to ampute her limb (Widatalla et al., 2012).
Even a new way of treatment that is hyperbaric oxygen treatment may help her as in this case, the healing process speeds up and it slows down the spread of infection.
The management plan depends upon the course of her treatment. It includes regular maintaining of blood sugar and a proper healthy diet. Physical rehabilitation is required at the time of her recovery process. Overall, both the physical rehabilitation and medicational treatment are the important plan in management of her treatment.
Combination test and procedures are essential for her diabetic foot osteomyelitis treatment, to resolve which bacteria is causing this infection (Shank and Feibel, 2006)
Blood test – testing blood will reveal the level of eminent white blood cell, which may indicate that her body is fighting against this infection. It may also give an idea on what kind of germ is causing this infection. Thus, this will give a hint to the doctor to decide what procedure or test is required for her further treatment.
Imaging test like X-rays, computerized tomography (CT) scan, ultra scan, or magnetic resonance imaging (MRI) may reveal the extent of damaged bone.
Bone biopsy is a standard way of diagnosing osteomyelitis as it reveal the exact kind of germ infecting her bone, thus knowing the exact germ which is causing infection helps the doctor to choose the particular antibiotic for her treatment
Treatment of diabetic foot osteomyelitis depends on the patient condition
If the patient has quickly diagnosed with acute osteomyelitis then antibiotic course for six weeks may give a good result. Firstly, the patient takes intravenous injection if this improves the condition of patient then the treatment switch to intake of antibiotic. In unusual cases fungal infection cause osteomyelitis in this case antifungal medicines are used (Hartemann-Heurtier and Senneville, 2008).
If the patient is suffering from chronic osteomyelitis then they may need both the medication as well as surgery. In severe cases, the damaged tissue or bone is surgically removed and sometimes if there are unfilled spaces in the bone, it is packed with antibiotic loaded material (Melamed and Peled, 2012).
Another non-surgical treatment called hyperbaric oxygen therapy may help in treating acute cases.
Widatalla, A., Mahadi, S., Shawer, M., Mahmoud, S., Abdelmageed, A. and Ahmed, M. (2012). Diabetic foot infections with osteomyelitis: efficacy of combined surgical and medical treatment. Diabetic Foot & Ankle, 3(0).
Hartemann-Heurtier, A. and Senneville, E. (2008). Diabetic foot osteomyelitis. Diabetes & Metabolism, 34(2), pp.87-95.
Shank, C. and Feibel, J. (2006). Osteomyelitis in the Diabetic Foot: Diagnosis and Management.Foot and Ankle Clinics, 11(4), pp.775-789.
Melamed, E. and Peled, E. (2012). Antibiotic Impregnated Cement Spacer for Salvage of Diabetic Osteomyelitis. Foot Ankle Int, 33(03), pp.213-219.
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