Some slow or nonresponding wounds may benefit from selected adjunctive measures such as bioengineered skin equivalents, growth factors, hyperbaric oxygen therapy, or negative-pressure wound therapy.
Multidisciplinary diabetic foot care teams improve outcomes, and health care organizations should monitor and improve processes in caring for DFIs.
Reference
Lipsky B.A., et al. 2012 IDSA Clinical Practice Guideline for the Diagnosis and Treatment of Diabetic Foot Infections (Clin. Infect. Dis. 2012;54:e132-73).
Dr. Agarwal is an assistant professor of medicine at the University of Arkansas, Little Rock. Dr. Hopkins is director of the division of general internal medicine at the University of Arkansas. Dr. Golden is medical director of Arkansas Medicaid and professor of medicine and public health at the University of Arkansas. E-mail them at imnews@frontlinemedcom.com. They reported having no relevant financial conflicts.