Manejo integral de la osteomielitis crónica en el pie diabético

Abstract

INTRODUCTION: Osteomyelitis is an infection at the level of bone tissue, which can occur at any age, however there are factors inherent to each person that make older adults prone to develop this infection, such as the coexistence of diabetes mellitus, because it is a disease that immunosuppresses the individual and when accompanied by factors such as peripheral arterial disease and diabetic neuropathy allow the appearance of ulcers in the extremities and therefore the subsequent infection of the surrounding tissue, which in this case is the bone tissue. OBJECTIVE: To describe the different treatment modalities in chronic osteomyelitis of the diabetic foot by means of the bibliographic review of scientific articles in order to deepen the knowledge of the medical staff. METHOD: An exhaustive search of the latest bibliographies was carried out, for which different scientific databases were used such as: PubMed, COCHRANE, NIH, SCIELO and Medscape, with which information was compiled about the different treatment modalities in chronic osteomyelitis of the diabetic foot, using scientific articles from 2016 to the present date. CONCLUSION: The management of chronic osteomyelitis in diabetics requires a careful, multidisciplinary and integrated attention with the patient, in order to obtain later benefits, this treatment must be individualized and focused on the requirements of each person and will always consist of providing a pharmacological therapy and secondarily the surgical treatment.