Manejo del paciente con úlcera del pie diabético en consulta de atención primaria

Abstract

Introduction: Diabetes mellitus is estimated to affect half a million people worldwide, 16% of diabetic patients will suffer from an ulcer throughout their evolution, the approach to diabetic foot ulcer is based on clinical history, diagnosis and timely treatment to reduce complications. In this sense, the objective of this work is to determine the management in the primary care consultation by reviewing the scientific evidence to determine new approaches in the management of this pathology. Development: Diabetic foot ulcer is a common complication of diabetes mellitus due to lack of rigor in treatment, age, diabetic neuropathy, peripheral vascular disease and lack of glycemic control. The diagnosis and treatment of diabetic foot ulcer must be individualized and thus prevent amputations in affected limbs. Conclusion: In the management of diabetic foot ulcers, a good assessment of the wound, classification and determination of the extent of the ulcer must be carried out, accompanied by wound care that includes cleaning, debridement and dressings designed for diabetic foot ulcers, the use of antibiotics to control the infection, surgeries and hyperbaric oxygen therapy help improve diabetic foot ulcers and prevent the complications of this pathology