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Prévention des complications du pied diabétique. / [Preventive measures of diabetic foot complications].

Malacarne, Sarah; Chappuis, Bernhard; Egli, Marc; Hagon-Traub, Isabelle; Schimke, Katrin; Schönenweid, Claude; Peter-Riesch, Bettina.
Rev Med Suisse; 12(521): 1092-6, 2016 Jun 01.
Artigo em Francês | MEDLINE | Ago 2016 | ID: mdl-27487677
Resumo: Diabetic foot complications are a public health challenge and preventive measures although simple are often not enforced, as evidenced by the lack of decrease in the rate of ulcers and amputation in Switzerland. This article proposes a risk score to grade individual risk of the diabetic patient and an individualized prevention measures as this risk. We discuss the importance of collaboration of various specialists. Two areas are important, first the early involvement of specialists in revascularization because the diabetic population with feet at risk of ulcération risk nowadays primarily has neuro-ichemic ulcerations and also the close collaboration with podiatrists and orthopedic shoemakers who are full partners of the multidisciplinary team.