Appropriate wound care is essential for the management of all diabetic foot ulcers. Uninfected diabetic ulcers do not require antibiotic<unk> . In the contrary for acutely infected wounds, empiric antibiotic<unk>  with coverage against Gram-positive cocci should be start right after obtaining a post-debridement specimen for aerobic and anaerobic culture. Infections with antibiotic-resistant organisms and those that have chronic or severe ulcers or have been previously treated usually require broader spectrum regimens. Treatment strategies are dependent on ulcer's grade, presence of infection and perfusion. For an effective treatment which lower the chance of the future diabetic foot ulcers control of blood sugar, pressure off-loading and treatment of other comorbidities are also critical. Aim of treatment should be focused on improving prognosis and decreasing complications such as amputation. In very severe ulcers or when the patient has the history of previous MRSA infection or colonization within the past year and in regions with high prevalence of MRSA infection, MRSA should be also covered by antibiotic treatments. For an ideal treatment physicians should evaluate the severity of ulcers and possible risk factors of pseudomonas aeruginosa or extended-spectrum β-lactamase (ESBL)–producing organisms.
Diabetic foot medical therapy
Athlete's foot medical therapy
Diabetic foot surgery
Diabetic retinopathy medical therapy
Papilledema medical therapy
Peripheral arterial disease medical therapy
Varicose veins medical therapy
Plantar wart medical therapy