Tratamiento médico versus tratamiento quirúrgico en osteomielitis de pie diabético

• Autor: Saavedra Cortez, Francisco Alessandro
• Formato: tesis de grado
• Fecha de Publicación: 2022
• Institución: Universidad Nacional de Trujillo
• Repositorio: UNITRU-Tesis
• Lenguaje: español
• OAI Identifier: oai:dspace.unitru.edu.pe:20.500.14414/18479
• Enlace del recurso: https://hdl.handle.net/20.500.14414/18479
• Nivel de acceso: acceso abierto
• Materia: Pie diabético; Osteomielitis; Tratamiento; Antibióticos; Cirugía

Diabetic foot osteomyelitis is a bone infection associated with diabetic neuropathy and peripheral vascular disease. This occurs as a result of penetration of infection from soft tissues. Definitive diagnosis of osteomyelitis is made by isolating bacteria with biopsy to culture and histopathology. Treatment of this pathology is not standardized, the recommendations discuss the best approach (medical or surgical), duration of antibiotics and their route of administration, auxiliary tests that should be used here, and other aspects addressed in this review. Method: Literature review of studies published in databases about medical and surgical treatment of diabetic foot osteomyelitis. Results: Medical treatment does not cause biomechanical changes in foot, and has better cost-benefit ratio compared to surgical treatment, however, it predisposes to recurrent infections, reulcerations and toxic effects. Discussion: There is a consensus about when to choose medical treatment as the first approach, which includes patients without necrosis or deep abscesses. Conclusions: Metabolically stable patients without necrotizing changes, deep abscesses, or systemic response to infection may benefit from a medical versus surgical approach.