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Strategy of complex treatment of the neuroischemic form of diabetic foot syndrome in critical ischemia and in presence of resistant forms of purulent infection pathogens using bacteriophages on the example of clinical observation

https://doi.org/10.25199/2408-9613-2022-9-3-38-45

Abstract

The article presents a clinical observation illustrating the multi-stage treatment of purulent-necrotic lesions of the diabetic foot syndrome in the presence of resistant flora and critical ischemia of the affected limb. The importance of teamwork in providing medical care to this category of patients, as well as the need to use adjuvant therapy, in particular, bacteriophages, in the complex treatment, is demonstrated

About the Author

Yu. S. Paskhalova
Federal State Budgetary Institution “A. V. Vishnevsky National Medical Research Center of Surgery” Ministry of Health of Russia; Federal State Autonomous Educational Institution of Higher Education “Peoples’ Friendship University of Russia” Ministry of Education and Science of Russia
Russian Federation

Yuliya S. Paskhalova – Senior Researcher, Wounds and Wound Infections Department in Federal State Budgetary Institution “A. V. Vishnevsky National Medical Research Center of Surgery” Ministry of Health of Russia; Associate Professor of Disaster Medicine Department in Federal State Autonomous Educational Institution of Higher Education “Peoples’ Friendship University of Russia” Ministry of Education and Science of Russia, surgeon, MD, Ph.D.

27 Bolshaya Serpukhovskaya Str., Moscow, 117997

8 Miklukho-Maklaya Str., Moscow, 117198



References

1. Algorithms of specialized medical care for patients with diabetes mellitus = Algoritmy spetsializirovannoy meditsinskoy pomoshchi bol’nym sakharnym diabetom / pod redaktsiyey I. I. Dedova, M. V. Shestakovoy, A. Yu. Mayorova. 10-y vyp. M., 2021. (In Russ.)

2. National guidelines for the diagnosis and treatment of diseases of the arteries of the lower extremities = Natsional’nyye rekomendatsii po diagnostike i lecheniyu zabolevaniy arteriy nizhnikh konechnostey. M., 2019. (In Russ.)

3. Wagner F. W. The dysvascular foot: a system for diagnosis and treatment. Foot Ankle. 1981; 2 (2): 64–122.

4. Chhibber S., Kaur T., Sandeep Kaur. Co-therapyusing lytic bacteriophage and linezolid: effective treatment in eliminating methicillin resistant Staphylococcus aureus (MRSA) from diabetic foot infections. PLoS One. 2013; 8 (2): e56022.

5. Paskhalova Yu. S. Strategy of surgical treatment of neuro- ischemic form of diabetic foot syndrome = Paskhalova Yu. S. Strategiya khirurgicheskogo lecheniya neyro-ishemicheskoy formy sindroma diabeticheskoy stopy: avtoref. dis. … kand. med. nauk. M., 2011. (In Russ.)


Review

For citations:


Paskhalova Yu.S. Strategy of complex treatment of the neuroischemic form of diabetic foot syndrome in critical ischemia and in presence of resistant forms of purulent infection pathogens using bacteriophages on the example of clinical observation. Wounds and wound infections. The prof. B.M. Kostyuchenok journal. 2022;9(3):40-47. (In Russ.) https://doi.org/10.25199/2408-9613-2022-9-3-38-45

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ISSN 2408-9613 (Print)
ISSN 2500-0594 (Online)
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