糖尿病足部和真菌感染:从皮肤学角度看病因和治疗方法
Aditya K Gupta1,2, Avner Shemer3,4, Vasiliki Economopoulos2,5
1Division of Dermatology, Department of Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 3H2, Canada.
Journal of fungi (Basel, Switzerland)
|August 28, 2024
概括
糖尿病足部并发症,如和感染,由常见的真菌感染增加. 管理这些表面的真菌感染是减少糖尿病严重脚部问题和截肢的关键.
科学领域:
- 皮肤病学 皮肤病学
- 糖尿病学 糖尿病学
- 传染性疾病 传染性疾病
背景情况:
- 糖尿病 (DM) 显著增加了严重下肢并发症的风险.
- 糖尿病足 (DFU) 和感染 (DFI) 是糖尿病患者发病率,死亡率和截肢的主要原因.
- 表面的真菌感染,如 tinea pedis 和 onychomycosis,是普遍存在的,并加剧了DFU/DFI的风险.
研究的目的:
- 为了审查糖尿病足并发症的病因学.
- 讨论糖尿病患者真菌感染的查和管理策略.
- 突出皮肤科医生在一个多学科团队中的作用,以管理 tinea pedis 和 onychomycosis.
主要方法:
- 文献综述,重点关注糖尿病脚部并发症和真菌感染.
- 分析表面真菌菌与DFU/DFI发展之间的联系.
- 检查当前的治疗和管理指南.
主要成果:
- 表面的真菌感染直接提高了糖尿病患者的DFU和DFI的风险.
- 有效地管理 tinea pedis 和 onychomycosis 可以减轻DFU/DFI 的进展.
- 包括皮肤科医生在内的多学科护理对于最佳的患者结果至关重要.
结论:
- 减少糖尿病患者脚部真菌感染的负担对于预防严重并发症至关重要.
- 早期查和适当治疗真菌感染可以降低截肢率.
- 综合性皮肤学护理改善了糖尿病足并发症的管理.
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