O pé diabético com infecção aguda: tratamento no Serviço de Urgência em Portugal

Diabetic foot is a common major complication of Diabetes mellitus. The general surgeon is responsible for its diagnosis and treatment. Acute infection is a medical and surgical emergency. This article aims to guide the surgeon in the diagnosis and treatment of infected diabetic foot in the emergency department. Broad-spectrum antibiotics, surgical drainage/debridement in the emergency department, inpatient, lying of the member and appropriate dressings are essential for the proper treatment of the diabetic foot with moderate-severe infection. The debridement should preserve the structure and function of the foot. Early intervention is essential in order to reduce the number of major amputations and mortality and social cost associated. Keywords: diabetic foot, diabetic foot ulcer, acute infection ulcer, isquemic foot, neuropathic foot.