[The role and place of long-term intraarterial catheter therapy in the treatment of pyo-necrotic lesions of the foot in the presence of diabetes mellitus].
Results were studied of examination and treatment of 127 patients with diabetes mellitus complicated by pyo-necrotic lesions of the foot. Group I (control group) comprised 90 patients who were given a long-term intraarterial catheter therapy involving administration of antibiotics on a continuous drop-by-drop basis. Group II (main group) was 37 patients who received the above therapy with a stream-like (half the daily dose) intraarterial administration of antibiotics at regular intervals against the background of their drop-by-drop administration. Exudation and necrotic tissues taken from the wound served as material for the microbiological procedures to be done. In the control group, results were considered to be good, satisfactory, unsatisfactory in 24 (36.4%), 36 (40.5%), 25 (27.5%) patients respectively. There were five fatalities (5.6%). Eight patients were reoperated on. In the main group, good results were obtained in 37.7 percent of cases (n = 12), with 24 (59.8%) patients having displayed satisfactory, 1 (2.7%) patient--unsatisfactory results. There were two deaths. Four patients were reoperated on.
Karimov
Sh I
ShI
Babadzhanov
B D
BD
Islamov
A S
AS
Zhanabaev
B B
BB
Kamalov
T T
TT
D000671:Amputation, Surgical; D000900:Anti-Bacterial Agents / Q000008:administration & dosage* / Q000627:therapeutic use; D002406:Catheterization, Peripheral / Q000379:methods*; D002408:Catheters, Indwelling; D048909:Diabetes Complications; D017719:Diabetic Foot / Q000209:etiology / Q000382:microbiology / Q000601:surgery / Q000628:therapy*; D004926:Escherichia coli / Q000187:drug effects / Q000302:isolation & purification; D006801:Humans; D009336:Necrosis; D011550:Pseudomonas aeruginosa / Q000187:drug effects / Q000302:isolation & purification; D012189:Retrospective Studies; D013211:Staphylococcus aureus / Q000187:drug effects / Q000302:isolation & purification; D016896:Treatment Outcome; D014946:Wound Infection / Q000382:microbiology / Q000628:therapy*
D000900:Anti-Bacterial Agents