| Title |
Neuroischeminės pėdos infekcija ir revaskuliarizacijos galimybės / |
| Translation of Title |
Neuroischemic foot infection and revascularisation possibilities. |
| Authors |
Triponis, Vytautas Jonas ; Triponienė, Dalia ; Vaišnytė, Birutė ; Ščerbinskas, Stanislovas |
| DOI |
10.15388/LietChirur.2003.1.2448 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilniaus universiteto leidykla. 2003, t. 1, Nr. 1, p. 79-83.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
diabetes mellitus ; arterial occlusive disease ; foot infection ; reconstructive arterial surgery |
| Abstract [eng] |
Background / objective The aim of the study was to analyze the results of the treatment of neuroischemic foot and to assess the role of foot infection. Methods In 1211 patients reconstructive arterial surgery was performed combining the procedure with foot regional amputations and antimicrobial therapy. The following reconstructions were performed: aortoiliac 71, femoropopliteal 409, tibial 451, bypass to the dorsalis pedis 188, and PTA 92. Results / conclusions The most effective antibiotics were cephoperazone 23 (10.4%), ceftazidime 23 (10.4%), gentamicin 26 (11.8%), ampicillin-sulbactam 20 (9.1% ), amoxycillin-clavulanic acid 20 (9.1%). Microbes were sensitive to penicillin in 0.5–4.1% cases. Of 239 patients, 124 (51.9%) were treated with penicillin. Cephalosporins in combination with aminoglycosides were used in 115 (48.1%) patients. The foot function was saved in 942 (77.8%). Foot salvage procedures were not successful in 181 (14.9%) patients. In this group, 70 (38.6%) amputations were done because of progressing infection and inadequate antimicrobial treatment. The rest of amputations were conditioned by bad runoff. In 88 patients in whom the regional amputations were performed infection was overcome by using antibiotics according to the sensitivity tests. |
| Published |
Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2003 |
| CC license |
|
