Comparative study between Negative Pressure Wound Therapy (NPWT) and Standard Moist Wound Dressing (SMWD) in management of diabetic non ischemic foot ulcers

Abstract

It is estimated that approximately 20% of hospital admissions among patients with DM are the result of DFU. Indeed, DFU can lead to infection, gangrene, amputation, and even death if necessary care is not provided. (Snyder et al., 2009) Once DFU has developed, there is an increased risk of ulcer progression that may ultimately lead to amputation. Overall, the rate of lower limb amputation in patients with DM is 15 times higher than patients without diabetes. (Leone et al., 2012) Early recognition, proper assessment, and prompt intervention and good follow up are vital for proper management of DFU. Very important elements in the general therapeutic policy for diabetic ulcers are good glycemic control, normalization of blood pressure, the management of dyslipidemia, smoking cessation and appropriate diet. As malnutrition is a major factor impeding normal healing, appropriate nutrition should always be part of the treatment plan. (Baltzis et al., 2014)