Abstract：
Diabetic foot infection (DFI) is among the most common diabetic complications requiring hospitalization. Prompt emergency department diagnosis and evidence-based management can prevent eventual amputation and associated disability and mortality. Underlying neuropathy, arterial occlusion, immune dysfunction, and hyperglycemia-associated dehydration and ketoacidosis can all contribute to severity and conspire to make DFI diagnosis and management difficult. Serious complications include osteomyelitis, necrotizing infection, and sepsis. Practice guidelines are designed to assist frontline providers with correct diagnosis, categorization, and treatment decisions. Management generally includes a careful lower extremity examination and plain x-ray, obtaining appropriate tissue cultures, and evidence-based antibiotic selection tailored to severity.
摘要：
糖尿病足感染（DFI）是需要住院治疗的最常见的糖尿病并发症之一。迅速的急诊科诊断和循证管理可以防止最终的截肢以及相关的残疾和死亡率。潜在的神经病,动脉闭塞,免疫功能障碍，与高血糖相关的脱水和酮症酸中毒都可能导致严重程度，并导致DFI诊断和治疗困难。严重的并发症包括骨髓炎，坏死性感染,还有败血症.执业指引旨在协助前线服务提供者作出正确诊断,分类，和治疗决定。管理通常包括仔细的下肢检查和X线平片，获得适当的组织培养，以及根据严重程度定制的循证抗生素选择。
