1、infectionBad sensationBad perfusionNo generally-accepted classificationNo generally-accepted classificationDiffer in criteria&complexityDiffer in criteria&complexityRequire validation for clinical trialsRequire validation for clinical trialsGrade 0 no skin changeGrade 1 superficial ulcer Grade 2expo
2、sed tendon,jointGrade 3 bone exposure Grade A no ischemia Grade Bischemia,no gangrene Grade Cpartial gangreneGrade Dcomplete gangreneExtention of infectionPerfusion of the footGoodModeratePoorAble to correction or not1-Extension of infection2-Vascular assessment3-General diabetes assess.141 microbes
3、 isolated from 93 diabetic foot ulcerStudy done on syrian population presented in SDA sept2003 B.hammad MD and H.Jammal MD nimipenem,meropenemnaztreonam-lactam/-lactamase inhibitor combinationsngentamicin,amikacin,netromycin*(NA)Large coverage swabswabLarge coverage superficialNormal perfusionNon-ischemicdeepBad perfusionischemicNo antibioticsNo signs of infectionsigns of infectionGram+polymicrobial:gram positive cocci,gram negative bacilli and anaerobesThe use of systemic HBO or Iloprost,especially in high grade ulcers with a significant ischaemic element
