CURRENT APPROACHES TO THE DIAGNOSIS AND TREATMENT OF DIABETIC FOOT SYNDROME IN A MULTIDISCIPLINARY HOSPITAL SETTING

Abstract

Introduction. Diabetic foot syndrome (DFS) is a serious complication of diabetes mellitus, characterized by infections, ulcers, and tissue destruction of the foot, which leads to a high risk of amputations and postoperative mortality. The aim of this study is to analyze the effectiveness of a multidisciplinary approach in the treatment of 52 patients with DFS who were hospitalized at the St. Petersburg State Budgetary Healthcare Institution “City Mariinsky Hospital” over the past three years. Materials and methods. The study group included patients with type 2 diabetes mellitus, with an average age of 66±6 years. Most patients were admitted on an emergency basis (57.7%), presenting with high levels of hyperglycemia, while 40% of patients, the severity was assessed as moderate. Treatment was carried out with an emphasis on a multidisciplinary approach, including surgical intervention, vascular and therapeutic procedures. Results showed that an active surgical strategy implemented within this framework significantly reduces postoperative mortality and the number of major amputations. It was also noted that this structure of treatment organization allows for faster resolution of inflammatory processes and minimizes the need for antibiotics. Conclusion. This study underscores the importance of a comprehensive approach in the treatment of DFS, which includes early surgical intervention, a multidisciplinary team of specialists, and modern diagnostic methods. Undoubtedly, such an approach contributes to improved treatment outcomes and quality of life for patients.