K.A. KOREJBA¹, M.N. KUDYKIN³, A.R. MINABUTDINOV²

¹Kazan State Medical University, Butlerova str, d. 49, Kazan, Russian Federation, 420012.

²City Clinical Hospital № 5, center «Diabetic Foot», 420180, Sh. Kamala, 12. Kazan, Russian Federation, 420180.

³Federal medical research center Russian Ministry of Health, Nizhny Novgorod. 

Korejba Konstantin Aleksandrovich — PhD, Associate Professor, Department of General Surgery KSMU, head of «Diabetic foot», Honorary Doctor of the Republic of Tatarstan, +79274128703, e-mail: [email protected]

Kudykin Maxim Nikolaevich — Ph.D., professor, head of department of angiology, phlebology, vascular surgery and X-ray surgical methods of diagnosis and treatment FGBU «Federal medical research center,» the Ministry of Health of Russia, Nizhny Novgorod, +79023047575, e-mail : [email protected]

Minabutdinov Aydar Ramilevich – surgeon of Center «Diabetic foot» Kazan, +7 (843) 278-95-33, e-mail: [email protected]

Syndrome of diabetic foot one of terrible late complications of diabetes. Diabetic polyneuropathy, an osteoartropatiya, an angiopatiya are the cornerstone of development of defects of skin and soft fabrics. Wound defects at patients with a syndrome of diabetic foot proceed as chronic wound process. Broad universal application of antibacterial preparations led to change of microflora of wound defects. In article solutions of this problem, ways of clarification and closing of defects of skin and soft fabrics at patients with a syndrome of diabetic foot are considered.

Key words: syndrome of diabetic foot, biofilm, antibacterial therapy, mushrooms.

REFERENCES

1. http://www.idf.org/worlddiabetesday/toolkit/gp/facts-figures
2. Grekova N.M., Bordunovskiy V.N. Khirurgiya diabeticheskoy stopy [Surgery of diabetic foot]. Moscow:ID “Medpraktika-M”, 2009. Pp. 23-26.
3. Zabelina V.D. Diabetic neuropathy – the problem of the quality of life of patients with diabetes. Consilium medicum, reprint, 2011, no. 12, pp. 3-5 (in Russ.).
4. Levin O.S. The principles of diagnosis and treatment of diabetic polyneuropathy. Effektivnaya farmakoterapiya, reprint, 2011, no. 2, pp. 3-5 (in Russ.).
5. Koreyba K.A., Gaziev A.R. Khirurgicheskie infektsionnye porazhenie kozhi i myagkikh tkaney. Lechenie dlitel’no nezazhivayushchikh ran [Surgical infection of the skin and soft tissues. Treatment of persistent wounds]. Moscow: ID «Otechestvo», 2011. Pp. 186-188.
6. Obolenskiy V.N. Chronic injury: a review of current treatments. RMZh, reprint, 2013, no. 5, pp. 3-10 (in Russ.).
7. Koreyba K.A. Antibakterial’naya terapiya khirurgicheskikh porazheniy kozhi i myagkikh tkaney. Klassifikatsiya, diagnostika i lechenie khirurgicheskikh infektsionnykh porazheniy kozhi i myagkikh tkaney [Antibiotic therapy of surgical lesions of the skin and soft tissues. Classification, diagnosis and treatment of surgical infectious lesions of the skin and soft tissue]. Moscow: LAP LAMBERT Academic Publishing GmbH&Co. KG, 2012. Pp. 39-42.
8. Mal’tsev S.V., Mansurova G.Sh. What is biofilm? Prakticheskaya meditsina, 2011, no. 5 (53), pp. 7-10 (in Russ.).
9. Pozdeev O.K., Pokrovskiy V.I. Meditsinskaya mikrobiologiya [Medical Microbiology]. Moscow: “Geotar-Med”, 2001. Pp. 33-37.
10. Granick M.S. et al. Medical application of the high-powered waterjet. Presented at the 2005 WJTA American Waterjet Conference in Housten, Tex, August 21-23, 2005.