This document presents two case studies of patients with diabetic foot infections. Both patients, aged 29 and 52, underwent surgical debridement and partial amputation of the infected toes. Controlling the infection and exudate levels in the wounds proved difficult, requiring the use of various antimicrobial dressings over a 4-month period. Through a combination of wound bed preparation, surgical debridement, and specialized dressings, the treatment was ultimately successful in controlling the infections and promoting wound healing.

1. Dra. Nora Lecuona
Dr. Neftalí Rodríguez
Hospital Ángeles México
México
Introductinfected diabetic foot, ion: We are presenting the
cases of two patients with controlling the infectious process
first with surgical procedure and after it controlling bacterial
growth and level of exudate by using antimicrobial and
specific high absorption dressings
Cases presentation: patients of 29 and 52 years old,
with long-term and no controlled Diabetes Mellitus,
with foot wounds of 1 month and 2 weeks of evolution.
Initially assessing vascular status, finding it intact. To
the first patient, the plantar wound was resected, along
with the bone underneath it, the rest of the wound is
surgically cleansed and debrided prior to the
amputation of the 2nd and 5th toes of the left foot. To
the other patient all toes exept of the first one were
amputated, the wound cleansed and debrided.
The infectious process and the level of exudate were
difficult to control, therefore requiring the use of a
calcium alginate, carboxymethylcellulose, ionic silver
dressing, conventional nanocrystalline silver dressing
and the one of knitted polyester; performing dressing
changes at 5-day intervals over a 4-month period.
Result: We achieved an adequate control of the infectious process
and exudate levels by using a combination of different dressings
and by properly preparing the wound bed, obtaining adequate
wound healing.
Conclusion: The use of specialized dressings to control infection
and exudate levels is useful when preparing the wound bed to be
able to perform secondary procedures with the aim of achieving
total wound healing