Treatment of diabetic foot infection with hyperbaric oxygen therapy.

Abstract

BACKGROUND:

This study was performed to evaluate the effectiveness of hyperbaric oxygen therapy (HBOT) in the treatment of the infected diabetic foot.

METHODS:

Forty-two patients with 44 infected diabetic feet receiving HBOT were divided into two groups. One group of 21 patients with 21 feet received <10 sessions of HBOT. The other 21 patients with 23 feet received >10 sessions of HBOT.

RESULTS:

In patients who received <10 sessions of HBOT, seven patients achieved satisfactory wound healing. Feet were preserved in 33.3%. In patients with >10 sessions of HBOT, 16 patients with 18 feet achieved good wound healing. Of these patients, 78.3% preserved their feet. This group of patients received an average of 22.8 HBOT treatments.

CONCLUSIONS:

Adjunctive HBOT has a positive effect on wound healing in diabetic foot with infection. The effect of HBOT seems dose dependent because the amputation rate is decreased in patients who receive adequate HBOT.

• Authors: Chin-En Chen, Jih-Yang Ko, Chin-Yeng Fong, Rei-Jahn Juhn
• Journal: Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons (Foot Ankle Surg) Vol. 16 Issue 2 Pg. 91-5 (Jun 2010) ISSN: 1460-9584 [Electronic] France
• PMID: 20483142 (Publication Type: Comparative Study, Journal Article)
• Copyright: Copyright 2009 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.

Topics

• Aged
• Aged, 80 and over
• Diabetic Foot (complications, therapy)
• Female
• Humans
• Hyperbaric Oxygenation (methods)
• Male
• Middle Aged
• Retrospective Studies
• Treatment Outcome
• Wound Healing
• Wound Infection (etiology, therapy)