OPTIMIZATION OF TREATMENT OF PURULENT COMPLICATIONS IN DIABETIC FOOT SYNDROME

Summary. Introduction. Diabetes mellitus is one of the most common metabolic diseases in the world. The most serious complication of diabetes is purulent wounds in diabetic foot syndrome, which affects several million people worldwide. The local treatment of purulent complications in diabetic foot syndrome is one of the most controversial topics in surgery. The choice of local therapeutic agents is still heavily influenced by many subjective factors and is often based on the personal preferences of medical personnel. Materials and methods. In the course of the study, we examined 324 patients with purulent-necrotic complications of diabetic foot syndrome without critical ischaemia. Patients were divided into three groups depending on the methods of local therapy. Results. The analysis of the results shows that the use of silver-based ointments was accompanied by an acceleration of reparative regeneration, the phenomena of perifocal inflammation in the wound decreased on day 3-5. Against the background of treatment with a dressing with silver-containing preparations, the recurrence of purulent necrotic process was observed in 19%, the formation of a secondary scab — only in 12% of patients. Conclusions. The use of basic silver ointments reduces the time of wound healing and cleansing, and is economically justified, as it reduces the cost of treatment.