Dr. Richard Oehler, Professor of Medicine at the Division of Infectious Diseases, Morsani College of Medicine, presents an update in the management of diabetic foot infections for the 2020s. Dr. Oehler begins by introducing the concept of a multidisciplinary team as essential to the management of these patients. He then describes the current epidemiology of diabetes and diabetic foot ulcers. He discusses Charcot arthropathy and how it occurs. Annual diabetic foot exams are also crucial to these patients, and Dr. Oehler reviews proper techniques and what to ask/examine. Some of the newer hypotheses about the importance of biofilms to the creation and persistence of diabetic foot wounds are presented. He also covers diabetic peripheral vascular disease, diagnostic imaging modalities, wound management, and the proper empiric antibiotic regimens and durations of therapy. Lastly, he discusses prevention techniques necessary to avoid recurrent ulceration.
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