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The number of diabetes-related lower limb amputations has jumped by nearly a fifth in England over recent years, a leading charity has warned. According to Diabetes UK, 26,378 amputations were carried out between 2014 and 2017, up from 22,092 between 2010 and 2013 - an increase of 19.4%. There has been a significant rise in minor lower limb amputations (26.5%), defined as below the ankle, and a more gradual increase in the number of major lower limb amputations (4.1%), defined as below the knee. Read More
Current guidelines for management of Skin/Soft Tissue Infections (SSTIs) were published in 20141. Nevertheless, management of SSTIs is variable, likely driven by the fact that culture data is often unavailable to direct clinical decision making. Treatment variability results in inappropriate antimicrobial use, highlighting the need for antimicrobial stewardship. Consequently, management of SSTIs is one area where more research has identified easy targets for improvement. This review describes two such studies. Read More
With one amputation carried out every 20 seconds, diabetes is the world's leading cause of amputation. In light of this finding, Urgo Medical launched the Explorer clinical study in France, Spain, Italy, Germany and the UK, with the outcomes published in March 2018 in The Lancet Diabetes & Endocrinology. The results demonstrated the efficacy of UrgoStart® which led to a 60% increase in wound closure compared with standard care and reduced wound closure time by 60 days from an average period of 180 days. Read More
Investigators on a new study have found that high-risk pathogenic sequence types of Staphylococcus aureus are highly transmissible between patient procedures in the operating room, prompting a call for improved hand hygiene and patient decolonization compliance. The operating room is a tough area to maintain sterility and cleanliness. The operating theater is large, filled with items, and inherently poses a unique risk for surgical site infections. Furthermore, frequent traffic in and out, gross spillage, attire inconsistency, the race to clean and prep the room for the next case upon operating completion, and more, are all things that facilitate germ transmission and complicate infection prevention within this environment. Read More