Wound, pressure ulcer, and burn guidelines – 3: Guidelines for the diagnosis and treatment of diabetic ulcers and gangrene, second edition

作者：Taiki Isei, Masatoshi Abe, Ryuta Ikegami, Hiroshi Kato, Eiichi Sakurai, Hideaki Tanizaki, Takeshi Nakanishi, Koma Matsuo, Osamu Yamasaki, Jun Asai, Yoshihide Asano, Masahiro Amano, Takeshi Ishii, Zenzo Isogai, Takaaki Ito, Yuji Inoue, Ryokichi Irisawa, Yohei Iwata, Masaki Otsuka, Yoichi Omoto, Takafumi Kadono, Sakae Kaneko, Hiroyuki Kanoh, Tamihiro Kawakami, Masakazu Kawaguchi, Ryuichi Kukino, Ken Kono, Monji Koga, Masanari Kodera, Keisuke Sakai, Yasuko Sarayama, Yoichi Shintani, Miki Tanioka, Jun Tsujita, Naotaka Doi, Akira Hashimoto, Minoru Hasegawa, Masahiro Hayashi, Kuninori Hirosaki, Hideki Fujita, Manabu Fujimoto, Hiroshi Fujiwara, Takeo Maekawa, Naoki Madokoro, Sei‐ichiro Motegi, Hiroshi Yatsushiro, Yuichiro Yoshino, Andres Le Pavoux, Takao Tachibana, Hironobu Ihn · 发表于：The Journal of Dermatology · 年份：2025 · DOI：10.1111/1346-8138.17697 · 被引用次数：4 · 研究领域：Diabetic Foot Ulcer Assessment and Management、Wound Healing and Treatments、Diagnosis and Treatment of Venous Diseases

The Japanese Dermatological Association aimed to prepare a second edition of guidelines for the management of diabetic ulcer/gangrene with emphasis on the diagnosis and treatment of skin symptoms. This new edition serves as a tool to improve the quality of the diagnosis and treatment in each patient and, further, to improve the level of care for such skin conditions. All sections have been updated by collecting documents published since the publication of the first edition. In the antibacterial drug treatment for bacterial infection of ulcers, oral administration was added after consideration. In the treatment of antibacterial drugs for bacterial infection of ulcers, not only infusion but also oral administration was mentioned. In addition, clinical questions (CQs) for imaging tests for diagnosing ischemia of the limbs were newly created. The titles of some CQs were changed to conform to the actual clinical setting. (i) The content has been updated by adding and collecting documents for all sections; (ii) we have additionally included oral antibiotic treatment for bacterial infection of ulcers; (iii) we have added CQs pertaining to imaging tests for diagnosing ischemia of the limbs; and (iv) we have revised the titles of some CQs to conform to the actual clinical setting. In particular, the recommendation levels of dressing materials newly covered by Japanese national health insurance are mentioned. In addition, CQs regarding the initial treatment of electrical (CQ15) and che...