DIABETES MELLITUS - HIGH RISK OF DEVELOPING SURGICAL SOFT TISSUE INFECTION

Abstract

Diabetes mellitus is characterized by multiple organ damage, but the most common ones occur in soft tissues, against the background of impaired blood circulation. They can be classified as microvascular and macrovascular, which in turn can lead to various types of surgical infections, as a result of decreased resistance to microorganisms, forming a vicious circle. The combination of diabetes mellitus and surgical infection leads to a condition in which the infection negatively affects metabolic processes, and metabolic and microcirculation disorders worsen the course of reparative processes in the lesion. The relevance of necrotic soft tissue infections is manifested by the fact that in diabetes mellitus, mortality remains at high levels, reaching 76%, which is associated with advanced diagnostics and determination of treatment standards. Necrotic soft tissue infections are clinically complex diseases that all doctors should be aware of when rapid diagnostics and early, extensive surgical tactics are required. It can save the patient's life, since the lesions in necrotic lesions progress rapidly, followed by a high probability of sepsis and, accordingly, a high mortality rate.