Question
What should be done for diabetes complicated by skin infection and purulent blood poisoning?
Answer
Infection is a severe complication of diabetes, with patients being more susceptible to infections, which can also worsen the condition of diabetes. Diabetes complicated by skin infection often manifests as recurrent, stubborn multiple boils and carbuncles, and treatment usually involves the use of penicillin medicine that is resistant to beta-lactamases. Diabetic foot infections are often caused by various microorganisms and can be treated with beta-lactam medicine and beta-lactamase inhibitors, as well as fluoroquinolones. When using antimicrobial drugs, it is important to control blood glucose levels, improve blood circulation, provide comprehensive supportive therapy, and treat the affected foot regionally to facilitate the patient’s early recovery. When treating diabetes complicated by infection, the rational use of antimicrobial drugs should pay attention to the following points: (1) The use of antibiotics should be guided by drug sensitivity, and sensitive bactericidal agents should be selected; (2) Adequate dosage and duration of medication should be ensured to thoroughly control the infection; (3) Intravenous administration should be given to severe patients; (4) Medications with significant nephrotoxicity should be avoided.