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New research being presented all over the world reveals healthcare
professional efforts to maintain a diabetic foot care programme
during the COVID-19 pandemic. All preventative medical activities,
including foot clinics were suspended by governments in many
countries .A big challenge have faced clinicians across the world in
the management of complex diabetic foot problems.
In University Medical Centre, Slovenia, during the lockdown period,
the total number of clinics visits dropped by 58%, also foot ulcer
visits and emergency visits dropped by 42% and 34%, respectively
[1]. In university of Tor Vergata , Italy , the healthcare professionals
of Diabetic Foot Unit, adopted a new triage system driven both by
ulcer芒??severity and concomitant co-diseases to offer an appropriate
ulcer芒??s management and reduce the risk of virus exposure, as
described below.[3]
Also a lot of popular Towns like Paris, London, Los Angeles choose
a new modes of patient consultation like telephone consultations
and telemedicine using a video consultation. This clinical experience
during the COVID-19 pandemic has demonstrated the need to
maintain the art of clinical medicine in terms of careful examination
and wound management. [2,4].
There is no doubt that the COVID-19 experience when handling
diabetic foot problems will likely transform our approach to the
management of diabetic foot disease especially in the areas
of digital health and smart technology. Most important in the
management of diabetic foot disease is to provide the appropriate
treatment to patients if possible while they are safely at home, but
if not possible, to do so, where indicated, in outpatient facilities and
hospital services for the most severely affected.
[1] Vilma Urban?聧i?聧-Rovan. Diabetic Foot Care Before and During
the COVID-19 Epidemic: What Really Matters? Feb. 2021,
https://doi.org/10.2337/dc20-2650.
[2] Andrew J. M. Boulton. Diabetic Foot Disease during the
COVID-19 Pandemic. Jan. 2021, pp. 57, 97.,
https://doi.org/10.3390/medicina57020097.
[3] Marco Meloni *, and , Valentina Izzo, Laura Giurato, Roberto
Gandini, Luigi Uccioli. Management of Diabetic Persons with Foot
Ulceration during COVID-19 Health Care Emergency: Effectiveness
of a New Triage Pathway. June 2020, p. 7,
https://doi.org/DOI:https://doi.org/10.1016/j
diabres.2020.108245.
[4] Laura Shin,1 Frank L. Bowling,2, et al. Saving the Diabetic Foot
During the COVID-19 Pandemic: A Tale of Two Cities. Aug. 2020,
pp. 1704芒??1709 |,
https://doi.org/10.2337/dc20-1176.
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