Swiss interdisciplinary guidance on good practices for acute and complicated diabetic foot syndromes.

Background: Diabetic foot syndromes (DFS) usually have negative outcomes for patients characterised by multiple comorbidities and frailty. In Switzerland, we need a nationwide "quality of care" programme consisting of evidence-based, practical guidance for primary care providers, together with the implementation of a multidisciplinary care system for DFS.

Methods: Elaboration of interprofessional and comprehensive Swiss practical guidance for the timely management of acute DFS.

Management of diabetic foot infections in the light of recent literature and new international guidelines.

: In May 2019 the International Working Group on the Diabetic Foot (IWGDF) launched their quadrennially updated guidelines on the management of diabetic foot infections (DFIs). Concomitantly, the number of new publications regarding DFI increased.: The IWGDF committee developed and addressed key questions and produced evidence-based recommendations related to diagnosing and treating DFIs.

[Preventive measures of diabetic foot complications].

Diabetic foot complications are a public health challenge and preventive measures although simple are often not enforced, as evidenced by the lack of decrease in the rate of ulcers and amputation in Switzerland. This article proposes a risk score to grade individual risk of the diabetic patient and an individualized prevention measures as this risk. We discuss the importance of collaboration of various specialists.

The Diabetic Foot: The Never-Ending Challenge.

Diabetes, a major public health concern, is increasing in prevalence worldwide. A diabetic patient has an up to 25% lifetime risk of developing a foot ulcer condition that predisposes that patient to lower-extremity amputation. The underlying pathology is diabetic peripheral neuropathy and peripheral arterial disease (PAD) associated with deformities of foot anatomy due to motor neuropathy.