Atlanta Legal Nurse Consultant At “Treating Infection In The Diabetic Patients”
A simple cellulitis can occur from any defect in the skin.
Atlanta legal nurse consultant Liz Buddenhagen attended a symposium held by the Athens Chapter of the American Association of Critical Care Nurses (AACN) on October 23, 2015 in Athens, Georgia at St. Mary’s Hospital.
Roger Lovell, MD, an internal medicine and infectious disease doctor, presented to the nurses “Treating Infection in the Diabetic Patients.” He graduated from medical school at Medical College of Georgia and completed internship, residency and fellowship there. Lovell sees patients at Athens Regional Medical Center, St. Mary’s Hospital and Landmark Long Term Acute Care hospital in Athens, Georgia.
Lovell discussed diabetic patients have an increased risk of dying from infection compared to non-diabetic patients. He noted that if a diabetic patient also has congestive heart failure, coronary artery disease or stroke, the risk is even higher. He said that diabetic patients have an increased risk of being hospitalized for infection.
Lovell talked about the most common types of infections diabetics are prone to and which treatments and antibiotics are most effective. Some of the common infections include foot ulcers and cellulitis, pneumonia and urinary tract infections.
A simple cellulitis can occur from any defect in the skin. Mild infections can be treated on an outpatient basis, generally with Keflex, Clindamycin or Augmentin. If methicillin resistant staphylococcus aureus (MRSA) is involved, Bactrim, Doxycycline or Clindamycin are used. For moderate infections, diabetic patients usually have to be hospitalized for treatment.
Lovell explained that women diabetic patients do not have a higher rate of urinary tract infections but if they do get one, the upper tract of the kidney could be involved 80% of the time. Should the infection result in pyelonephritis, diabetic female patients are more likely to have both sides of kidneys involved unlike non-diabetic patients who would most likely only have one side involved.
Regarding urinary tract infections, Lovell said that currently 25% of people in Athens, Georgia have resistance to Bactrim and Cipro. These antibiotics have been used as first line treatment in the past. Currently Keflex of Fosfomycin (used in the emergency department) are prescribed.
The best prevention nursing can provide is to protect skin integrity.
Atlanta Legal Nurse Consultant:
Liz Buddenhagen, registered nurse, assists Atlanta attorneys with medical issues in medical legal cases. Buddenhagen is experienced in medical malpractice, wrongful death, civil rights, legal malpractice, product liability and personal injury cases. For more information email Liz@BuddenhagenLNC.com, view website www.Legal-Nurse-Consultant-LNC.com or call 770-725-2997.
- Contact Information
- Liz Buddenhagen
- Buddenhagen & Associates
- (1) 7707252997
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