处理与药物治疗相关的问题,评估慢性糖尿病伤口。

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2024-10-31 DOI:10.1080/03007995.2024.2414893
Maria Infant Majula Shifani Mahendran, Vinoj Gopalakrishnan, Vaijayanthi Saravanan, Ramasamy Dhamodharan, Pradeep Jothimani, M Balasubramanian, Abhimanyu Kumar Singh, Rajan Vaithianathan
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引用次数: 0

摘要

2 型糖尿病(T2DM)是全球记录在案的大多数糖尿病病例的病因,它增加了慢性伤口和截肢的风险。T2DM 患者似乎更容易因坚持治疗而导致伤口延迟愈合。本综述探讨了多种药物治疗的具体情况、副作用、可能的药物相互作用以及坚持用药对疗效的重要性。我们将讨论抗糖尿病药物对伤口愈合的影响,以及生物膜和微生物感染在糖尿病伤口中的作用。不坚持用药会导致血糖控制不良,从而对糖尿病足溃疡的愈合过程产生负面影响。治疗慢性伤口占医疗支出的很大一部分。生物膜相关感染很难被免疫系统治疗,而且对抗生素的反应也不一致,因为这些感染生长缓慢且持续存在。此外,我们强调药剂师在提高患者依从性和优化糖尿病治疗方面发挥的关键作用,提供与 2 型糖尿病药物治疗相关问题有关的药物的全面介绍。
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Managing drug therapy-related problems and assessment of chronic diabetic wounds.

Type 2 diabetes mellitus (T2DM), responsible for most diabetes cases recorded worldwide, increases the risk of chronic wounds and amputation. Patients with T2DM appear to be more susceptible to delayed wound healing due to their treatment adherence. This review explores the specifics of polypharmacy, side effects, possible drug interactions and the importance of medication adherence for therapeutic efficacy. We discuss the effects of anti-diabetes medications on wound healing as well as the role that biofilms and microbial infections play in diabetic wounds. Inconsistent use of medications can lead to poor glycaemic control, which negatively affects the healing process of diabetic foot ulcers. Managing chronic wounds represents a substantial portion of healthcare expenditures. Biofilm-associated infections are difficult for the immune system to treat and respond inconsistently to antibiotics as these infections are slow growing and persistent. Additionally, we emphasize the critical role pharmacists play in enhancing patient adherence and optimizing diabetes treatment by offering comprehensive coverage of drugs associated with problems related to pharmacological therapy in type 2 diabetes.

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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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