Breaking the Chain of Infection: Essential Infection Control Practices for All Healthcare Professionals
VOLUME 23, 2026
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Zainab Yahya Alfaraj, Fatima Yahya Alfaraj, Zainab Hassan Almashhad, Munahi Naif Alhaydhal, Ahlam Habib Almarhoon, Najla Saad Alsubai, Naimah Ali Alabdullah
Abstract
An approach designed by multiple disciplines that aims to halt the spread of infectious agents and save the patients and professionals working in the healthcare environments is called infection prevention and control (IPC). There is more IPC is needed now than ever given the healthcare associated infections (HAIs), antimicrobial resistance (AMR), and new infections arising in the world. Evidence based interventions, surveillance, education, environmental interventions, and a commitment to a culture of quality improvement are all aspects of IPC and help to eliminate infections. Infection control teams are not the only staff members responsible for infection prevention. Quality and safety in the healthcare environment is a responsibility of every clinician and member of the healthcare team. They all play a role in infection control, failure of which results in the infection of patients. This includes clinicians and support staff in every department from the pharmacy to the lab (Sartelli et al., 2024; WHO, 2024).
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Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Abstract
Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords :
Diabetic foot ulcer, angiosome, angioplasty