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Vacuum therapy in the treatment of trophic ulcers in diabetic foot syndrome in outpatient settings

https://doi.org/10.51922/2616-633X.2025.9.1.2404

Abstract

This study assessed the effectiveness of negative pressure therapy (vacuum therapy) for the treatment of trophic ulcers in patients with diabetic foot syndrome in outpatient settings. The vacuum therapy method we proposed showed a significant reduction in bacterial load in the wounds of patients in the primary group (from 10⁶ to 10³ CFU/ml), whereas no significant reduction in bacterial load was observed in the control group. An analysis of the microbial landscape of the wounds demonstrated a decrease in the prevalence of pathogens such as Staphylococcus aureus and Staphylococcus epidermidis following therapy. These results confirm the effectiveness of vacuum therapy in improving the microbial environment of the wound, thereby promoting faster healing. However, certain limitations were identified: the use of a manual vacuum pump required the continuous presence of an assistant, which reduces the convenience of the method in everyday clinical practice. Despite this, the proposed approach demonstrated its cost-effectiveness and high potential for 

About the Authors

H. A. Bliznets
Belarusian State Medical University, Institute of Advanced Training and Retraining of Healthcare Personnel; Minsk City Clinical Endocrinology Center
Belarus

Minsk



I. A. Hadji-Ismail
Belarusian State Medical University, Institute of Advanced Training and Retraining of Healthcare Personnel
Belarus

Minsk



I. S. Рukita
Minsk City Clinical Endocrinology Center
Belarus

Minsk



V. M. Shyshko
Minsk City Clinical Endocrinology Center
Belarus

Minsk



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Review

For citations:


Bliznets H.A., Hadji-Ismail I.A., Рukita I.S., Shyshko V.M. Vacuum therapy in the treatment of trophic ulcers in diabetic foot syndrome in outpatient settings. Emergency Cardiology and Cardiovascular Risks journal. 2025;9(1):2404-2410. (In Russ.) https://doi.org/10.51922/2616-633X.2025.9.1.2404

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