Diabetic foot infection: Difference between revisions

Revision as of 19:22, 13 January 2021

Typically polymicrobial, including:
- Staphylococcus species
- Streptococcus species
- Proteobacteria (Gram-negative bacterial genus that includes enterics)
- Anaerobes
Anaerobes are more likely to be involved in deeper, more chronic ulcers

Osteomyelitis
- Traditionally, 6 weeks of parenteral therapy
- May be able to shorten to 3 weeks based on more recent evidence1

^ Karim Gariani, Truong-Thanh Pham, Benjamin Kressmann, François R Jornayvaz, Giacomo Gastaldi, Dimitrios Stafylakis, Jacques Philippe, Benjamin A Lipsky, İlker Uçkay. Three versus six weeks of antibiotic therapy for diabetic foot osteomyelitis: A prospective, randomized, non-inferiority pilot trial. Clinical Infectious Diseases. 2020. doi:10.1093/cid/ciaa1758.

@@ Line 1: / Line 1: @@
-== Microbiology ==
+== Background ==
+===Microbiology===
-* Typically involve a combination of ''Staphylococci'', ''Streptococci'', Proteobacteria (Gram-negative bacterial genus that includes enterics), and anaerobes
-* Anaerobes are more likely to be involved in deeper, more chronic ulcers
+*Typically polymicrobial, including:
-== Further Reading ==
+**[[Staphylococcus species]]
+**[[Streptococcus species]]
+**[[Proteobacteria]] (Gram-negative bacterial genus that includes enterics)
+**[[Anaerobes]]
+*Anaerobes are more likely to be involved in deeper, more chronic ulcers
+== Management ==
-* [https://doi.org/10.2337/db12-0771 The Neuropathic Diabetic Foot Ulcer Microbiome IsAssociated With Clinical Factors]. ''Diabetes''. 2013;62:923-930.
+* Osteomyelitis
+** Traditionally, 6 weeks of parenteral therapy
+** May be able to shorten to 3 weeks based on more recent evidence[[CiteRef::gariani2020th]]
+==Further Reading==
+*[https://doi.org/10.2337/db12-0771 The Neuropathic Diabetic Foot Ulcer Microbiome IsAssociated With Clinical Factors]. ''Diabetes''. 2013;62:923-930.
 [[Category:Skin and soft tissue infections]]