Review of the 2012 IDSA Guidelines on the Management of Diabetic Foot Infections

Clinical Microbiology and Antimicrobial Chemotherapy. 2013; 15(1):14-22

Type
Journal article

Abstract

Diabetic foot infections (DFIs) are a frequent clinical problem. Properly managed, most of them can be cured, but many patients needlessly undergo amputations because of improper diagnostic and therapeutic approaches. Foot infection should be defined clinically by the presence of inflammation or purulence, and then classified by severity. This approach helps clinicians make decisions about which patients to hospitalize or to send for imaging procedures or for whom to recommend surgical interventions. In the present paper the critical points for the clinical diagnosis of diabetic foot infections, diagnosis of osteomyelitis, treatment approaches in outpatients and inpatients, etc, presented in the current issue of the IDSA guidelines, are reviewed in comparison to the real Russian clinical practice.

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