Management of diabetic foot infections: practical recommendations and recommended use of antibiotics

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Laura Orioli, Bernard Vandeleene, Dan Putineanu, Caroline Briquet, Hector Rodriguez-Villalobos, Jean-Cyr Yombi Published in the journal : September 2020 Category : Endocrinologie et Nutrition

Summary :

Infections are a common complication of the diabetic foot ulcer. They are recognized as a factor of poor prognosis for both the foot and the patient. Their management is complex, requiring multidisciplinary collaboration. Our article summarizes the general principles of the management of diabetic foot infections, mainly based on the new recommendations of the International Working Group for the Diabetic Foot (IWGDF). It also presents the recommendations on the use of antibiotics, based on the PEDIS classification, as applied in the Saint-Luc University Hospital.

What is already known about the topic?

Diabetic foot infections are both a diagnostic and a therapeutic emergency. Their management is complex, requiring medical and surgical interventions in most moderate-to-severe cases

What does the article bring up for us?

Our article summarizes the general principles of the management of diabetic foot infections, as well as our recommendations regarding antibiotics, based on the PEDIS classification, for a convenient use in daily practice.

Key Words

Diabetic foot, foot infection, osteomyelitis, Charcot foot