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Vol 6, No 2 (2005): Practical Diabetology
Review article
Submitted: 2012-01-02
Published online: 2005-04-11
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Diabetic foot infections

Anna Korzon-Burakowska, Sabina Tęcza
DOI: 10.5603/cd.8618
·
Diabetologia Praktyczna 2005;6(2):92-96.

open access

Vol 6, No 2 (2005): Practical Diabetology
Review articles (submitted)
Submitted: 2012-01-02
Published online: 2005-04-11

Abstract

Foot infections are common and serious problem in patients with diabetes which can lead to lower limb amputations. Diagnosis in many cases can be delayed due to the lack of typical clinical signs. In patients with mild infections who did not previously received antibiotics infection is usually caused by G(+) cocci. More severe soft tissue infections are polymicrobial and empiric therapy must include broad spectrum antibiotics. Mild and moderate infections can be treated on outpatient basis. Chronic soft tissue infection can lead to osteomielitis. Diagnosis of bone infection is difficult and may require bone biopsy or magnetic resonance imaging. In some cases osteomielitis can be treated conservatively but therapy should last for at least 6 weeks. Treatment should always cover Staphylococcus aureus and initially antibiotics should be given intravenously. Antibiotic therapy for not infected wounds is not recommended. Multidisciplinary approach to treatment of diabetic foot infection is necessary.

Abstract

Foot infections are common and serious problem in patients with diabetes which can lead to lower limb amputations. Diagnosis in many cases can be delayed due to the lack of typical clinical signs. In patients with mild infections who did not previously received antibiotics infection is usually caused by G(+) cocci. More severe soft tissue infections are polymicrobial and empiric therapy must include broad spectrum antibiotics. Mild and moderate infections can be treated on outpatient basis. Chronic soft tissue infection can lead to osteomielitis. Diagnosis of bone infection is difficult and may require bone biopsy or magnetic resonance imaging. In some cases osteomielitis can be treated conservatively but therapy should last for at least 6 weeks. Treatment should always cover Staphylococcus aureus and initially antibiotics should be given intravenously. Antibiotic therapy for not infected wounds is not recommended. Multidisciplinary approach to treatment of diabetic foot infection is necessary.

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Keywords

diabetic foot; soft tissue infections; osteomielitis

About this article
Title

Diabetic foot infections

Journal

Clinical Diabetology

Issue

Vol 6, No 2 (2005): Practical Diabetology

Article type

Review article

Pages

92-96

Published online

2005-04-11

Page views

892

Article views/downloads

3528

DOI

10.5603/cd.8618

Bibliographic record

Diabetologia Praktyczna 2005;6(2):92-96.

Keywords

diabetic foot
soft tissue infections
osteomielitis

Authors

Anna Korzon-Burakowska
Sabina Tęcza

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