Clinical practice recommendations for the diagnosis of osteomyelitis in the diabetic foot
DOI:
https://doi.org/10.47196/diab.v56i2Sup.535Keywords:
osteomielitis, diagnosis, diabetic foot, bone biopsyAbstract
Diabetic foot osteomyelitis (OM) is a diabetic foot ulcer complication. Usually, it is misdiagnosed and the treatment is delayed and inadequate. Delaying the treatment of these patients rises the risk of amputation. In this revision, current bibliography about this topic is updated and clinical practice recommendations are done, based on the publications and adapted to the characteristics of our country.
References
I. Carro G, Saurral R, Witman EL, Braver JD, David R, Alterini PA, et al. Ataque de pie diabético. Descripción fisiopatológica, presentación clínica, tratamiento y evolución. Medicina (B Aires) 2020;80(5):523-530.
II. Lavery L, Ryan E, Ahn J, Crisologo PA, Oz OK, Wukich D, et al. The infected diabetic foot: re-evaluating the Infectious Diseases Society of America diabetic foot infection classification. CID 2020; 70(8):1573-1579.
III. Carro G, Saurral R, Carlucci E, Gette F, Llanos M, Amato P. A comparison between diabetic foot classifications WIfI, Saint Elian and Texas: description of wounds and clinical outcomes. IJLEW 2022; 21(2):120-130.
IV. Lázaro-Martinez J, Tardáguila-García A, García-Klepzig J. Actualización diagnóstica y terapéutica en el pie diabético complicado con osteomielitis. Endocrinol Diabetes Nutr 2017; 64(2):100-108.
V. Lispky B, Berendt A, Cornia P, Pile J, Peters E, Armstrong D, et al. 2012 Infectious Diseases Society of America clinical practice guideline for the diagnosis and treatment of diabetic foot infections. Clin Infect Dis 2012;54(12):e132-e173.
VI. Berendt AR, Peters EJG, Bakker K, Embil J, Eneroth M, Hinchliffe R, et al. Diabetic foot osteomyelitis: a progress report on diagnosis and a systematic review of treatment. Diabetes Metab Res Rev 2008;24(suppl 1):S145-S161.
VII. Couturier A, Chabaud A, Desbiez F, Descamps S, Petrosyan E, Letertre-Gilbert P, et al. Comparison of microbiological results obtained from per-wound bone biopsies versus transcutaneous bone biopsies In diabetic foot osteomyelitis: a prospective cohort study. Eur J Clin Microbiol Infect Dis 2019;38(7):1287-1291
VIII. Carro GV, Saurral R, Salvador-Sagüez F, Witman E. Diabetic foot infections: bacterial isolates from the Centers and Hospitals of Latin American Countries. IJLEW 2020;1534734620976305. doi: 10.1177/1534734620976305.
IX. Crisólogo P, La Fontaine J, Wukich D, Kim P, Oz O, Lavery L. The effect of withholding antibiotics prior to bone biopsy in patients with suspected osteomielitis: a Meta-analysis of the literature. Wounds 2019;31(8):205-212.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 on behalf of the authors. Reproduction rights: Argentine Diabetes Society
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Dirección Nacional de Derecho de Autor, Exp. N° 5.333.129. Instituto Nacional de la Propiedad Industrial, Marca «Revista de la Sociedad Argentina de Diabetes - Asociación Civil» N° de concesión 2.605.405 y N° de disposición 1.404/13.
La Revista de la SAD está licenciada bajo Licencia Creative Commons Atribución – No Comercial – Sin Obra Derivada 4.0 Internacional.
Por otra parte, la Revista SAD permite que los autores mantengan los derechos de autor sin restricciones.
