Diagnosis and treatment of diabetic foot infections

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Diagnosis and treatment of diabetic foot infections
National Guideline Clearinghouse

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GUIDELINE TITLE

Diagnosis and treatment of diabetic foot infections.
BIBLIOGRAPHIC SOURCE(S)

* Lipsky BA, Berendt AR, Deery HG, Embil JM, Joseph WS, Karchmer AW, Lefrock JL, Lew DP, Mader JT, Norden C, Tan JS. Diagnosis and treatment of diabetic foot infections. Clin Infect Dis 2004 Oct 1;39(7):885-910. [290 references] PubMed

GUIDELINE STATUS

This is the current release of the guideline.

COMPLETE SUMMARY CONTENT
SCOPE
METHODOLOGY - including Rating Scheme and Cost Analysis
RECOMMENDATIONS
EVIDENCE SUPPORTING THE RECOMMENDATIONS
BENEFITS/HARMS OF IMPLEMENTING THE GUIDELINE RECOMMENDATIONS
QUALIFYING STATEMENTS
IMPLEMENTATION OF THE GUIDELINE
INSTITUTE OF MEDICINE (IOM) NATIONAL HEALTHCARE QUALITY REPORT CATEGORIES
IDENTIFYING INFORMATION AND AVAILABILITY
DISCLAIMER

SCOPE
DISEASE/CONDITION(S)

Diabetic foot infections
GUIDELINE CATEGORY

Diagnosis
Evaluation
Treatment
CLINICAL SPECIALTY

Family Practice
Infectious Diseases
Internal Medicine
Podiatry
INTENDED USERS

Physicians
GUIDELINE OBJECTIVE(S)

* To help reduce the medical morbidity, psychological distress, and financial costs associated with diabetic foot infections
* To provide a guideline on managing the diabetic patient with suspected or evident foot infection

TARGET POPULATION

Individuals diagnosed with diabetes
INTERVENTIONS AND PRACTICES CONSIDERED

Diagnosis

1. Evaluation on three levels: the patient, wound, and infection
2. Determining the severity of the infection
* History and physical examination
* Serum chemistry analyses
* Assessment of mental and psychological sate
* Clinical foot exam and radiography
* Foot pulses, blood pressures, duplex ultrasonography, and angiograms
* Skin and soft-tissue examination and duplex ultrasonography
* Light touch, monofilament pressure, or vibration perception
* Inspect, debride, and probe the wound; radiography
* Gram staining and culture, ultrasonography, or computed tomography (CT) for detection of deep abscesses, and radiography and/or magnetic resonance imaging (MRI) for detection of osteomyelitis

© 1998-2009 National Guideline Clearinghouse

Date Modified: 1/5/2009

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