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Hindi Review Article
Management of Diabetic Foot Infections with Appropriate Use of Antimicrobial Therapy
| Afsaneh Alavi1*, Mazen S Bader2 and R Gary Sibbald3 | ||
| 1 Department of Medicine (Dermatology), Women’s College Hospital, University of Toronto, Toronto, Ontario, Canada | ||
| 2 Department of Medicine, Division of infectious diseases, Hamilton Health sciences, Juravinski hospital and Cancer Centre, Hamilton, Ontario, Canada | ||
| 3 Department of Medicine (Dermatology), University of Toronto, Toronto, Ontario, Canada | ||
| Corresponding Author : | Afsaneh Alavi Women’s College Hospital (main building) 76 Grenville Street (5th floor) Toronto ON M5S 1B2, Canada Tel: 416-323-6407 Fax: 416-323-6215 E-mail: asfsaneh.alavi@utoronto.ca |
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| Received December 11, 2013; Accepted January 26, 2013; Published February 05, 2014 | ||
| Citation:Alavi A, Bader MS, Sibbald RG (2014) Management of Diabetic Foot Infections with Appropriate Use of Antimicrobial Therapy. Clin Res Foot Ankle S3: 010. doi:10.4172/2329-910X.S3-010 | ||
| Copyright: © 2014 Alavi A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. | ||
Related article at Pubmed Scholar Google |
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Abstract
Up to 25% of patients with diabetes will develop a foot ulcer during their lifetime with a 50-70% recurrence rate over the ensuing 5 year. Additionally more than 50% of patients with a diabetic foot ulcer (DFU) develop a diabetic foot infection (DFI). DFI remains a challenge to manage because of coexisting immunopathy. Antibiotic therapy is the main stay of treatment for patients with deep and surrounding tissue infection. A multidisciplinary approach is required with the focus on the comprehensive patient assessment, vascular assessment with revascularization, proper offloading devices and use of appropriate antimicrobials. Wound care professionals have a unique position to lessen the inappropriate use of antimicrobials.
