Diabetic foot infections

Česká verzia

Authors: Lenka Ryšková
Authors place of work: Ústav klinické mikrobiologie LF UK a FN Hradec Králové, přednostka doc. MUDr. Helena Žemličková, Ph. D.
Published in the journal: Vnitř Lék 2015; 61(6): 587-591
Category:

Předneseno na mezioborovém sympoziu s postgraduálním zaměřením „Diabetik – společný pacient diabetologa a ortopeda“ 10. října 2014 v Hradci Králové.

Summary

Diabetic foot infections (DFIs) are serious problems in persons with diabetes, about 10 to 25 % of patients with diabetes develop a foot ulcer and 60 % of them are infected. DFIs cause morbidity, limit mobility, worsen patients’ quality of life. Infections are classified as mild, moderate, or severe. Most DFIs are polymicrobial, with Gram-positive cocci (especially staphylococci), Gram-negative bacilli and obligate anaerobes. Successful therapy of DFI requires proper topical care and often includes surgical interventions but appropriate antibiotic treatment plays a key role. Initial antimicrobial therapy of these infections is usually empirical, the antibiotic regimen should be based on the severity of the infection. Definitive therapy should then be tailored according to the results of culture and susceptibility tests from a reliably obtained specimen.

Keywords:
culture findings – diabetic foot infections – empirical antibiotic therapy – osteomyelitis

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