A Clinical Review of Diabetic Foot Infections

被引:57
作者
Chastain, Cody A. [1 ]
Klopfenstein, Nathan [1 ,2 ]
Serezani, Carlos H. [1 ,2 ]
Aronoff, David M. [1 ,2 ]
机构
[1] Vanderbilt Univ, Med Ctr, Dept Med, Div Infect Dis, 1161 21st Ave South,A-2200 Med Ctr North, Nashville, TN 37232 USA
[2] Vanderbilt Univ, Med Ctr, Dept Pathol Microbiol & Immunol, 1161 21st Ave South,A-2200 Med Ctr North, Nashville, TN 37232 USA
关键词
Diabetic foot infection; Diabetic foot ulcer; Diagnosis; Assessment; Treatment; RESISTANT STAPHYLOCOCCUS-AUREUS; HYPERBARIC-OXYGEN THERAPY; RISK-FACTORS; ANTIBIOTIC-THERAPY; DOUBLE-BLIND; OPEN-LABEL; OSTEOMYELITIS; ULCERS; AMPUTATION; DIAGNOSIS;
D O I
10.1016/j.cpm.2019.02.004
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Diabetic foot infections (DFIs) are a common cause of morbidity and mortality. This article summarizes current knowledge regarding DFI epidemiology, disease pathogenesis, and the impact of antimicrobial resistance among DFI. An evidence-based approach to clinical assessment, diagnosing osteomyelitis, as well as medical and surgical treatment is discussed, including a review of empiric and directed antibiotic treatment recommendations. The current state and needs of the clinical literature are identified throughout, with a discussion of the supporting role of infectious diseases specialists as well as future directions of the field.
引用
收藏
页码:381 / +
页数:16
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