IWGDF/IDSA: Diabetic Foot Infections

Zusammenfassung

Abstract The International Working Group on the Diabetic Foot (IWGDF) has published evidence-based guidelines on the management and prevention of diabetes-related foot diseases since 1999. The present guideline is an update of the 2019 IWGDF guideline on the diagnosis and management of foot infections in persons with diabetes mellitus. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) framework was used for the development of this guideline. This was structured arou

Kerninformationen

sue and bone infections, including the classification scheme for diagnosing infection and its severity. Guidance on how to collect microbiological samples, and how to process them to identify causative pathogens, is also outlined. Finally, we present the approach to treating foot infections in perso...

ate (ESR), or procalcitonin (PCT) in a person with diabetes and a possible infected foot ulcer for whom the clinical examination is diagnostically equivocal or uninterpretable. (Best Practice Statement). Recommendation 4 a. For diagnosing diabetes-related foot soft-tissue infection, we suggest not u...

taneously. (Conditional; Moderate). Recommendation 11 a. Do not treat clinically uninfected foot ulcers with systemic or local antibiotic therapy when the goal is to reduce the risk of new infection or to promote ulcer healing. Best Practice Statement. Recommendation 12 a. Use any of the systemic an...

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