黑料网

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
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

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.

Keywords