Management of infected diabetic wound: a scoping review of guidelines

F1000Research
Huidi TcheroLuc Teot

Abstract

Background: Various international guidelines and recommendations are available for management of diabetic foot infections. We present a review of the guidelines and recommendations for management of these infections. Methods: A systematic literature search was conducted through MEDLINE, CENTRAL, EMBASE, LILACS, DARE, and national health bodies. Based on the review of fifteen documents, we present details on the importance of suspecting and diagnosing skin, superficial infections, and bone infections in diabetics. Results: The guidelines recommend classifying the infections based on severity to guide the treatment. While antibiotics have shown the best results, other treatments like hyperbaric oxygen therapy and negative wound pressure have been debated. It is suggested that a team of specialists should be in-charge of managing the infected wounds. Infectious Diseases Society of America (IDSA) 2012 guidelines are widely followed world-over. All guidelines and reviews have consistent suggestions on the assessment of the severity of infection, diagnosis, start, selection, and duration of antibiotic therapy. Conclusions: It is reasonable to conclude that the IDSA 2012 guidelines are commonly followed across the world. There is a co...Continue Reading

References

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Sep 8, 2015·Diabetes/metabolism Research and Reviews·E J PetersUNKNOWN International Working Group on the Diabetic Foot

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Methods Mentioned

BETA
amputation
imaging technique
X-ray
biopsy
Surgical resection

Software Mentioned

- Analyses
PRISMA
Assessment of Multiple Systematic Reviews ( AMSTAR )

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