6 voices in 10 minutes: Microbiology of the diabetic foot. Sampling and antibiotic therapy
6 voices in 10 minutes: Diabetic foot Microbiology of the diabetic foot. Sampling and antibiotic therapy Diabetic foot infections are defined through clinical parameters (edema, erythema, induration, purulent drainage, temperature increase). Once established the diagnosis, it is time for culture a...
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| Format: | Article |
| Language: | Spanish |
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Sello Editorial Lugones
2020-11-01
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| Series: | Revista de la Sociedad Argentina de Diabetes |
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| Online Access: | https://revistasad.com/index.php/diabetes/article/view/449 |
| Summary: | 6 voices in 10 minutes: Diabetic foot
Microbiology of the diabetic foot. Sampling and antibiotic therapy
Diabetic foot infections are defined through clinical parameters (edema, erythema, induration, purulent drainage, temperature increase). Once established the diagnosis, it is time for culture and empiric antibiotic therapy. Several culturing techniques are contemplated. However, the taking of samples after debridement through curettage or biopsy of the ulcer base is the preferred technique for culture of soft tissues. Other methods are also accepted, such as healthy skin punch of collections or cellulitic tissues, or swabbing via Levine's technique. In the case of bone sampling, it depends on the wound characteristics, but a surgical biopsy —if surgery is required— or a fluoroscopyguided biopsy are the sampling types considered. The empiric antibiotic therapy must be guided due to the prevalence of germs in diabetic foot infections at a local level; due to its sensitivity and due to the gravity of the lesions. It is important to conduct studies on the microbiology of diabetic foot, as the empiric treatment settled prior to the cultures' results must be as accurate as possible in order to avoid the infection development while waiting for said results. |
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| ISSN: | 0325-5247 2346-9420 |