Conservative management of diabetic foot osteomyelitis

Diabetes Res Clin Pract. 2013 Sep;101(3):e18-20. doi: 10.1016/j.diabres.2013.06.010. Epub 2013 Jul 11.

Abstract

In this retrospective study, 130 patients with diabetic foot osteomyelitis were analysed. 66.9% of these healed with antibiotic treatment alone and 13.9% needed amputation, of which 1.5% were major. Presence of MRSA was associated with adverse outcome (53.3% vs 21.1%, p=0.04) which was defined as death, amputation and failure to heal.

Keywords: Amputation; Antibiotics; Conservative treatment; Diabetic foot ulcer; Infection; MRSA; Osteomyelitis.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Amputation, Surgical
  • Anti-Bacterial Agents / therapeutic use*
  • Diabetic Foot / drug therapy*
  • Diabetic Foot / microbiology
  • Diabetic Foot / surgery
  • Female
  • Humans
  • Male
  • Methicillin-Resistant Staphylococcus aureus / drug effects
  • Methicillin-Resistant Staphylococcus aureus / pathogenicity
  • Middle Aged
  • Osteomyelitis / drug therapy*
  • Osteomyelitis / microbiology
  • Osteomyelitis / surgery
  • Retrospective Studies

Substances

  • Anti-Bacterial Agents