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Rapid Communication| Volume 194, 110177, December 2022

Surgery without postoperative antibiotic treatment in diabetic foot osteomyelitis is not associated with recurrence or limb loss

Published:November 21, 2022DOI:https://doi.org/10.1016/j.diabres.2022.110177
Surgery without postoperative antibiotic treatment in diabetic foot osteomyelitis is not associated with recurrence or limb loss
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      Abstract

      Not using antibiotics after surgical treatment of diabetic foot osteomyelitis was not associated with failure of the surgery, recurrences, or limb loss. Antibiotics were given in doubtful complicated cases such as severe infections, cases with necrosis, foul-smelling lesions and patients requiring revascularization.

      Keywords

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      References

        • Lipsky B.A.
        • Senneville E.
        • Abbas Z.G.
        • Aragon-Sanchez J.
        • Diggle M.
        • Embil J.M.
        • et al.
        Guidelines on the diagnosis and treatment of foot infection in persons with diabetes (IWGDF 2019 update).
        Diabetes Metab Res Rev. 2020; 36: e3280
        View in Article
        • Aragon-Sanchez J.
        • Lipsky B.A.
        • Lazaro-Martinez J.L.
        Diagnosing diabetic foot osteomyelitis: is the combination of probe-to-bone test and plain radiography sufficient for high-risk inpatients?.
        Diabet Med. 2011; 28: 191-194
        View in Article
        • Berendt A.R.
        • Peters E.J.
        • Bakker K.
        • Embil J.M.
        • Eneroth M.
        • Hinchliffe R.J.
        • et al.
        Diabetic foot osteomyelitis: a progress report on diagnosis and a systematic review of treatment.
        Diabetes Metab Res Rev. 2008; 24: S145-S161
        View in Article
        • Truong T.
        • Gariani K.
        • Richard J.C.
        • Kressmann B.
        • Jornayvaz F.R.
        • Philippe J.
        • et al.
        Moderate to Severe Soft Tissue Diabetic Foot Infections: A Randomized, Controlled, Pilot Trial of Post-debridement Antibiotic Treatment for 10 versus 20 days.
        Ann Surg. 2022; 276: 233-238
        View in Article
        • Rossel A.
        • Lebowitz D.
        • Gariani K.
        • Abbas M.
        • Kressmann B.
        • Assal M.
        • et al.
        Stopping antibiotics after surgical amputation in diabetic foot and ankle infections-A daily practice cohort.
        Endocrinol Diabetes Metab. 2019; 2: e00059
        View in Article
        • Aragon-Sanchez J.
        • Lazaro-Martinez J.L.
        • Hernandez-Herrero C.
        • Campillo-Vilorio N.
        • Quintana-Marrero Y.
        • Garcia-Morales E.
        • et al.
        Does osteomyelitis in the feet of patients with diabetes really recur after surgical treatment? Natural history of a surgical series.
        Diabet Med. 2012; 29: 813-818
        View in Article
        • Abbas M.
        • Uckay I.
        • Lipsky B.A.
        In diabetic foot infections antibiotics are to treat infection, not to heal wounds.
        Expert Opin Pharmacother. 2015; 16: 821-832
        View in Article

      Article info

      Publication history

      Published online: November 21, 2022
      Accepted: November 16, 2022
      Received in revised form: November 9, 2022
      Received: October 23, 2022

      Identification

      DOI: https://doi.org/10.1016/j.diabres.2022.110177

      Copyright

      © 2022 Elsevier B.V. All rights reserved.

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