1
40
1
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Text
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n/a
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Pages
168-+
Issue
4
Volume
23
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Title
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Managing foot infections in patients with diabetes
Publisher
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Infections in Medicine
Date
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2006
2006-04
Subject
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diabetes; foot infections; Infectious Diseases; osteomyelitis
Creator
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Tan N J; Tan J S
Description
An account of the resource
The evaluation of foot infections in patients with diabetes requires a careful physical examination. Wound culture; a probeto-bone test; and imaging studies, such as plain radiography and MRI, should be performed when indicated. Patients with radiographic evidence of osteomyelitis, regardless of the condition of the overlying skin, should have surgical consultation to obtain culture and biopsy samples and to remove affected bone if necessary. If possible, antimicrobial therapy should be based on culture results. Empiric antimicrobial therapy for superficial infections should cover Staphylococcus aureus and P-hemolytic streptococci. For moderate to severe infections, broad antimicrobial coverage should include Gram-positive cocci, Gram-negative bacilli, and anaerobes. Patients with persistent draining ulcers despite appropriate antimicrobial therapy should be evaluated for osteomyelitis and retained infected or necrotic tissue.
Identifier
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n/a
Format
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Journal Article
2006
Diabetes
foot infections
Infections in Medicine
Infectious Diseases
Journal Article
Osteomyelitis
Tan J S
Tan N J