| The implications of the presence of osteomyelitis on outcomes of infected diabetic foot wounds. | |
| | |
MedLine Citation:
|
PMID: 23384323 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Aim: To assess the effect of the presence of osteomyelitis in patients with a diabetic foot infection. Methods: We reviewed the records of diabetic patients hospitalized at our medical center for a foot infection over a 2-y period. Using clinical, imaging, and microbiology results, we classified each patient as having diabetic foot osteomyelitis (DFO) or not. We then compared several outcome criteria of interest between the 2 groups. Results: Among 73 eligible patients, 37 were in the DFO group (DFO group), while the other 36 were in the soft tissue infection group (STI group). In comparison to the STI group, the DFO group had a significantly longer length of stay (LOS) in the hospital (42 (28.5-51) days vs 19.5 (13.2-29.5) days, p < 0.001), longer duration of antibiotic therapy (46.6 ± 19.9 days vs 22.0 ± 14.6 days, p < 0.001), longer duration of intravenous antibiotic therapy (32.3 ± 16.3 days vs 13.6 ± 14.3 days, p < 0.001), longer duration of wound before admission (44 (31-64.5) days vs 33 (23-45.5) days, p = 0.034), and longer time to wound healing (239.8 ± 108.2 days vs 183.1 ± 73 days, p = 0.011). There were more surgical procedures in the DFO group than in the STI group (24/37 (64.8%) vs 11/36 (30.5%), p = 0.003), and during hospitalization, 22 patients in the DFO group and 5 patients in STI group underwent minor amputation (59.4% vs 13.8%, p < 0.001). Conclusion: The presence of osteomyelitis negatively affects both the treatment and outcome of diabetic foot infections. |
| | |
Authors:
|
Mesut Mutluoglu; Ali Kemal Sivrioglu; Murat Eroglu; Gunalp Uzun; Vedat Turhan; Hakan Ay; Benjamin A Lipsky |
Related Documents
:
|
23215753 - Bevacizumab and triamcinolone acetonide for choroidal neovascularization due to age-rel... 2297413 - Utility of emission tomography in evaluation of mandibular bone grafts. 8249083 - A new micronized formulation of halofantrine hydrochloride in the treatment of acute pl... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2013-2-5 |
Journal Detail:
|
Title: Scandinavian journal of infectious diseases Volume: - ISSN: 1651-1980 ISO Abbreviation: Scand. J. Infect. Dis. Publication Date: 2013 Feb |
Date Detail:
|
Created Date: 2013-2-6 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0215333 Medline TA: Scand J Infect Dis Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
From the Department of Underwater and Hyperbaric Medicine. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The interplay between structure and agency in shaping the mental health consequences of job loss.
Next Document: Potency of a vaccine prepared from A/swine/Hokkaido/2/1981 (H1N1) against A/Narita/1/2009 (H1N1) pan...