Principles and practice of antibiotic stewardship in the management of diabetic foot infections.

Uçkay, Ilker; Berli, Martin; Sendi, Parham; Lipsky, Benjamin A (2019). Principles and practice of antibiotic stewardship in the management of diabetic foot infections. Current opinion in infectious diseases, 32(2), pp. 95-101. Wolters Kluwer Health 10.1097/QCO.0000000000000530

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PURPOSE OF REVIEW Systemic antibiotic therapy in persons with a diabetic foot infection (DFI) is frequent, increasing the risk of promoting resistance to common pathogens. Applying principles of antibiotic stewardship may help avoid this problem. RECENT FINDINGS We performed a systematic review of the literature, especially seeking recently published studies, for data on the role and value of antibiotic stewardship (especially reducing the spectrum and duration of antibiotic therapy) in community and hospital populations of persons with a DFI. SUMMARY We found very few publications specifically concerning antibiotic stewardship in persons with a DFI. The case-mix of these patients is substantial and infection plays only one part among several chronic problems. As with other types of infections, attempting to prevent infections and avoiding or reducing the spectrum and duration of antibiotic therapy are perhaps the best ways to reduce antibiotic prescribing in the DFI population. The field is complex and necessitates knowledge over the current scientific literature and clinical experience. On a larger scale, clinical pathways, guidelines, and recommendations are additionally supportive.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Service Sector > Institute for Infectious Diseases

UniBE Contributor:

Sendi, Parham

Subjects:

500 Science > 570 Life sciences; biology
600 Technology > 610 Medicine & health

ISSN:

1473-6527

Publisher:

Wolters Kluwer Health

Language:

English

Submitter:

Parham Sendi

Date Deposited:

12 Nov 2019 17:02

Last Modified:

01 May 2020 02:30

Publisher DOI:

10.1097/QCO.0000000000000530

PubMed ID:

30664029

BORIS DOI:

10.7892/boris.127212

URI:

https://boris.unibe.ch/id/eprint/127212

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