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

Preview

Text application-pdf (1).pdf - Published Version Available under License Publisher holds Copyright. Download (284kB) | Preview

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.

Interest & Impact

Downloads

660 since deposited on 12 Nov 2019
208 in the past 12 months

Citations

5 Citations in Web of Science ®
6 Citations in Scopus

Search

in Google Scholar™

Services

Actions (login required)

Edit item

Actions (login required)

Edit item