Title
Diagnosis and Treatment of Diabetic Foot Infections
Authoring Organization
Publication Month/Year
June 15, 2012
Last Updated Month/Year
October 9, 2024
Supplemental Implementation Tools
Document Type
Guideline
External Publication Status
Published
Country of Publication
US
Document Objectives
Most of the information contained in the previous DFI guideline is still applicable. Having produced an extensive and heavily referenced work in 2004, our goal with this revision of the guideline was to reformat it in the new IDSA style and make it a companion to the previous work that not only updates our recommendations on the basis of recent data, but to make them relatively simple and, we hope, clear.
Target Patient Population
Patients with diabetic foot infections
PICO Questions
In which diabetic patients with a foot wound should I suspect infection, and how should I classify it?
How should I assess a diabetic patient presenting with a foot infection?
When and from whom should I request a consultation for a patient with a diabetic foot infection?
Which patients with a diabetic foot infection should I hospitalize, and what criteria should they meet before I discharge them?
When and how should I obtain specimen(s) for culture from a patient with a diabetic foot wound?
How should I initially select, and when should I modify, an antibiotic regimen for a diabetic foot infection? (
When should I consider imaging studies to evaluate a diabetic foot infection, and which should I select?
How should I diagnose and treat osteomyelitis of the foot in a patient with diabetes?
In which patients with a diabetic foot infection should I consider surgical intervention, and what type of procedure may be appropriate?
What types of wound care techniques and dressings are appropriate for diabetic foot wounds?
Inclusion Criteria
Male, Female, Adult, Older adult
Health Care Settings
Ambulatory, Hospital, Outpatient, Operating and recovery room
Intended Users
Diabetes educator, epidemiology infection prevention, nurse, nurse practitioner, physician, physician assistant, podiatrist
Scope
Diagnosis, Assessment and screening, Treatment, Management
Diseases/Conditions (MeSH)
D017719 - Diabetic Foot, D016523 - Foot Ulcer
Keywords
osteomyelitis, diabetic foot infection, diabetic foot ulcer, diabetic foot, diabetes complications
Source Citation
Benjamin A. Lipsky, Anthony R. Berendt, Paul B. Cornia, James C. Pile, Edgar J. G. Peters, David G. Armstrong, H. Gunner Deery, John M. Embil, Warren S. Joseph, Adolf W. Karchmer, Michael S. Pinzur, Eric Senneville, 2012 Infectious Diseases Society of America Clinical Practice Guideline for the Diagnosis and Treatment of Diabetic Foot Infections, Clinical Infectious Diseases, Volume 54, Issue 12, 15 June 2012, Pages e132–e173, https://doi.org/10.1093/cid/cis346