Management of infected diabetic wound: a scoping review of guidelines [version 1; peer review: 3 approved]

Background: Various international guidelines and recommendations are available for management of diabetic foot infections. We present a review of the guidelines and recommendations for management of these infections. Methods: A systematic literature search was conducted through MEDLINE, CENTRAL, EMB...

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Bibliographic Details
Published in:F1000 research 2019, Vol.8, p.737-737
Main Authors: Tchero, Huidi, Kangambega, Pauline, Fluieraru, Sergiu, Bekara, Farid, Teot, Luc
Format: Article
Language:English
Subjects:
Amputation
Antibiotics
Associations
Clinical medicine
Debridement
Diabetes
Diabetes mellitus
Disease management
Feet
Foot diseases
Hyperbaric oxygen therapy
Infections
Infectious diseases
Leg ulcers
Medical diagnosis
Working groups
Wound healing
Wounds
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Summary:Background: Various international guidelines and recommendations are available for management of diabetic foot infections. We present a review of the guidelines and recommendations for management of these infections. Methods: A systematic literature search was conducted through MEDLINE, CENTRAL, EMBASE, LILACS, DARE, and national health bodies. Based on the review of fifteen documents, we present details on the importance of suspecting and diagnosing skin, superficial infections, and bone infections in diabetics. Results: The guidelines recommend classifying the infections based on severity to guide the treatment. While antibiotics have shown the best results, other treatments like hyperbaric oxygen therapy and negative wound pressure have been debated. It is suggested that a team of specialists should be in-charge of managing the infected wounds. Infectious Diseases Society of America (IDSA) 2012 guidelines are widely followed world-over. All guidelines and reviews have consistent suggestions on the assessment of the severity of infection, diagnosis, start, selection, and duration of antibiotic therapy. Conclusions: It is reasonable to conclude that the IDSA 2012 guidelines are commonly followed across the world. There is a consensus among the Australian guidelines, Canadian guidelines, IDSA 2012, National Institute for Health and Care Excellence (NICE) 2015, and International Working Group on the Diabetic Foot (IWGDF) 2016 guidelines on the management of infected wounds for patients with diabetes mellitus.
ISSN:2046-1402
2046-1402
DOI:10.12688/f1000research.18978.1