Titre :

Diagnosis of infection in the foot in diabetes: a systematic review.

Auteur(s) :

Senneville, Eric [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Lipsky, Benjamin A. [Auteur]
University of Washington [Seattle]
Aragón-Sánchez, Javier [Auteur]
Diggle, Mathew [Auteur]
Embil, John M. [Auteur]
University of Manitoba [Winnipeg]
Kono, Shigeo [Auteur]
Lavery, Lawrence A. [Auteur]
University of Texas Southwestern Medical Center [Dallas]
Malone, Matthew [Auteur]
Western Sydney University
Van Asten, Susan A. [Auteur]
Urbančič-Rovan, Vilma [Auteur]
University of Ljubljana
Peters, Edgar J. G. [Auteur]
University of Amsterdam [Amsterdam] = Universiteit van Amsterdam [UvA]

Titre de la revue :

Diabetes/Metabolism Research and Reviews

Nom court de la revue :

Diabetes Metab. Res. Rev.

Numéro :

36

Pagination :

e3281

Date de publication :

2020-03-21

ISSN :

1520-7560

Mot(s)-clé(s) en anglais :

diabetes mellitus
diabetic foot
diagnosis
foot ulcer
imaging studies
inflammatory markers
osteomyelitis
probe-to-bone
systematic review

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [en]

Background Securing an early accurate diagnosis of diabetic foot infections and assessment of their severity are of paramount importance since these infections can cause great morbidity and potentially mortality and ...
Lire la suite >Background Securing an early accurate diagnosis of diabetic foot infections and assessment of their severity are of paramount importance since these infections can cause great morbidity and potentially mortality and present formidable challenges in surgical and antimicrobial treatment. Methods In June 2018, we searched the literature using PuEbMed and EMBASE for published studies on the diagnosis of diabetic foot infection. On the basis of predetermined criteria, we reviewed prospective controlled, as well as noncontrolled, studies in any language, seeking translations for those not in English. We then developed evidence statements on the basis of the included papers. Results From the 4242 records screened, we selected 35 papers that met our inclusion criteria. The quality of all but one of the evidence statements was low because of the weak methodology of nearly all of the studies. The available data suggest that diagnosing diabetic foot infections on the basis of clinical signs and symptoms and classified according to the International Working Group of the Diabetic Foot scheme correlates with the patient's likelihood of ulcer healing, of lower extremity amputation, and risk of death. Elevated levels of selected serum inflammatory markers are supportive, but not diagnostic, of soft tissue or bone infection. In patients with suspected diabetic foot osteomyelitis, both a positive probe-to-bone test and an elevated erythrocyte sedimentation rate are strongly associated with its presence. Culturing tissue samples of soft tissues or bone, when care is taken to avoid contamination, provides more accurate microbiological information than culturing superficial (swab) samples. Plain X-ray remains the first-line imaging examination when there is suspicion of diabetic foot osteomyelitis, but advanced imaging methods help in cases when either the diagnosis or the localization of infection is uncertain. Conclusion The results of this first reported systematic review on the diagnosis of diabetic foot infections provide some guidance for clinicians, but there is a need for more prospective controlled studies of high quality.Lire moins >

Langue :

Anglais

Audience :

Internationale

Vulgarisation :

Non

Établissement(s) :

Université de Lille
CHU Lille

Collections :

• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Date de dépôt :

2023-11-15T09:11:25Z
2023-12-15T12:38:41Z