Articles | Volume 9, issue 3
https://doi.org/10.5194/jbji-9-183-2024
https://doi.org/10.5194/jbji-9-183-2024
Original full-length article
 | 
28 Jun 2024
Original full-length article |  | 28 Jun 2024

What is the agreement between principles and practice of antibiotic stewardship in the management of diabetic foot infection: an in-hospital quality control study

Noémie Reinert, Katinka Wetzel, Fabian Franzeck, Mario Morgenstern, Markus Aschwanden, Thomas Wolff, Martin Clauss, and Parham Sendi

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Cited articles

Berli, M. C., Rancic, Z., Schöni, M., Götschi, T., Schenk, P., Kabelitz, M., Böni, T., and Waibel, F. W. A.: Salami-Tactics: when is it time for a major cut after multiple minor amputations?, Arch. Orthop. Trauma Surg., 143, 645–656, https://doi.org/10.1007/s00402-021-04106-5, 2023. 
Boulton, A. J. M., Armstrong, D. G., Kirsner, R. S., Attinger, C. E., Lavery, L. A., Lipsky, B. A., Mills, J. L., and Steinberg, J. S.: Diagnosis and Management of Diabetic Foot Complications, Arlington, Va., American Diabetes Association, https://doi.org/10.2337/db20182-1, 2018. 
Brownrigg, J. R., Davey, J., Holt, P. J., Davis, W. A., Thompson, M. M., Ray, K. K., and Hinchliffe, R. J.: The association of ulceration of the foot with cardiovascular and all-cause mortality in patients with diabetes: a meta-analysis, Diabetologia, 55, 2906–2912, https://doi.org/10.1007/s00125-012-2673-3, 2012. 
Cerqueira, L. O., Duarte, E. G., Barros, A. L. S., Cerqueira, J. R., and de Araújo, W. J. B.: WIfI classification: the Society for Vascular Surgery lower extremity threatened limb classification system, a literature review, J. Vasc. Bras., 19, e20190070, https://doi.org/10.1590/1677-5449.190070, 2020. 
Charlson, M. E., Pompei, P., Ales, K. L., and MacKenzie, C. R.: A new method of classifying prognostic comorbidity in longitudinal studies: development and validation, J. Chronic. Dis., 40, 373–383, https://doi.org/10.1016/0021-9681(87)90171-8, 1987. 
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Short summary
We assessed concordance of in-house guidelines for diagnostic principles and antibiotic treatment duration (ABT) 2 years after their implementation. The goal was to standardize diagnostic and treatment principles: are we doing what we recommend? The adherence to recommendations in terms of biopsy sampling was good, moderate for histopathology and poor for anatomic labeling. In terms of ABT duration, the adherence was good, but further shortening for surgically cured cases is necessary. 
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