JAPMA
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
This Article
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Armstrong, D. G.
Right arrow Articles by Todd, W. F.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Armstrong, D. G.
Right arrow Articles by Todd, W. F.

Journal of the American Podiatric Medical Association, Vol 85, Issue 10 533-537, Copyright © 1995 by American Podiatric Medical Association

JOURNAL ARTICLE

1995 William J. Stickel Bronze Award. Prevalence of mixed infections in the diabetic pedal wound. A retrospective review of 112 infections

DG Armstrong, PJ Liswood and WF Todd
Department of Orthopaedics/Podiatry, University of Texas Health Science Center, San Antonio, USA.

This retrospective study reviewed the culture results of 112 admissions to a multidisciplinary diabetic foot care team with a primary diagnosis of infected diabetic pedal ulceration. An average of 1.5 +/- 0.9 species per patient (P < 0.0001) were isolated. Eighty-nine percent of wounds cultured grew two or fewer organisms. Anaerobic species were isolated in only 5% of all cultures. Of these isolates, the distinction between anaerobic colonization and true anaerobic infection is made. Results suggest that aggressive early hospitalization, coupled with aggressive intraoperative debridement, may yield less microbiologically complex infections that may be controlled with less expensive narrow spectrum antibiotic therapy. Diagnosis of the infected pedal ulceration of a patient with diabetes is a clinical one. If this diagnosis is combined with appropriate surgical intervention, microbiologic correlation, and antimicrobial therapy, the result may be a less complex hospital course and improved outcome.


This article has been cited by other articles:


Home page
 INT J LOW EXTREM WOUNDSHome page
D. R. Yager, R. A. Kulina, and L. A. Gilman
Wound Fluids: A Window Into the Wound Environment?
International Journal of Lower Extremity Wounds, December 1, 2007; 6(4): 262 - 272.
[Abstract] [PDF]

Home page
 J. Clin. Microbiol.Home page
D. M. Citron, E. J. C. Goldstein, C. V. Merriam, B. A. Lipsky, and M. A. Abramson
Bacteriology of Moderate-to-Severe Diabetic Foot Infections and In Vitro Activity of Antimicrobial Agents
J. Clin. Microbiol., September 1, 2007; 45(9): 2819 - 2828.
[Abstract] [Full Text] [PDF]

Home page
 J. Am. Podiatr. Med. Assoc.Home page
B. A. Lipsky, A. R. Berendt, H. G. Deery, J. M. Embil, W. S. Joseph, A. W. Karchmer, J. L. LeFrock, D. P. Lew, J. T. Mader, C. Norden, et al.
Diagnosis and Treatment of Diabetic Foot Infections
J Am Podiatr Med Assoc, March 1, 2005; 95(2): 183 - 210.
[Full Text] [PDF]

Home page
 J. Am. Podiatr. Med. Assoc.Home page
P. Han and R. Ezquerro
Diabetic Foot Wound Care Algorithms
J Am Podiatr Med Assoc, June 1, 2002; 92(6): 336 - 349.
[Abstract] [Full Text] [PDF]

Home page
 Clin. Microbiol. Rev.Home page
P. G. Bowler, B. I. Duerden, and D. G. Armstrong
Wound Microbiology and Associated Approaches to Wound Management
Clin. Microbiol. Rev., April 1, 2001; 14(2): 244 - 269.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1995 by the American Podiatric Medical Association.