Diabetic Foot Infection Flashcards
What’s the most common DFI?
Diabetic foot ulcer
What causes DFI?
combination of sustained hyperglycemia, peripheral neuropathy and peripheral arterial diseases
in early acute stages, DFI is?
Monomicrobial and caused by gram-positive cocci
DFI in chronic stage is?
Polymicrobial and gram negative
When do we see beta-hemolytic streptococcus?
In acute infections
When do we see staphylococcus aureus?
In acute and chronic infections
When do we see gram negative bacilli?
Patients with previously treated infected ulcers
When do we see pseudomonas aeruginosa?
Ulcers/wounds of long duration
What’s the most common and serious complication of DFI?
Osteomyelitis
What’s the initial treatment for DFI?
Hyperglycemia, to determine the need for hospitalization
What pathogens do we target with antibiotics?
Gram-positive only
How do we treat pseudomonas aeruginosa?
Empirical treatment
How do we treat osteomyelitis?
IV treatment
