Diabetic Foot Infection

Question 1

Diabetic Foot Infection Presentation

Answer 1

May see low grade fever, signs of infection may not be apparent; foul-smelling likely anaerobes

Question 2

Diabetic Foot Infection Common Pathogens

Answer 2

moderate - aerobic GPCs; severe - polymicrobial (S. aureus, Strept, E. coli, P. aeruginosa, Bacteroides, Peptostrept)

Question 3

Diabetic Foot Infection Mild Tx

Answer 3

Stept and MSSA - dicloxacillin, Augmentin, clindamycin, cephalexin; CA-MRSA - doxycycline, Bactrim

Question 4

Diabetic Foot Infection Severe Tx MSSA

Answer 4

levofloxacin, cefoxitin, ceftriaxone, Unasyn, ertrapenem;

Question 5

Diabetic Foot Infection Severe Tx PCN Allergy

Answer 5

Cipro or aztreonam + metronidazole or clindamycin

Question 6

Diabetic Foot Infection Severe Tx Resistance

Answer 6

MRSA - linezolid, daptomycin, tigecycyline, vanco; Pseudomonas - zosyn, meropenem

Question 7

Diabetic Foot Infection Tx Duration

Answer 7

Mild-moderate - 1-2 wks; severe - 2-4 wks