Surgery without postoperative antibiotic treatment in diabetic foot osteomyelitis is not associated with recurrence or limb loss

Javier Aragón-Sánchez; Gerardo Víquez-Molina; María Eugenia López-Valverde; Cristina Aragón-Hernández; José María Rojas-Bonilla

doi:10.1016/j.diabres.2022.110177

Surgery without postoperative antibiotic treatment in diabetic foot osteomyelitis is not associated with recurrence or limb loss

Diabetes Res Clin Pract. 2022 Dec:194:110177. doi: 10.1016/j.diabres.2022.110177. Epub 2022 Nov 24.

Authors

Javier Aragón-Sánchez¹, Gerardo Víquez-Molina², María Eugenia López-Valverde³, Cristina Aragón-Hernández⁴, José María Rojas-Bonilla²

Affiliations

¹ Department of Surgery, Diabetic Foot Unit, La Paloma Hospital, Las Palmas de Gran Canaria, Spain. Electronic address: javiaragon@telefonica.net.
² Diabetic Foot Unit, San Juan de Dios Hospital, San José de Costa Rica, Costa Rica.
³ Endocrinology and Nutrition Service, Juan Ramón Jimenez Hospital, Huelva, Spain.
⁴ Geriatrics Service, Getafe University Hospital, Madrid, Spain.

PMID: 36427626
DOI: 10.1016/j.diabres.2022.110177

Abstract

Not using antibiotics after surgical treatment of diabetic foot osteomyelitis was not associated with failure of the surgery, recurrences, or limb loss. Antibiotics were given in doubtful complicated cases such as severe infections, cases with necrosis, foul-smelling lesions and patients requiring revascularization.

Keywords: Diabetic foot infection; Diabetic foot osteomyelitis; Postoperative antibiotics; Surgery.

MeSH terms

Amputation, Surgical
Anti-Bacterial Agents / therapeutic use
Debridement
Diabetes Mellitus* / drug therapy
Diabetic Foot* / complications
Diabetic Foot* / drug therapy
Diabetic Foot* / surgery
Humans
Osteomyelitis* / complications
Osteomyelitis* / drug therapy
Osteomyelitis* / surgery
Wound Healing

Substances

Anti-Bacterial Agents