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Tytuł pozycji:

Utilisation of the 2019 IWGDF diabetic foot infection guidelines to benchmark practice and improve the delivery of care in persons with diabetic foot infections

Tytuł:
Utilisation of the 2019 IWGDF diabetic foot infection guidelines to benchmark practice and improve the delivery of care in persons with diabetic foot infections
Autorzy:
Matthew Malone
Adriaan Erasmus
Saskia Schwarzer
Namson S. Lau
Mehtab Ahmad
Hugh G. Dickson
Temat:
Diseases of the musculoskeletal system
RC925-935
Źródło:
Journal of Foot and Ankle Research, Vol 14, Iss 1, Pp n/a-n/a (2021)
Wydawca:
Wiley, 2021.
Rok publikacji:
2021
Kolekcja:
LCC:Diseases of the musculoskeletal system
Typ dokumentu:
article
Opis pliku:
electronic resource
Język:
English
ISSN:
1757-1146
Relacje:
https://doaj.org/toc/1757-1146
DOI:
10.1186/s13047-021-00448-w
Dostęp URL:
https://doaj.org/article/81b3ac4898324b6c9099fc5b8077ab7e  Link otwiera się w nowym oknie
Numer akcesji:
edsdoj.81b3ac4898324b6c9099fc5b8077ab7e
Czasopismo naukowe
Abstract Aims To utilise the 2019 International Working Group on the Diabetic Foot (IWGDF) ‐ diabetic foot infection (DFI) guidelines as an audit tool for clinical practice in patients with diabetes attending a High‐Risk Foot Service. Methods Data from 93 consecutive patients were collected over a 19‐month period in patients attending a High‐Risk Foot Service. The diagnosis and management of each patient in the sample were compared against the 2019 IWGDF DFI guidelines, grouped into four categories: Diagnosis, Microbiology, Treatment of soft tissue infection, and Surgical treatment and osteomyelitis. Deficits in performance were recorded using the recommendations as a benchmark standard. Results There were 109 DFI events. Nineteen (63%) of the recommendations were met, 7 (24%) were partially met, and four (13%) recommendations were not met. Fourteen of the sample had no documented requests for full blood counts. Tissue was obtained for culture in 32 (29%) of the sample. No percutaneous bone biopsies were performed. Only 13 (28%) patients had intraoperative bone specimens sent for culture and sensitivities, with no bone specimens sent for histopathology. Modification of antibiotic therapy following available culture results was low, occurring in 12 out of 63 possible occasions (19%). The duration of antibiotic regimens in PEDIS 2 infections and osteomyelitis was greater than that recommended. Conclusions Utilising the IWGDF DFI guidelines to benchmark clinical practice is a useful tool to identify gaps in clinical performance or service delivery and may help to improve patient care.
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