Preoperative Antibiotic Administration Does Not Improve the Outcomes of Operated Diabetic Foot Infections
Many patients with community-acquired diabetic foot infections (DFI) receive systemic (empirical) antibiotic treatments before surgical interventions, often by the general practitioner. Sometimes, hospital clinicians prescribe them before surgery to reduce the infection inoculum and preserve soft ti...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-11-01
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| Series: | Antibiotics |
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| Online Access: | https://www.mdpi.com/2079-6382/13/12/1136 |
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| author | Thaddaeus Muri Madlaina Schöni Felix W. A. Waibel Dominique Altmann Christina Sydler Pascal R. Furrer Francesca Napoli İlker Uçkay |
| author_facet | Thaddaeus Muri Madlaina Schöni Felix W. A. Waibel Dominique Altmann Christina Sydler Pascal R. Furrer Francesca Napoli İlker Uçkay |
| author_sort | Thaddaeus Muri |
| collection | DOAJ |
| description | Many patients with community-acquired diabetic foot infections (DFI) receive systemic (empirical) antibiotic treatments before surgical interventions, often by the general practitioner. Sometimes, hospital clinicians prescribe them before surgery to reduce the infection inoculum and preserve soft tissue for immediate wound closure in case of residual infection after surgery. In contrast, the international guidelines (IWGDF) advocate against presurgical antibiotic use in routine situations without severe progredient soft tissue infections and/or sepsis. We run several retrospective and prospective cohorts of DFI and retrospectively analyze the influence of presurgical antibiotic therapy (as binary (yes/no) or continuous (in days) variables) on failures after a combined surgical and medical treatment. In our large database, the presence, choice, administration routes, or duration of preoperative antibiotic therapy did not improve the postoperative outcomes of operated diabetic foot infections or prevent their failures. In turn, this lack of influence leaves space for enhanced antibiotic stewardship in the management of DFI. |
| format | Article |
| id | doaj-art-cc0f05a300af466fbafc91c9b640639e |
| institution | DOAJ |
| issn | 2079-6382 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Antibiotics |
| spelling | doaj-art-cc0f05a300af466fbafc91c9b640639e2025-08-20T02:53:18ZengMDPI AGAntibiotics2079-63822024-11-011312113610.3390/antibiotics13121136Preoperative Antibiotic Administration Does Not Improve the Outcomes of Operated Diabetic Foot InfectionsThaddaeus Muri0Madlaina Schöni1Felix W. A. Waibel2Dominique Altmann3Christina Sydler4Pascal R. Furrer5Francesca Napoli6İlker Uçkay7Technical Orthopedics and Neuro-Orthopedics Team, Department of Orthopedic Surgery, Balgrist University Hospital, Forchstrasse 340, 8008 Zurich, SwitzerlandTechnical Orthopedics and Neuro-Orthopedics Team, Department of Orthopedic Surgery, Balgrist University Hospital, Forchstrasse 340, 8008 Zurich, SwitzerlandTechnical Orthopedics and Neuro-Orthopedics Team, Department of Orthopedic Surgery, Balgrist University Hospital, Forchstrasse 340, 8008 Zurich, SwitzerlandTechnical Orthopedics and Neuro-Orthopedics Team, Department of Orthopedic Surgery, Balgrist University Hospital, Forchstrasse 340, 8008 Zurich, SwitzerlandTechnical Orthopedics and Neuro-Orthopedics Team, Department of Orthopedic Surgery, Balgrist University Hospital, Forchstrasse 340, 8008 Zurich, SwitzerlandTechnical Orthopedics and Neuro-Orthopedics Team, Department of Orthopedic Surgery, Balgrist University Hospital, Forchstrasse 340, 8008 Zurich, SwitzerlandTechnical Orthopedics and Neuro-Orthopedics Team, Department of Orthopedic Surgery, Balgrist University Hospital, Forchstrasse 340, 8008 Zurich, SwitzerlandInfectiology, Balgrist University Hospital, 8008 Zurich, SwitzerlandMany patients with community-acquired diabetic foot infections (DFI) receive systemic (empirical) antibiotic treatments before surgical interventions, often by the general practitioner. Sometimes, hospital clinicians prescribe them before surgery to reduce the infection inoculum and preserve soft tissue for immediate wound closure in case of residual infection after surgery. In contrast, the international guidelines (IWGDF) advocate against presurgical antibiotic use in routine situations without severe progredient soft tissue infections and/or sepsis. We run several retrospective and prospective cohorts of DFI and retrospectively analyze the influence of presurgical antibiotic therapy (as binary (yes/no) or continuous (in days) variables) on failures after a combined surgical and medical treatment. In our large database, the presence, choice, administration routes, or duration of preoperative antibiotic therapy did not improve the postoperative outcomes of operated diabetic foot infections or prevent their failures. In turn, this lack of influence leaves space for enhanced antibiotic stewardship in the management of DFI.https://www.mdpi.com/2079-6382/13/12/1136diabetic foot infectionorthopedic surgerypreoperative antibioticspostoperative antibioticsantibiotic durationoutcome |
| spellingShingle | Thaddaeus Muri Madlaina Schöni Felix W. A. Waibel Dominique Altmann Christina Sydler Pascal R. Furrer Francesca Napoli İlker Uçkay Preoperative Antibiotic Administration Does Not Improve the Outcomes of Operated Diabetic Foot Infections Antibiotics diabetic foot infection orthopedic surgery preoperative antibiotics postoperative antibiotics antibiotic duration outcome |
| title | Preoperative Antibiotic Administration Does Not Improve the Outcomes of Operated Diabetic Foot Infections |
| title_full | Preoperative Antibiotic Administration Does Not Improve the Outcomes of Operated Diabetic Foot Infections |
| title_fullStr | Preoperative Antibiotic Administration Does Not Improve the Outcomes of Operated Diabetic Foot Infections |
| title_full_unstemmed | Preoperative Antibiotic Administration Does Not Improve the Outcomes of Operated Diabetic Foot Infections |
| title_short | Preoperative Antibiotic Administration Does Not Improve the Outcomes of Operated Diabetic Foot Infections |
| title_sort | preoperative antibiotic administration does not improve the outcomes of operated diabetic foot infections |
| topic | diabetic foot infection orthopedic surgery preoperative antibiotics postoperative antibiotics antibiotic duration outcome |
| url | https://www.mdpi.com/2079-6382/13/12/1136 |
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