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Timing and choice of antibiotic Tx are key to diabetic foot care.(Clinical Rounds)

Publication: Skin & Allergy News

Publication Date: 01-SEP-05

Author: Lesney, Mark S.
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COPYRIGHT 2005 International Medical News Group

CHICAGO -- Clinical symptoms are critical when distinguishing between uninfected and mildly infected diabetic foot lesions, Warren S. Joseph, D.P.M., reported at the Vascular Annual Meeting.

For instance, lack of cellulitis indicates lack of infection, as does good granulation. If the wound is purulent, it is infected.

Surprisingly, culturing the wound for microorganisms is not the best way to diagnose infection.

This is because even noninfected diabetic foot lesions are "wound toilets" or, less bluntly, they have a significant "bioburden or bioload" of microorganisms that are simply colonizing...

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