Correlation of adherence to the 2012 Infectious Diseases Society of America practice guidelines with patient outcomes in the treatment of diabetic foot infections in an outpatient parenteral antimicrobial programme
Aim To evaluate adherence to the 2012 Infectious Diseases Society of America practice guidelines for the management of patients with diabetic foot infections and to determine an association between adherence and clinical outcome. Methods A retrospective chart review was performed to evaluate the man...
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| Veröffentlicht in: | Diabetic medicine 2014-09, Vol.31 (9), p.1114-1120 |
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| creator | Pence, L. M. Mock, C. M. Kays, M. B. Damer, K. M. Muloma, E. W. Erdman, S. M. |
| description | Aim
To evaluate adherence to the 2012 Infectious Diseases Society of America practice guidelines for the management of patients with diabetic foot infections and to determine an association between adherence and clinical outcome.
Methods
A retrospective chart review was performed to evaluate the management and clinical outcomes of patients with diabetic foot infections treated with outpatient parenteral antimicrobial therapy between 1 January 2011 and 30 June 2012 at Wishard Health Services/Eskenazi Health. Adherence to individual Infectious Diseases Society of America diabetic foot infection treatment guideline recommendations was measured, and then assessed in relation to clinical outcome.
Results
A total of 57 patients (61% male, mean age 54 years) with moderate to severe diabetic foot infection met the inclusion criteria. None of the treatment courses of these patients adhered to all the Infectious Diseases Society of America guideline recommendations. The recommendations most frequently adhered to were consultation of appropriate multidisciplinary teams (n=54, 94.7%) and performance of diagnostic imaging (n=52, 89.5%). The recommendations least frequently adhered to were diabetic foot wound classification scoring on admission (n=0, 0%), appropriate culture acquisition (n=12, 21.2%), surgical intervention when indicated (n=32, 46.2%) and appropriate empiric antibiotic selection (n=34, 59.7%). Of 56 patients, 52 (92.9%) experienced clinical cure at the end of outpatient parenteral antimicrobial therapy compared with 34 of 53 patients (64%) at 6 months after the completion of therapy. Adherence to individual guidelines was not associated with clinical outcome. Patients who experienced treatment failure were more likely to have severe diabetic foot infection or peripheral neuropathy.
Conclusions
Adherence to the Infectious Diseases Society of America diabetic foot infection guideline recommendations was found to be suboptimal in the present study. The effect of adhering to individual Infectious Diseases Society of America diabetic foot infection recommendations on clinical outcome needs to be investigated.
What's new?
Few studies describe clinician adherence to the 2012 Infectious Diseases Society of America clinical practice guideline recommendations for the diagnosis and management of diabetic foot infections.
The present research includes a comprehensive approach to analysing the key components of the management required for successful outcomes in pati |
| doi_str_mv | 10.1111/dme.12501 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1554472342</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1554472342</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5261-b64056d212e92a120f0ea983f085e54035c1092030852388e6d672e1e5f0a5473</originalsourceid><addsrcrecordid>eNp10dtu1DAQBuAIgehSuOAFkCWEBBdpfYhzuKy2pVtUTgVUiRvL60y6Lom92I7KvijPw-ypSEjkJrL9_TNOJsueM3rE8DluBzhiXFL2IJuwoixyWTTsYTahVcFzQSt2kD2J8ZZSxhvRPM4OeFEjp2yS_Z76EKDXyXpHfEd0u4AAzgBJnqQFEI4hcuE6MEjGSE5tBB0hki_eWEirdehkgGCNJsugUWH2ZrQt9NYhu7NpQZZYH1wifkzGD7hr3aZ4CqDTsDnpSGv1HDBOOu8Tim1Lt8HarbP7MkuNV0wQdI8HyQ7WBD-3uFoGfxP0MMDT7FGn-wjPdu_D7Nvbs6_TWX758fxienKZG8lLls_Lgsqy5YxDwzXjtKOgm1p0tJYgCyqkYbThVOCai7qGsi0rDgxkR7UsKnGYvd7Wxc4_R4hJDTYa6HvtAP-WYlIWRcVFwZG-_Ife-jE4vN1aibKqGspQvdkq_KQYA3RqGeygw0oxqtbDVjhstRk22he7iuN8gPZe7qeL4NUO6Gh03wXtjI1_XV3WVFZrd7x1d7aH1f87qtP3Z_vW-TZhY4Jf9wkdfqiyEpVU1x_O1ezd1ezq--dr9Un8AdZJ0h4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1553677901</pqid></control><display><type>article</type><title>Correlation of adherence to the 2012 Infectious Diseases Society of America practice guidelines with patient outcomes in the treatment of diabetic foot infections in an outpatient parenteral antimicrobial programme</title><source>MEDLINE</source><source>Wiley Journals</source><creator>Pence, L. M. ; Mock, C. M. ; Kays, M. B. ; Damer, K. M. ; Muloma, E. W. ; Erdman, S. M.</creator><creatorcontrib>Pence, L. M. ; Mock, C. M. ; Kays, M. B. ; Damer, K. M. ; Muloma, E. W. ; Erdman, S. M.</creatorcontrib><description>Aim
To evaluate adherence to the 2012 Infectious Diseases Society of America practice guidelines for the management of patients with diabetic foot infections and to determine an association between adherence and clinical outcome.
Methods
A retrospective chart review was performed to evaluate the management and clinical outcomes of patients with diabetic foot infections treated with outpatient parenteral antimicrobial therapy between 1 January 2011 and 30 June 2012 at Wishard Health Services/Eskenazi Health. Adherence to individual Infectious Diseases Society of America diabetic foot infection treatment guideline recommendations was measured, and then assessed in relation to clinical outcome.
Results
A total of 57 patients (61% male, mean age 54 years) with moderate to severe diabetic foot infection met the inclusion criteria. None of the treatment courses of these patients adhered to all the Infectious Diseases Society of America guideline recommendations. The recommendations most frequently adhered to were consultation of appropriate multidisciplinary teams (n=54, 94.7%) and performance of diagnostic imaging (n=52, 89.5%). The recommendations least frequently adhered to were diabetic foot wound classification scoring on admission (n=0, 0%), appropriate culture acquisition (n=12, 21.2%), surgical intervention when indicated (n=32, 46.2%) and appropriate empiric antibiotic selection (n=34, 59.7%). Of 56 patients, 52 (92.9%) experienced clinical cure at the end of outpatient parenteral antimicrobial therapy compared with 34 of 53 patients (64%) at 6 months after the completion of therapy. Adherence to individual guidelines was not associated with clinical outcome. Patients who experienced treatment failure were more likely to have severe diabetic foot infection or peripheral neuropathy.
Conclusions
Adherence to the Infectious Diseases Society of America diabetic foot infection guideline recommendations was found to be suboptimal in the present study. The effect of adhering to individual Infectious Diseases Society of America diabetic foot infection recommendations on clinical outcome needs to be investigated.
What's new?
Few studies describe clinician adherence to the 2012 Infectious Diseases Society of America clinical practice guideline recommendations for the diagnosis and management of diabetic foot infections.
The present research includes a comprehensive approach to analysing the key components of the management required for successful outcomes in patients with diabetic foot infections, including identification of risk factors for treatment failure.
Few studies describe the safety and efficacy of outpatient parenteral antimicrobial therapy for the treatment of diabetic foot infection.
Areas of non‐adherence led to process improvement initiatives at our institution, which can be used by other institutions who manage patients with diabetic foot infections.</description><identifier>ISSN: 0742-3071</identifier><identifier>EISSN: 1464-5491</identifier><identifier>DOI: 10.1111/dme.12501</identifier><identifier>PMID: 24825001</identifier><identifier>CODEN: DIMEEV</identifier><language>eng</language><publisher>Oxford: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Anti-Bacterial Agents - therapeutic use ; Bacterial Infections - diagnosis ; Bacterial Infections - drug therapy ; Bacterial Infections - microbiology ; Biological and medical sciences ; Debridement ; Diabetes ; Diabetes. Impaired glucose tolerance ; Diabetic Foot - diagnosis ; Diabetic Foot - drug therapy ; Diabetic Foot - microbiology ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Feeding. Feeding behavior ; Female ; Fundamental and applied biological sciences. Psychology ; Glycated Hemoglobin A - metabolism ; Guideline Adherence ; Humans ; Indiana - epidemiology ; Male ; Medical sciences ; Middle Aged ; Practice Guidelines as Topic ; Retrospective Studies ; Risk Factors ; Treatment Outcome ; Ulcer - microbiology ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Vertebrates: endocrinology</subject><ispartof>Diabetic medicine, 2014-09, Vol.31 (9), p.1114-1120</ispartof><rights>2014 The Authors. Diabetic Medicine © 2014 Diabetes UK</rights><rights>2015 INIST-CNRS</rights><rights>2014 The Authors. Diabetic Medicine © 2014 Diabetes UK.</rights><rights>Diabetic Medicine © 2014 Diabetes UK</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5261-b64056d212e92a120f0ea983f085e54035c1092030852388e6d672e1e5f0a5473</citedby><cites>FETCH-LOGICAL-c5261-b64056d212e92a120f0ea983f085e54035c1092030852388e6d672e1e5f0a5473</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fdme.12501$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fdme.12501$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28680571$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24825001$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pence, L. M.</creatorcontrib><creatorcontrib>Mock, C. M.</creatorcontrib><creatorcontrib>Kays, M. B.</creatorcontrib><creatorcontrib>Damer, K. M.</creatorcontrib><creatorcontrib>Muloma, E. W.</creatorcontrib><creatorcontrib>Erdman, S. M.</creatorcontrib><title>Correlation of adherence to the 2012 Infectious Diseases Society of America practice guidelines with patient outcomes in the treatment of diabetic foot infections in an outpatient parenteral antimicrobial programme</title><title>Diabetic medicine</title><addtitle>Diabet. Med</addtitle><description>Aim
To evaluate adherence to the 2012 Infectious Diseases Society of America practice guidelines for the management of patients with diabetic foot infections and to determine an association between adherence and clinical outcome.
Methods
A retrospective chart review was performed to evaluate the management and clinical outcomes of patients with diabetic foot infections treated with outpatient parenteral antimicrobial therapy between 1 January 2011 and 30 June 2012 at Wishard Health Services/Eskenazi Health. Adherence to individual Infectious Diseases Society of America diabetic foot infection treatment guideline recommendations was measured, and then assessed in relation to clinical outcome.
Results
A total of 57 patients (61% male, mean age 54 years) with moderate to severe diabetic foot infection met the inclusion criteria. None of the treatment courses of these patients adhered to all the Infectious Diseases Society of America guideline recommendations. The recommendations most frequently adhered to were consultation of appropriate multidisciplinary teams (n=54, 94.7%) and performance of diagnostic imaging (n=52, 89.5%). The recommendations least frequently adhered to were diabetic foot wound classification scoring on admission (n=0, 0%), appropriate culture acquisition (n=12, 21.2%), surgical intervention when indicated (n=32, 46.2%) and appropriate empiric antibiotic selection (n=34, 59.7%). Of 56 patients, 52 (92.9%) experienced clinical cure at the end of outpatient parenteral antimicrobial therapy compared with 34 of 53 patients (64%) at 6 months after the completion of therapy. Adherence to individual guidelines was not associated with clinical outcome. Patients who experienced treatment failure were more likely to have severe diabetic foot infection or peripheral neuropathy.
Conclusions
Adherence to the Infectious Diseases Society of America diabetic foot infection guideline recommendations was found to be suboptimal in the present study. The effect of adhering to individual Infectious Diseases Society of America diabetic foot infection recommendations on clinical outcome needs to be investigated.
What's new?
Few studies describe clinician adherence to the 2012 Infectious Diseases Society of America clinical practice guideline recommendations for the diagnosis and management of diabetic foot infections.
The present research includes a comprehensive approach to analysing the key components of the management required for successful outcomes in patients with diabetic foot infections, including identification of risk factors for treatment failure.
Few studies describe the safety and efficacy of outpatient parenteral antimicrobial therapy for the treatment of diabetic foot infection.
Areas of non‐adherence led to process improvement initiatives at our institution, which can be used by other institutions who manage patients with diabetic foot infections.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Bacterial Infections - diagnosis</subject><subject>Bacterial Infections - drug therapy</subject><subject>Bacterial Infections - microbiology</subject><subject>Biological and medical sciences</subject><subject>Debridement</subject><subject>Diabetes</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Diabetic Foot - diagnosis</subject><subject>Diabetic Foot - drug therapy</subject><subject>Diabetic Foot - microbiology</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Etiopathogenesis. Screening. Investigations. Target tissue resistance</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Glycated Hemoglobin A - metabolism</subject><subject>Guideline Adherence</subject><subject>Humans</subject><subject>Indiana - epidemiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Practice Guidelines as Topic</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Treatment Outcome</subject><subject>Ulcer - microbiology</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>Vertebrates: endocrinology</subject><issn>0742-3071</issn><issn>1464-5491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10dtu1DAQBuAIgehSuOAFkCWEBBdpfYhzuKy2pVtUTgVUiRvL60y6Lom92I7KvijPw-ypSEjkJrL9_TNOJsueM3rE8DluBzhiXFL2IJuwoixyWTTsYTahVcFzQSt2kD2J8ZZSxhvRPM4OeFEjp2yS_Z76EKDXyXpHfEd0u4AAzgBJnqQFEI4hcuE6MEjGSE5tBB0hki_eWEirdehkgGCNJsugUWH2ZrQt9NYhu7NpQZZYH1wifkzGD7hr3aZ4CqDTsDnpSGv1HDBOOu8Tim1Lt8HarbP7MkuNV0wQdI8HyQ7WBD-3uFoGfxP0MMDT7FGn-wjPdu_D7Nvbs6_TWX758fxienKZG8lLls_Lgsqy5YxDwzXjtKOgm1p0tJYgCyqkYbThVOCai7qGsi0rDgxkR7UsKnGYvd7Wxc4_R4hJDTYa6HvtAP-WYlIWRcVFwZG-_Ife-jE4vN1aibKqGspQvdkq_KQYA3RqGeygw0oxqtbDVjhstRk22he7iuN8gPZe7qeL4NUO6Gh03wXtjI1_XV3WVFZrd7x1d7aH1f87qtP3Z_vW-TZhY4Jf9wkdfqiyEpVU1x_O1ezd1ezq--dr9Un8AdZJ0h4</recordid><startdate>201409</startdate><enddate>201409</enddate><creator>Pence, L. M.</creator><creator>Mock, C. M.</creator><creator>Kays, M. B.</creator><creator>Damer, K. M.</creator><creator>Muloma, E. W.</creator><creator>Erdman, S. M.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope></search><sort><creationdate>201409</creationdate><title>Correlation of adherence to the 2012 Infectious Diseases Society of America practice guidelines with patient outcomes in the treatment of diabetic foot infections in an outpatient parenteral antimicrobial programme</title><author>Pence, L. M. ; Mock, C. M. ; Kays, M. B. ; Damer, K. M. ; Muloma, E. W. ; Erdman, S. M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5261-b64056d212e92a120f0ea983f085e54035c1092030852388e6d672e1e5f0a5473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Bacterial Infections - diagnosis</topic><topic>Bacterial Infections - drug therapy</topic><topic>Bacterial Infections - microbiology</topic><topic>Biological and medical sciences</topic><topic>Debridement</topic><topic>Diabetes</topic><topic>Diabetes. Impaired glucose tolerance</topic><topic>Diabetic Foot - diagnosis</topic><topic>Diabetic Foot - drug therapy</topic><topic>Diabetic Foot - microbiology</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Etiopathogenesis. Screening. Investigations. Target tissue resistance</topic><topic>Feeding. Feeding behavior</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Glycated Hemoglobin A - metabolism</topic><topic>Guideline Adherence</topic><topic>Humans</topic><topic>Indiana - epidemiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Practice Guidelines as Topic</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Treatment Outcome</topic><topic>Ulcer - microbiology</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>Vertebrates: endocrinology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pence, L. M.</creatorcontrib><creatorcontrib>Mock, C. M.</creatorcontrib><creatorcontrib>Kays, M. B.</creatorcontrib><creatorcontrib>Damer, K. M.</creatorcontrib><creatorcontrib>Muloma, E. W.</creatorcontrib><creatorcontrib>Erdman, S. M.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Diabetic medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pence, L. M.</au><au>Mock, C. M.</au><au>Kays, M. B.</au><au>Damer, K. M.</au><au>Muloma, E. W.</au><au>Erdman, S. M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Correlation of adherence to the 2012 Infectious Diseases Society of America practice guidelines with patient outcomes in the treatment of diabetic foot infections in an outpatient parenteral antimicrobial programme</atitle><jtitle>Diabetic medicine</jtitle><addtitle>Diabet. Med</addtitle><date>2014-09</date><risdate>2014</risdate><volume>31</volume><issue>9</issue><spage>1114</spage><epage>1120</epage><pages>1114-1120</pages><issn>0742-3071</issn><eissn>1464-5491</eissn><coden>DIMEEV</coden><abstract>Aim
To evaluate adherence to the 2012 Infectious Diseases Society of America practice guidelines for the management of patients with diabetic foot infections and to determine an association between adherence and clinical outcome.
Methods
A retrospective chart review was performed to evaluate the management and clinical outcomes of patients with diabetic foot infections treated with outpatient parenteral antimicrobial therapy between 1 January 2011 and 30 June 2012 at Wishard Health Services/Eskenazi Health. Adherence to individual Infectious Diseases Society of America diabetic foot infection treatment guideline recommendations was measured, and then assessed in relation to clinical outcome.
Results
A total of 57 patients (61% male, mean age 54 years) with moderate to severe diabetic foot infection met the inclusion criteria. None of the treatment courses of these patients adhered to all the Infectious Diseases Society of America guideline recommendations. The recommendations most frequently adhered to were consultation of appropriate multidisciplinary teams (n=54, 94.7%) and performance of diagnostic imaging (n=52, 89.5%). The recommendations least frequently adhered to were diabetic foot wound classification scoring on admission (n=0, 0%), appropriate culture acquisition (n=12, 21.2%), surgical intervention when indicated (n=32, 46.2%) and appropriate empiric antibiotic selection (n=34, 59.7%). Of 56 patients, 52 (92.9%) experienced clinical cure at the end of outpatient parenteral antimicrobial therapy compared with 34 of 53 patients (64%) at 6 months after the completion of therapy. Adherence to individual guidelines was not associated with clinical outcome. Patients who experienced treatment failure were more likely to have severe diabetic foot infection or peripheral neuropathy.
Conclusions
Adherence to the Infectious Diseases Society of America diabetic foot infection guideline recommendations was found to be suboptimal in the present study. The effect of adhering to individual Infectious Diseases Society of America diabetic foot infection recommendations on clinical outcome needs to be investigated.
What's new?
Few studies describe clinician adherence to the 2012 Infectious Diseases Society of America clinical practice guideline recommendations for the diagnosis and management of diabetic foot infections.
The present research includes a comprehensive approach to analysing the key components of the management required for successful outcomes in patients with diabetic foot infections, including identification of risk factors for treatment failure.
Few studies describe the safety and efficacy of outpatient parenteral antimicrobial therapy for the treatment of diabetic foot infection.
Areas of non‐adherence led to process improvement initiatives at our institution, which can be used by other institutions who manage patients with diabetic foot infections.</abstract><cop>Oxford</cop><pub>Blackwell Publishing Ltd</pub><pmid>24825001</pmid><doi>10.1111/dme.12501</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Diabetic medicine, 2014-09, Vol.31 (9), p.1114-1120 |
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| subjects | Adult Aged Aged, 80 and over Anti-Bacterial Agents - therapeutic use Bacterial Infections - diagnosis Bacterial Infections - drug therapy Bacterial Infections - microbiology Biological and medical sciences Debridement Diabetes Diabetes. Impaired glucose tolerance Diabetic Foot - diagnosis Diabetic Foot - drug therapy Diabetic Foot - microbiology Endocrine pancreas. Apud cells (diseases) Endocrinopathies Etiopathogenesis. Screening. Investigations. Target tissue resistance Feeding. Feeding behavior Female Fundamental and applied biological sciences. Psychology Glycated Hemoglobin A - metabolism Guideline Adherence Humans Indiana - epidemiology Male Medical sciences Middle Aged Practice Guidelines as Topic Retrospective Studies Risk Factors Treatment Outcome Ulcer - microbiology Vertebrates: anatomy and physiology, studies on body, several organs or systems Vertebrates: endocrinology |
| title | Correlation of adherence to the 2012 Infectious Diseases Society of America practice guidelines with patient outcomes in the treatment of diabetic foot infections in an outpatient parenteral antimicrobial programme |
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