Evidence map›Paper›PMID 35415069›Full record

ReviewJournal of bone and joint infection2022

Short and oral antimicrobial therapy for diabetic foot infection: a narrative review of current knowledge.

Steven M Maurer, Zehra S Hepp, Shawna McCallin, Felix W A Waibel, Federico C Romero, Yılmaz Zorman, Benjamin A Lipsky, İlker Uçkay

Open access · goldAbstract readReview
In one paragraph

Review in Journal of bone and joint infection, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.2field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 4 countries.

Steven M MaurerOrthopedic Surgery, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.ORCID https://orcid.org/0000-0003-4346-0528
Zehra S HeppOrthopedic Surgery, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.
Shawna McCallinClinical and Phage Research, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.
Felix W A WaibelOrthopedic Surgery, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.
Federico C RomeroDepartment of Infectious Diseases, Sanatorio Allende Hospital, Córdoba, Argentina.
Yılmaz ZormanCardiovascular Surgery Department, Koç University Hospital, Istanbul, Turkey.
Benjamin A LipskyDepartment of Medicine, University of Washington, Seattle, USA.
İlker UçkayInfectiology, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.ORCID https://orcid.org/0000-0002-5552-0973
University of Zurich · CHFundacion Allende · ARKoç University · TRUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diabetic foot infection is a frequent complication in long-standing diabetes mellitus. For antimicrobial therapy of this infection, both the optimal duration and the route of administration are often based more on expert opinion than on published evidence. We reviewed the scientific literature, specifically seeking prospective trials, and aimed at addressing two clinical issues: (1) shortening the currently recommended antibiotic duration and (2) using oral (rather than parenteral) therapy, especially after the patient has undergone debridement and revascularization. We also reviewed some older key articles that are critical to our understanding of the treatment of these infections, particularly with respect to diabetic foot osteomyelitis. Our conclusion is that the maximum duration of antibiotic therapy for osteomyelitis should be no more than to 4-6 weeks and might even be shorter in selected cases. In the future, in addition to conducting randomized trials and propagating national and international guidance, we should also explore innovative strategies, such as intraosseous antibiotic agents and bacteriophages.

Identifiers

PMID35415069
PMCPMC8990364
OpenAlexW4220740837

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.