Evidence map›Paper›PMID 39010897›Full record

SynthesisFrontiers in endocrinology2024

Microbiological profile of diabetic foot infections in China and worldwide: a 20-year systematic review.

Yu-Dun Qu, Shuan-Ji Ou, Wei Zhang, Jia-Xuan Li, Chang-Liang Xia, Yang Yang, Jia-Bao Liu, Yun-Fei Ma, Nan Jiang, Ye-Yang Wang and 4 more

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in endocrinology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Characterization of Microbial Profiles and Antimicrobial Resistance in Diabetic Foot Ulcers at a Tertiary Care Facility in Northern China.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2025
    Article
  10. Article
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

14 authors.

Yu-Dun Qu *Department of Orthopedics, Guangdong Second Provincial General Hospital, Guangzhou, China.
Shuan-Ji Ou *Department of Orthopedics, Guangdong Second Provincial General Hospital, Guangzhou, China.
Wei Zhang *Department of Orthopedics, Guangdong Second Provincial General Hospital, Guangzhou, China.
Jia-Xuan LiDepartment of Orthopedics, Guangdong Second Provincial General Hospital, Guangzhou, China.
Chang-Liang XiaDepartment of Orthopedics, Guangdong Second Provincial General Hospital, Guangzhou, China.
Yang YangDepartment of Orthopedics, Guangdong Second Provincial General Hospital, Guangzhou, China.
Jia-Bao LiuDepartment of Orthopedics, Guangdong Second Provincial General Hospital, Guangzhou, China.
Yun-Fei MaDivision of Orthopedics and Traumatology, Department of Orthopedics, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Nan JiangDivision of Orthopedics and Traumatology, Department of Orthopedics, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Ye-Yang WangDepartment of Orthopedics, Guangdong Second Provincial General Hospital, Guangzhou, China.
Bo ChenEndocrinology Department, Guangdong Second Provincial General Hospital, Guangzhou, China.
Bin YuDivision of Orthopedics and Traumatology, Department of Orthopedics, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Yong QiDepartment of Orthopedics, Guangdong Second Provincial General Hospital, Guangzhou, China.
Chang-Peng XuDepartment of Orthopedics, Guangdong Second Provincial General Hospital, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Pathogens causing diabetic foot infections (DFIs) vary by region globally; however, knowledge of the causative organism is essential for effective empirical treatment. We aimed to determine the incidence and antibiotic susceptibility of DFI pathogens worldwide, focusing on Asia and China. Methods: Through a comprehensive literature search, we identified published studies on organisms isolated from DFI wounds from January 2000 to December 2020. Results: Based on our inclusion criteria, we analyzed 245 studies that cumulatively reported 38,744 patients and 41,427 isolated microorganisms. DFI pathogens varied according to time and region. Over time, the incidence of Gram-positive and Gram-negative aerobic bacteria have decreased and increased, respectively. America and Asia have the highest (62.74%) and lowest (44.82%) incidence of Gram-negative bacteria, respectively. Africa has the highest incidence (26.90%) of methicillin-resistant Staphylococcus aureus. Asia has the highest incidence (49.36%) of Gram-negative aerobic bacteria with species infection rates as follows: Discussion: This systematic review showed that over 20 years, the pathogens causing DFIs varied considerably over time and region. This data may inform local clinical guidelines on empirical antibiotic therapy for DFI in China and globally. Regular large-scale epidemiological studies are necessary to identify trends in DFI pathogenic bacteria. Systematic review registration: https://www.crd.york.ac.uk/prospero/, identifier CRD42023447645.

Indexed as

Anti-Bacterial AgentsDiabetic FootBacterial InfectionsChinaHumansIncidenceAnti-Bacterial Agentsantibioticsdiabetic footdrug sensitivity testinfection - immunologypathogenic bacteria

Identifiers

PMID39010897
PMCPMC11247326

What OpenQuestion holds

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Registered trials

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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.