antibiotics versus conservative surgery for treating diabetic foot osteomyelitis: a randomized
DESCRIPTION
Featured Article :. Antibiotics Versus Conservative Surgery for Treating Diabetic Foot Osteomyelitis: A Randomized Comparative Trial. José Luis Lázaro-Martínez, Javier Aragón- Sánchez, and Esther García-Morales. Diabetes Care Volume 37: 789-795 March, 2014. STUDY OBJECTIVE. - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Antibiotics Versus Conservative Surgery for Treating Diabetic Foot Osteomyelitis: A Randomized](https://reader035.vdocument.in/reader035/viewer/2022062422/56812d21550346895d921d6e/html5/thumbnails/1.jpg)
Antibiotics Versus ConservativeSurgery for Treating Diabetic Foot
Osteomyelitis: A RandomizedComparative Trial
Featured Article:
José Luis Lázaro-Martínez, Javier Aragón- Sánchez, and Esther García-Morales
Diabetes Care Volume 37: 789-795
March, 2014
![Page 2: Antibiotics Versus Conservative Surgery for Treating Diabetic Foot Osteomyelitis: A Randomized](https://reader035.vdocument.in/reader035/viewer/2022062422/56812d21550346895d921d6e/html5/thumbnails/2.jpg)
STUDY OBJECTIVE
• To compare the treatment outcomes of diabetic foot osteomyelitis in patients treated exclusively with antibiotics versus patients who underwent conservative surgery
• Follow-up occurred for 12 weeks after healing
Lázaro-Martínez J. L. et al. Diabetes Care 2014;37:789-795
![Page 3: Antibiotics Versus Conservative Surgery for Treating Diabetic Foot Osteomyelitis: A Randomized](https://reader035.vdocument.in/reader035/viewer/2022062422/56812d21550346895d921d6e/html5/thumbnails/3.jpg)
STUDY DESIGN AND METHODS
• Prospective randomized comparative trial was carried out in diabetes patients with neuropathic foot ulcers complicated by osteomyelitis
• Patients were randomized into two groups:
• Antibiotics group (AG)
• Surgical group (SG)
• Antibiotics were given for 90 days in AG
• SG received conservative surgery with postoperative antibiotic treatment for 10 days
Lázaro-Martínez J. L. et al. Diabetes Care 2014;37:789-795
![Page 4: Antibiotics Versus Conservative Surgery for Treating Diabetic Foot Osteomyelitis: A Randomized](https://reader035.vdocument.in/reader035/viewer/2022062422/56812d21550346895d921d6e/html5/thumbnails/4.jpg)
RESULTS
• 18 patients (75%) achieved primary healing in AG and 19 (86.3%) in SG
• Median time to healing was 7 weeks in AG and 6 weeks in SG
• Conditions of four patients from AG worsened (16.6%), and they underwent surgery
• Three patients from SG required reoperation
• No difference was found between the two groups regarding minor amputations
Lázaro-Martínez J. L. et al. Diabetes Care 2014;37:789-795
![Page 5: Antibiotics Versus Conservative Surgery for Treating Diabetic Foot Osteomyelitis: A Randomized](https://reader035.vdocument.in/reader035/viewer/2022062422/56812d21550346895d921d6e/html5/thumbnails/5.jpg)
Lázaro-Martínez J. L. et al. Diabetes Care 2014;37:789-795
![Page 6: Antibiotics Versus Conservative Surgery for Treating Diabetic Foot Osteomyelitis: A Randomized](https://reader035.vdocument.in/reader035/viewer/2022062422/56812d21550346895d921d6e/html5/thumbnails/6.jpg)
Lázaro-Martínez J. L. et al. Diabetes Care 2014;37:789-795
![Page 7: Antibiotics Versus Conservative Surgery for Treating Diabetic Foot Osteomyelitis: A Randomized](https://reader035.vdocument.in/reader035/viewer/2022062422/56812d21550346895d921d6e/html5/thumbnails/7.jpg)
Lázaro-Martínez J. L. et al. Diabetes Care 2014;37:789-795
![Page 8: Antibiotics Versus Conservative Surgery for Treating Diabetic Foot Osteomyelitis: A Randomized](https://reader035.vdocument.in/reader035/viewer/2022062422/56812d21550346895d921d6e/html5/thumbnails/8.jpg)
CONCLUSIONS
• Antibiotic therapy and surgical treatment had similar outcomes in terms of healing rates, time to healing, and short-term complications
Lázaro-Martínez J. L. et al. Diabetes Care 2014;37:789-795
![Page 9: Antibiotics Versus Conservative Surgery for Treating Diabetic Foot Osteomyelitis: A Randomized](https://reader035.vdocument.in/reader035/viewer/2022062422/56812d21550346895d921d6e/html5/thumbnails/9.jpg)
Lázaro-Martínez J. L. et al. Diabetes Care 2014;37:789-795
![Page 10: Antibiotics Versus Conservative Surgery for Treating Diabetic Foot Osteomyelitis: A Randomized](https://reader035.vdocument.in/reader035/viewer/2022062422/56812d21550346895d921d6e/html5/thumbnails/10.jpg)
Lázaro-Martínez J. L. et al. Diabetes Care 2014;37:789-795