糖尿病足骨髓炎的治疗是否应基于骨活检？
Should Treatment of Diabetic Foot Osteomyelitis Be Based on Bone Biopsies?
机构信息
1 Department of Orthopaedics, The Royal London Hospital, Barts Health NHS Trust, London, United Kingdom.
出版信息
Foot Ankle Int. 2019 Jul;40(1_suppl):73S-74S. doi: 10.1177/1071100719861647.
RECOMMENDATION
Yes. Bone biopsies play both a crucial diagnostic and interventional role in the management of diabetic foot infection. Although bone biopsies are not required in every case of diabetic foot infection, their most important role is in guiding accurate antibiotic treatment, as they provide more accurate microbiological information than superficial soft tissue samples in patients with diabetic foot osteomyelitis.
LEVEL OF EVIDENCE
Moderate.
DELEGATE VOTE
Agree: 100%, Disagree: 0%, Abstain: 0% (Unanimous, Strongest Consensus).
推荐意见
是。骨活检在糖尿病足感染的管理中具有重要的诊断和介入作用。尽管骨活检并非糖尿病足感染的每个病例都必需，但它最重要的作用是指导准确的抗生素治疗，因为与糖尿病足骨髓炎患者的浅层软组织样本相比，骨活检提供了更准确的微生物学信息。
证据等级
中。
代表投票
同意：100%，不同意：0%，弃权：0%（一致同意，最强共识）。
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