Infectious Diseases and Clinical Microbiology, Adnan Menderes University, Aydın, Turkey.
Infectiology, Balgrist University Hospital, Zurich, Switzerland.
Expert Rev Anti Infect Ther. 2020 Apr;18(4):293-305. doi: 10.1080/14787210.2020.1730177. Epub 2020 Feb 19.
: In May 2019 the International Working Group on the Diabetic Foot (IWGDF) launched their quadrennially updated guidelines on the management of diabetic foot infections (DFIs). Concomitantly, the number of new publications regarding DFI increased.: The IWGDF committee developed and addressed key questions and produced evidence-based recommendations related to diagnosing and treating DFIs. This narrative review provides an overview of this new guideline and also of other recently published literature in the field of DFIs.: The 2019 IWGDF guidelines provide an authoritative, international, evidence-based approach to diagnosing and treating DFIs. The 27 recommendations are supported by systematic reviews of both diagnosis and interventions. Our review of this guideline, along with other recent publications in the field, allows us to offer state-of-the-art guidance for caring for these difficult infections. As the evidence base for management of DFIs remains suboptimal, we need further research to improve the management of DFIs.
: 2019 年 5 月，糖尿病足国际工作组（IWGDF）发布了其关于糖尿病足感染（DFI）管理的四年一度更新指南。与此同时，关于 DFI 的新出版物数量也有所增加。: IWGDF 委员会制定并解决了关键问题，并提出了与 DFI 的诊断和治疗相关的基于证据的建议。本叙述性综述提供了对该新指南的概述，以及 DFI 领域最近发表的其他文献的概述。: 2019 年 IWGDF 指南为 DFI 的诊断和治疗提供了权威、国际、基于证据的方法。27 项建议得到了对诊断和干预措施的系统审查的支持。我们对该指南的审查以及该领域的其他最新出版物使我们能够为治疗这些困难的感染提供最先进的指导。由于 DFI 管理的证据基础仍不理想，我们需要进一步的研究来改善 DFI 的管理。
