Diagnosis and treatment of diabetic foot osteomyelitis

Abstract

osteomyelitis with a specific focus on advanced imaging modalities in terms of current evidence as well as emerging technological advances. Treatment Surgical resection of infected bone and tissues is typically the traditional approach for diabetic foot infection and osteomyelitis. 7 Surgery is rapidly effective in reducing the bacterial load at the infected site and can remove necrotic tissues that cannot be reached by antibiotics; however, this procedure is extremely invasive, leaves the patient's foot disfigured, and can potentially introduce new bacteria to the wound. 12 Moreover, recurrence of diabetic foot osteomyelitis has been noted in about 20% to 50% of the cases despite the use of surgical debridement and long-term antibiotic therapy. 11,13 In the modern management of diabetic foot osteomyelitis that was published in January of this year, key opinion leaders in infectious disease recommended that "Antibiotic therapy, preferably with oral agents guided by results of bone culture, for a duration of no more than 6 weeks,