{"id":6066,"date":"2020-07-02T15:29:29","date_gmt":"2020-07-02T14:29:29","guid":{"rendered":"https:\/\/www.library.sath.nhs.uk\/research\/?p=6066"},"modified":"2020-07-02T16:28:23","modified_gmt":"2020-07-02T15:28:23","slug":"the-diabetic-foot-get-your-patient-on-the-right-antibiotics-2019","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2020\/07\/02\/the-diabetic-foot-get-your-patient-on-the-right-antibiotics-2019\/","title":{"rendered":"The diabetic foot: Get your patient on the right antibiotics! (2019)"},"content":{"rendered":"<p><strong>Type of publication:<\/strong><br \/>\nConference abstract<\/p>\n<p><strong>Author(s):<\/strong><br \/>\n*Lefroy R.; Summerour V.; *McMullen K.; Corfield L.<\/p>\n<p><strong>Citation:<\/strong><br \/>\nBritish Journal of Surgery; Sep 2019; vol. 106, S5, p. 165<\/p>\n<p><strong>Abstract:<\/strong><br \/>\nAim: The National Institute for Clinical Excellence has established evidence-based guidelines for the<br \/>\nmanagement of diabetic foot infection. These follow basic principles of treating infections with broad spectrum<br \/>\nantibiotics until cultures provide more accurate guidance for antibiotic treatment. This audit aimed to assess<br \/>\nthe practice of a tertiary vascular centre against this guideline, to bring in measures to improve practice and<br \/>\nthen to re-examine this practice.<br \/>\nMethod(s): Data was collected retrospectively for all patients who underwent an emergency operative<br \/>\nintervention for a diabetic foot infection under the care of vascular surgery (n=122). Data collection focused on<br \/>\nmicrobiological samples sent and antibiotics prescribed. The results were shared with the surgical unit and the<br \/>\nguidelines reiterated. A proforma was trialled and one month of patients with diabetic foot infection admitted<br \/>\nas emergencies were prospectively reviewed.<br \/>\nResult(s): Initially, we showed that only 36% had microbiological samples sent at the time of their procedure. Of these, almost half were on antimicrobial therapy not tailored to sensitivities. Following education and<br \/>\ninstigation of our proforma, we demonstrated that 77% of patients had samples and improving rates of<br \/>\nappropriate antibiotic prescriptions.<br \/>\nConclusion(s): Our data demonstrates significant improvement in these patients management. Doctors must<br \/>\ncheck sensitivities of samples to ensure antibiotic stewardship.<\/p>\n<p><a href=\"https:\/\/bjssjournals.onlinelibrary.wiley.com\/doi\/10.1002\/bjs.11345\" target=\"_blank\" rel=\"noopener noreferrer\">Link to full-text<\/a> [NHS OpenAthens account required]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of publication: Conference abstract Author(s): *Lefroy R.; Summerour V.; *McMullen K.; Corfield L. Citation: British Journal of Surgery; Sep 2019; vol. 106, S5, p. 165 Abstract: Aim: The National Institute for Clinical Excellence has established evidence-based guidelines for the<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/www.library.sath.nhs.uk\/research\/2020\/07\/02\/the-diabetic-foot-get-your-patient-on-the-right-antibiotics-2019\/\">Read more <span class=\"screen-reader-text\">The diabetic foot: Get your patient on the right antibiotics! (2019)<\/span><span class=\"meta-nav\"> &#8250;<\/span><\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[200],"tags":[832,652,869],"class_list":["post-6066","post","type-post","status-publish","format-standard","hentry","category-staff-publication","tag-832","tag-antibiotics","tag-diabetic-foot"],"_links":{"self":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/6066","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/comments?post=6066"}],"version-history":[{"count":2,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/6066\/revisions"}],"predecessor-version":[{"id":6073,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/6066\/revisions\/6073"}],"wp:attachment":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/media?parent=6066"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/categories?post=6066"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/tags?post=6066"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}