Local antibiotic delivery systems in diabetic foot osteomyelitis: time for one step beyond?

Int J Low Extrem Wounds. 2015 Mar;14(1):87-91. doi: 10.1177/1534734614566937. Epub 2015 Jan 19.

Abstract

In patients with diabetes mellitus, osteomyelitis is a severe, difficult-to-treat form of foot infection. In the management of diabetic foot osteomyelitis, carriers for local delivery of antimicrobial agents have begun to be tried, in an attempt to provide high local antibiotic concentrations. Randomized clinical trials are now expected to clarify when this new approach should be used and how it can be integrated into the overall therapeutic strategy for diabetic foot osteomyelitis.

Keywords: antibiotics; delivery systems; diabetes mellitus; diabetic foot; infections; osteomyelitis; treatment.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / administration & dosage*
  • Debridement
  • Diabetic Foot / complications
  • Diabetic Foot / therapy*
  • Drug Delivery Systems / methods*
  • Humans
  • Osteomyelitis / etiology
  • Osteomyelitis / therapy*

Substances

  • Anti-Bacterial Agents