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Comparing swabs and samples in collecting information about infection in diabetic foot ulceratio

Not Applicable
Completed
Conditions
Diabetic Foot Ulcers (DFU)
Nutritional, Metabolic, Endocrine
Diabetic Foot Ulcers
Registration Number
ISRCTN52608451
Lead Sponsor
niversity of Leeds (UK)
Brief Summary

1. 2013 protocol in http://www.ncbi.nlm.nih.gov/pubmed/23293263 2. 2018 results in https://www.ncbi.nlm.nih.gov/pubmed/29391370

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
400
Inclusion Criteria

1. Patient has a diagnosis of diabetes (either type 1 or type 2)
2. Patient has a suspected ulcer infection with or without bone infection, based on clinical signs and symptoms using the Infectious Diseases Society of America / International Working Group on the Diabetic Foot (IDSA / IWGDF ? IWGDF, 2003) criteria and the judgment of the Investigator
3. The clinical plan is to treat the patient with antibiotics for their infected ulcer
4. Patient is at least 18 years of age at the time of signing the informed consent form
5. Patient is able to understand and willing to give written informed consent to participate in the study

Exclusion Criteria

1. The clinician deems it inappropriate to take a curette sample or a swab sample for any reason
2. The patient has already been recruited to the study

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1. Presence of likely pathogens (e.g. Staphylococcus aureus, Streptococci, Enterobacter aerogenes, Psuedomonas, Corynebacterium species, Fusobacterium species, Bacteriodes fragilis, Prevotella bivia)<br>2. Presence of antimicrobial resistance among likely pathogens<br>3. Number of species detected per specimen
Secondary Outcome Measures
NameTimeMethod
1. Appropriateness of empirical antibiotic therapy<br>2. Number and presence of pathogens isolated (conventional plating and molecular techniques)<br>3. Adverse events<br>4. Sampling costs
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