Validation of a Diabetic Foot Infection Classification System

Podiatry Arena Validation of a Diabetic Foot Infection Classification System

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Validation of a Diabetic Foot Infection Classification System

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24th January 2007, 12:32 PM

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Validation of a Diabetic Foot Infection Classification System

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Validation of the Infectious Diseases Society of America's Diabetic Foot Infection Classification System.
Clin Infect Dis. 2007 Feb 15;44(4):562-5
Lavery LA, Armstrong DG, Murdoch DP, Peters EJ, Lipsky BA

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In this longitudinal study of 1666 persons with diabetes, there was an observed trend toward an increased risk for amputation ( chi (2) test for trend, 108.0; P<.001), higher-level amputation ( chi (2) test for trend, 113.3; P<.001), and lower extremity-related hospitalization ( chi (2) test for trend, 118.6; P<.001) with increasing infection severity. The Infectious Diseases Society of America's foot infection classification system may be a useful tool for grading foot infections.

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24th January 2007, 02:56 PM

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Re: Validation of a Diabetic Foot Infection Classification System

For those not familiar with this system, its based on PEDIS:
P = perfusion
E = extent or size
D = depth or tissue loss
I = infection
S = sensation or neuropathy

Infection has the following grades:
Grade 1: no signs or symptoms of infection
Grade 2: in subcutaneous tissue only
Grade 3: extensive erythema, infection of deeper tissue
Grade 4: systemic inflammatory response indicating severe infection

The full guidelines are here: Diagnosis and Treatment of Diabetic Foot Infections

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