Diagnostic Criteria
Diagnose infection based on:
Etiology
Typically polymicrobial with aerobic gram-positive cocci, aerobic gram-negative rods, and anaerobes
If no break in skin
No concern for anaerobes; anaerobic coverage is not necessary
If patient is hemodynamically stable
Hold antibiotics prior to cultures
Obtain post-debridement cultures and de-escalate based upon susceptibilities
Mild Infection Severity (PEDIS Grade 2)
Moderate Infection Severity (PEDIS Grade 3)
Severe Infection Severity (PEDIS Grade 4)
Reference
Lipsky BA, Berendt AR, Cornia PB et al. 2012 Infectious Diseases Society of America Clinical Practice Guidelines for the Diagnosis and Treatment of Diabetic Foot Infections. Clin Infect Dis 2012;54(12):132-173.