Anaerobes in Diabetic Foot Infections

by Matthew Songin Patient Caseson Posted on

👴 has a diabetic foot infection and is started on empiric ceftriaxone and vancomycin. The wound is without necrosis or gas formation and there are no concerns with limb ischemia. Should metronidazole be added?

How did others respond?

Reveal the answer

Best Answer

No

Explanation: Anaerobic bacteria presence in DFI is often under-identified by conventional culture. Broad anaerobic coverage in DFIs is generally indicated only in the presence of necrosis, ischemia, or gas formation. Limited available data suggests that routine anaerobic coverage does not significantly impact outcomes,

Click here for details/references